The nurse and a client talk about healthy ways to meet needs. The client states, "When I am looking really good, it is not asking too much for people to acknowledge me." The nurse recognizes that this experience is indicative of:
1. Affective instability.
2. Splitting.
3. Feelings of emptiness.
4. A sense of entitlement.
4
Rationale: Individuals with narcissism have a constant desire to be the center of attention that is based on a strong sense of entitlement. Narcissistic individuals feel they deserve to be treated in a special manner. When their need for constant attention is not met, the narcissistic person feels rejected and may retaliate through acting-out behaviors. Affective instability and feelings of emptiness are characteristics of borderline personality disorder. Splitting is a manipulative tactic to pit individuals against one another.
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Janet knows that as a nurse she will be expected to guide clients through personal decisions regarding their care. An activity to help Janet with difficult ethical decisions is:
a. to engage in personal meditation. b. to enroll in an ethico-legal class. c. to engage in personal mediation daily. d. values clarification.
A patient admitted with acute diverticulitis is being cared for by a staff nurse and a student nurse. The student asks the staff nurse what the signs of bowel perforation are. What should the staff nurse answer the student?
A) A decreased sedimentation rate B) An elevated white cell count C) Bradycardia D) Hypertension
Which is the first step when teaching a patient to perform a breast self-examination?
1) Using the pads of the fingers to palpate the breast symmetrically 2) Compressing the nipple looking for discharge 3) Inspecting the breasts in the mirror 4) Reporting any redness or inflammation
As a nurse begins employment in the labor and delivery unit of a large teaching hospital, what
strategy is the best way for the new graduate nurse to learn how to perform vaginal exams? A) Watch a videotape on the procedure. B) Practice on a manikin in skills lab. C) Study the unit's policy and procedure manual. D) Assist the RN who is the assigned preceptor.