A 60 year old female client who lives alone tells the nurse at the community health center “I really don’t need anyone to talk to”. The TV is my best friend. The nurse recognizes that the client is using the defense mechanism known as?
The client statement is an example of the use of denial, a defense that blocks problem by unconscious refusing to admit they exist.
Nurse Mark would expect a child with a diagnosis of reactive attachment disorder to:
Children who have experienced attachment difficulties with primary caregiver are not able to trust others and therefore relate superficially
Mark is experiencing alcohol withdrawal exhibits tremors, diaphoresis and hyperactivity. Blood pressure is 190/87 mmhg and pulse is 92 bpm. Which of the medications would the nurse expect to administer?
The nurse would most likely administer benzodiazepine, such as lorazepan (ativan) to the client who is experiencing symptom: The client’s experiences symptoms of withdrawal because of the rebound phenomenon when the sedation of the CNS from alcohol begins to decrease.
Nurse Monette recognizes that the focus of environmental (MILIEU) therapy is to:
Environmental (MILIEU) therapy aims at having everything in the client’s surrounding area toward helping the client.
Which of the following foods would the nurse Trish eliminate from the diet of a client in alcohol withdrawal?
Regular coffee contains caffeine which acts as psychomotor stimulants and leads to feelings of anxiety and agitation. Serving coffee top the client may add to tremors or wakefulness.
Which of the following would Nurse Hazel expect to assess for a client who is exhibiting late signs of heroin withdrawal?
Vomiting and diarrhea are usually the late signs of heroin withdrawal, along with muscle spasm, fever, nausea, repetitive, abdominal cramps and backache.
When teaching parents about childhood depression Nurse Trina should say?
Children have difficulty verbally expressing their feelings, acting out behavior, such as temper tantrums, may indicate underlying depression.
Nurse Perry is aware that language development in autistic child resembles:
The autistic child repeat sounds or words spoken by others.
When working with a male client suffering phobia about black cats, Nurse Trish should anticipate that a problem for this client would be?
Discussion of the feared object triggers an emotional response to the object.
To establish open and trusting relationship with a female client who has been hospitalized with severe anxiety, the nurse in charge should?
Moving to a client’s personal space increases the feeling of threat, which increases anxiety.
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