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A nurse is planning a teaching for a group of clients about defense mechanisms. Which of the following information should the nurse include? (Select All that Apply.)

Defense mechanisms and coping strategies are the same and can be used interchangeably.

Defense mechanisms help a client positively deal with their stress.

Individuals develop certain defense mechanisms based on neurological and psychological growth as they age.

Maladaptive defense mechanisms have been shown to improve mental well-being.

Adaptive defense mechanisms help a person to accept a situation and transform it into something less stressful.

Adaptive defense mechanisms are typically seen in individuals with mature functioning.

Answer and Explanation

Correct Answer : C,E,F

Rationale:

A. Defense mechanisms and coping strategies are not the same. Defense mechanisms are unconscious processes used to protect the individual from anxiety and internal conflicts, while coping strategies are conscious efforts to handle stress.

B. Defense mechanisms can be maladaptive and may not always help clients positively deal with stress. They can sometimes hinder adaptive functioning.

C. Defense mechanisms are indeed influenced by neurological and psychological growth. As individuals age, they develop more sophisticated and adaptive mechanisms.

D. Maladaptive defense mechanisms do not improve mental well-being; instead, they can often worsen mental health and impair functioning.

E. Adaptive defense mechanisms, such as sublimation and rationalization, help individuals manage stress more effectively and transform challenges into manageable situations.

F. Adaptive defense mechanisms are characteristic of more mature psychological functioning, reflecting a higher level of emotional resilience and coping.

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Correct Answer is B

Explanation

Rationale:

A. Removing the PICC line should only be done if directed by a provider after further assessment.

B. The first action is to measure the circumference of both arms to assess for possible complications such as thrombosis or infiltration. This measurement will help determine the extent of the swelling and inform subsequent actions.

C. Notifying the provider is important but should be done after gathering relevant assessment data, such as the arm circumference.

D. Applying a cold pack may be appropriate for reducing swelling but is not the first step. Assessment should come first.

A. "I'll keep a heating pad on the calf of my right leg when I am lying down." B. "I'll wrap a warm, wet towel around my right calf every 4 hours." C. "I'll place my leg under a heat lamp every 3 hours." D. "I will sit on the side of the tub and soak my right leg two times every day."

Correct Answer is B

Explanation

Rationale:

A. Keeping a heating pad on the leg for extended periods can lead to burns or skin damage. Heat therapy should be applied intermittently with breaks to prevent overheating.

B. Wrapping a warm, wet towel and applying it intermittently is appropriate for localized heat therapy and can help reduce inflammation and promote healing.

C. Using a heat lamp may not provide consistent or controlled heat application and is not the standard approach for treating cellulitis.

D. Soaking the leg in a tub is not recommended as it may introduce bacteria and potentially worsen the infection.

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A nurse is planning a teaching for a group of clients about defense mechanisms. Which of the following information should the nurse include? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PICC). When assessing the client, the nurse notes swelling of the client's arm above the PICC insertion site. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is providing teaching to a client who has a prescription for heat therapy for treatment of cellulitis of the right lower leg. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is B

Explanation

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A nurse is planning a teaching for a group of clients about defense mechanisms. Which of the following information should the nurse include? (Select All that Apply.)

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