A nurse is caring for an adult client who is receiving treatment for alcohol use disorder. The client is upset because his partner has refused to visit him in the treatment facility. Which of the following actions by the client should indicate to the nurse that the client is using regression as a defense mechanism?
The client states that he has developed sudden hearing loss
The client states that his partner will not visit because they are too busy with their job
The client yells obscenities at the nurse
The client stomps his fees and throws objects of the bedside table
The Correct Answer is D
A. The client states that he has developed sudden hearing loss: This could potentially be an example of somatization, where psychological distress is expressed through physical symptoms. However, sudden hearing loss alone might not specifically indicate regression.
B. The client states that his partner will not visit because they are too busy with their job: This statement does not directly suggest regression. It appears to be an explanation or justification for the partner's behavior.
C. The client yells obscenities at the nurse: Yelling obscenities could indicate frustration or anger, but it does not necessarily suggest regression. It could be a response to the current situation rather than a regressive behavior.
D. The client stomps his feet and throws objects off the bedside table: This behavior could indicate regression. Stomping feet and throwing objects are more characteristic of childish or immature behavior, which suggests a regression to an earlier stage of emotional development.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. “ECT contraindicated in clients who have psychotic symptoms.”: This statement is incorrect. ECT can be used to treat various mental health conditions, including severe depression with psychotic features. It is not contraindicated solely based on the presence of psychotic symptoms.
B. "ECT is delivered through electrodes attached to the head.”: This statement is accurate. Electroconvulsive therapy (ECT) involves the delivery of electrical currents to the brain through electrodes placed on the scalp. These electrodes are positioned to target specific areas of the brain.
C. “ECT cannot be administered to clients who have suicide ideation”: This statement is incorrect. ECT can be considered as a treatment option for individuals with severe depression, including those with suicidal ideation or behavior. It can be effective in rapidly alleviating symptoms and reducing suicide risk in some cases.
D. “ECT is conducted under regional anesthesia.”: This statement is incorrect. Electroconvulsive therapy (ECT) is typically performed under general anesthesia to ensure the client's comfort and safety during the procedure. Regional anesthesia is not commonly used for ECT.
Correct Answer is B
Explanation
A. Polyphagia: Polyphagia refers to excessive hunger or increased appetite. Cocaine use is not typically associated with increased appetite; in fact, it often suppresses appetite. Therefore, polyphagia is not an expected finding.
B. Fever: Cocaine use can lead to an increase in body temperature due to its stimulant effects on the central nervous system. Therefore, fever is a possible finding associated with cocaine use.
C. Bradycardia: Cocaine use is more commonly associated with tachycardia, an elevated heart rate, rather than bradycardia. Stimulants like cocaine typically increase heart rate and can cause palpitations and arrhythmias.
D. Oliguria: Oliguria refers to decreased urine output. While cocaine use can have various effects on the body, it is not typically associated with oliguria. Instead, it can lead to increased urinary frequency due to its stimulant effects.
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