A client diagnosed with an obsessive-compulsive disorder spends hours bathing and grooming. During a one-on-one interaction, the client discusses the rituals in detail but avoids any feelings that the rituals generate
Which defense mechanism should the nurse identify? A. Sublimation
B. Dissociation
C. Rationalization
D. Intellectualization
D
The nurse should identify that the client is using the defense mechanism of intellectualization when discussing the rituals of obsessive-compulsive disorder in detail while avoiding discussion of feelings. Intellectualization is an attempt to avoid expressing emotions associated with a stressful situation by using the intellectual processes of logic, reasoning, and analysis.
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The nurse accepts a new job at a facility that uses the functional nursing method, and recognizes that means the nurse will most likely:
1. Have the same assigned clients to care for each day. 2. Be assigned specific tasks to do during the shift. 3. Work with the same group of staff each day. 4. Be assigned to work whatever shift is required.
The nurse is providing care for a client with terminal breast cancer. The client's children ask if their mother will exhibit any signs and symptoms prior to death
When responding to the family, which statements regarding the expected clinical manifestations of impending death will the nurse include? Select all that apply. 1. "Your mother's jaw may sag." 2. "Your mother may have difficulty speaking." 3. "Your mother may have trouble swallowing." 4. "Your mother may feel hot to the touch." 5. "Your mother may begin to breathe only through her nose."
The nurse is caring for an older patient diagnosed with melanoma of the nail. What might the nurse find during the physical assessment? Select correct answer.
1. Decreased skin thickness around the nail beds. 2. A sore, rough, scaly, reddened papule around the nails. 3. A longitudinal pigmented band. 4. Indurated scaly plaques, papules, or nodules near the nail bed.
An 80-year-old woman has been admitted to the emergency department after a sudden loss of consciousness and computed tomography indicates a serious ischemic stroke. The patient's son is adamant that the patient would not want thrombolytic therapy
The son would have the right to refuse this treatment on his mother's behalf if A) there is a reasonable belief that such a treatment would not result in improved outcomes for the patient. B) a durable power of attorney for healthcare names the son as a healthcare proxy. C) the son is able to show evidence that his mother was legally incompetent prior to her stroke. D) there is unanimity among other immediate family members.