A nurse is reviewing documentation in a client's chart that was recorded by a nurse on the previous shift. The nurse on the previous shift noted, "The client uses avoidance as a defense mechanism when asked about his abusive childhood
" How should the oncoming nurse interpret this documentation?
A) Defense mechanisms are used by all individuals, are not necessarily maladaptive, and may not warrant elimination.
B) Defense mechanisms are a maladaptive attempt of the ego to manage excess anxiety.
C) Defense mechanisms are used by individuals with weak ego integrity.
D) Defense mechanisms cause disintegration of the ego and should be avoided.
A
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A nurse at a long-term care facility provides care for an 85-year-old man who has had recent transient ischemic attacks (TIAs). Which of the following statements best identifies future complications associated with TIAs? TIAs
A) are an accumulation of small deficits that may eventually equal the effects of a full CVA. B) are a relatively benign sign that necessitates monitoring but not treatment. C) resolve rapidly but may place the client at an increased risk for stroke. D) are caused by small bleeds that can be a warning sign of an impending stroke.
A nurse is providing health teaching to a client who has been admitted to the health care facility with chicken pox. How should the nurse prove that teaching standards are met?
A) Ask the client about the teaching and learning gained. B) Record the teaching and learning in the client's medical record. C) Ask the physician about the teaching standards followed. D) Study the change in the client's behavior after teaching and learning.
The brother of a client with schizophrenia says to the nurse: "I would like to help my brother, but he just doesn't seem to understand he has a serious psychological problem. He tells me he is fine and that he just gets a little weird occasionally."
The nurse should explain: 1. "This is why it is so difficult to treat, since lack of insight is a large part of the disease." 2. "Because of the stigma attached to mental illness, most people with schizophrenia won't tell others they have the disease." 3. "Many people with schizophrenia use denial as a coping mechanism." 4. "He needs to take his medications when having psychotic episodes."
What is the dosage of the medication in this syringe? 
A. 1 unit B. 0.1 mL C. 5 units D. 1 mL