A client who is participating in an anger management assignment asks to make a leather belt in occupational therapy. The client begins pounding the leather vigorously with a mallet to imprint designs on the belt. Which defense mechanism is the client using?

Regression.

Suppression.

Compensation.

Sublimation.

Answer and Explanation

The Correct Answer is D

A.   Regression involves reverting to behaviors from an earlier developmental stage, which is not demonstrated in this scenario.
B.   Suppression is the conscious decision to delay paying attention to a thought or feeling, which is not evident here.
C.   Compensation involves making up for a perceived deficiency by emphasizing another trait or skill, which does not apply to this situation.
D.   Sublimation is the process of channeling unacceptable impulses into socially acceptable activities. By vigorously working on the leather belt, the client is redirecting potentially aggressive energy into a constructive and creative outlet.

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Correct Answer is B

Explanation

A. Ensuring that someone stays with the client for 24 hours is important for immediate postoperative care but does not directly ensure compliance with self-care instructions.
B. The teach-back method involves asking the client to repeat in their own words the instructions you just provided. This confirms that they understand the information correctly and are able to follow it at home. For a client with hearing difficulties, this ensures that any miscommunication is identified and corrected before discharge, improving compliance and safety.
C. Speaking clearly and facing the client for lip reading is helpful for communication but does not ensure that the client fully understands and can follow the instructions.
D. Providingwritten instructions for eye drop administrationis useful as a supplement, but written instructions may not guarantee understanding, especially if the client has visual limitations or confusion.

A. Skin pale and diaphoretic B. Respiratory rate 36 breaths/minute C. Blood pressure 140/86 mm Hg D. Temperature 101.1° F (38.4" C) orally E. Bilateral basilar crackles F. Bilateral radial pulses bounding G. Heart rate 117 beats/minute and irregular H. Oxygen saturation 98% on room air

Correct Answer is ["A","B","C","D","E","G"]

Explanation

A. Skin pale and diaphoretic: These can be signs of dehydration, infection, or other conditions.
B. Respiratory rate 36 breaths/minute - This is elevated, especially for a child, indicating potential respiratory distress or infection, particularly given the patient's history and current fever.
C. Blood pressure 140/86 mm Hg - This is high for a 7-year-old and could indicate fluid overload or other complications related to his chronic kidney disease.
D. Temperature 101.1° F (38.4° C) orally - Continued fever despite antipyretic treatment suggests ongoing infection or inflammation needing further evaluation.
E. Bilateral basilar crackles - This could suggest fluid in the lungs (pulmonary edema), which is critical given the patient's possible fluid overload and high blood pressure.
F. Bilateral bounding radial pulses is not necessarily a cause of concern in the above case.

G. Heart rate 117 beats/minute and irregular - An elevated and irregular heart rate in a child is concerning and could indicate cardiovascular stress or electrolyte imbalances, which need addressing given his elevated potassium levels.
H. Oxygen saturation 98% on room air: Normal oxygen saturation suggests adequate gas exchange.

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A client who is participating in an anger management assignment asks to make a leather belt in occupational therapy. The client begins pounding the leather vigorously with a mallet to imprint designs on the belt. Which defense mechanism is the client using?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult client who has difficulty hearing is being discharged from day surgery following a cataract extraction and lens implantation. Which intervention is most important for the nurse to implement to help ensure the client's compliance with self care?

Correct Answer is B

Explanation

Patient's data Exhibits The nurse obtains verbal handoff from the outpatient clinic nurse, reviews the electronic health record, and completes an initial assessment including vital signs. Which assessment findings require follow up by the nurse? Select all that apply.

Correct Answer is ["A","B","C","D","E","G"]

Explanation

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