A client was abducted and raped at gunpoint by an unknown assailant. When found she was
confused and disoriented. The client tells the nurse "I cannot talk about it! Nothing happened.
I have
to forget!" The client's present coping strategy can be assessed as
a. use of a somatic reaction.
b. use of denial.
c. phobia development.
d. desire for revenge.
B
The patient's statements reflect use of the ego defense mechanism denial. This mechanism may be
unconsciously used to protect the person from the emotionally overwhelming reality of the rape. The
client's statements do not reflect somatic symptoms, phobias, or desire for revenge.
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Shortly after delivery, the nurse assists the mother to initiate breastfeeding her newborn. What is the rationale for this intervention?
a. Infants are frequently alert during the first period of reactivity. b. Breastfeeding helps the infant make the transition to extrauterine life. c. Infants need nourishment as soon as possible after birth. d. Infants will learn how to breastfeed correctly if introduced to the breast immediately.
With regard to the process of augmentation of labor, the nurse should be aware that it:
a. Is part of the active management of labor that is instituted when the labor process is unsatisfactory. b. Relies on more invasive methods when oxytocin and amniotomy have failed. c. Is a modern management term to cover up the negative connotations of for-ceps-assisted birth. d. Uses vacuum cups.
Convert 2400 to conventional time: ________.
Fill in the blank(s) with the appropriate word(s).
After discharge, it is important for Baby H. to receive follow-up care. What should you teach
the mother to help her understand the importance of regular visits? What will be an ideal response?