Using Freud's personality theory, the nurse recognizes a strong ego when a patient:
a. laughs at himself for being foolish.
b. continually boasts of his accomplishments.
c. apologizes continually.
d. insists that the TV channel stay tuned to CNN.
A
Ego is the reality tester. Laughing at oneself shows that the patient can compare his own foolish behavior to the norm.
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A nurse is assessing an older client for the presence of infection. The client's temperature is 97.6 ° F (36.4 ° C). What response by the nurse is best?
a. Assess the client for more specific signs. b. Conclude that an infection is not present. c. Document findings and continue to monitor. d. Request that the provider order blood cultures.
When caring for a client with multiple fractures requiring prolonged bed rest, the nurse knows a priority nursing diagnosis will be:
A) Risk for Injury related to orthostatic hypotension. B) Hypovolemia related to multiple traumatic injuries. C) Potential for Impaired Tissue Perfusion related to immobility. D) Risk for Social Isolation related to prolonged bed rest.
Which treatment will most likely be the best long-term benefit for a child with an allergic condition in which it is difficult to remove or avoid the allergen?
A) Use of corticosteroids B) Electrical stimulation C) Use of antihistamines D) Hyposensitization
A client with major depression visits the mental health clinic and tells the nurse that he has recently started smoking marijuana. The nurse determines that the manifestation of the client's co-occurring disorder is:
A) Primary mental illness with subsequent substance abuse. B) Primary substance abuse disorder with psychopathologic sequelae. C) Dual primary diagnoses. D) A common etiology.