The nurse is caring for a client who works as a boxer. The client states, "I was picked on a lot when I was little, so I got really angry and now I work through the anger by boxing."
The nurse recognizes the client is demonstrating which ego defense mechanism?
a. Denial
b. Intellectualization
c. Sublimation
d. Repression
ANS: C
Sublimation is redirecting socially unacceptable unconscious thoughts and feelings into socially approved outlets. Sublimation is used to channel extreme anger impulses into acceptable behaviors—for example by becoming a butcher or boxer. Denial is the unconscious refusal to allow painful facts, feelings, or perceptions into awareness. Intellectualization is the unconscious focusing on only the intellectual and not the emotional aspects of a situation or circumstance. Repression is unconscious forgetting of parts or all of an experience.
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A 45-year-old man is in the clinic for a physical examination. During the abdominal assessment, the nurse percusses the abdomen and notices an area of dullness above the right costal margin of approximately 11 cm. The nurse should:
a. Document the presence of hepatomegaly. b. Ask additional health history questions regarding his alcohol intake. c. Describe this dullness as indicative of an enlarged liver, and refer him to a physician. d. Consider this finding as normal, and proceed with the examination.
Which electrolytes are cations?
a. Sodium, potassium, and chloride c. Bicarbonate, chloride, and calcium b. Sodium, chloride, and bicarbonate d. Sodium, potassium, and magnesium
Which of the following units can provide high quality and cost effective care for patients who are less complex, more stable, and have a decreased need for physiologic monitoring could be placed on?
a. intensive care units b. triage units c. progressive care units d. medical surgical units
Which statement best describes how a traditional drug is different from a biologic agent?
1. Biologics and traditional drugs are identical chemically. 2. Traditional drugs are naturally produced by the body or in animal cells, whereas biologic agents are chemically produced in a laboratory. 3. Traditional drugs are chemically produced in a laboratory, whereas biologic agents are naturally produced by the body or in animal cells. 4. Biologics include herbs, natural extracts, vitamins, minerals, and dietary supplements.