During a home visit to a hospice patient, the patient states, “I used to love eating strawberry ice cream, but with the dietary restrictions of my condition, I have not been able to have ice cream in years.”. How should the nurse respond?

Choice A rationale
Regression is a defense mechanism where an individual reverts to an earlier stage of development or a less mature behavior when faced with stress or anxiety. This does not fit the scenario provided. Choice B rationale
Projection involves attributing one’s own unacceptable feelings or thoughts to others. This is not the case in the scenario provided.
Choice C rationale
Rationalization involves creating logical but untrue explanations to justify unacceptable behavior or feelings. In this scenario, the patient is rationalizing their failure to take their medication by blaming their partner’s forgetfulness.
Choice D rationale
Repression involves unconsciously blocking out painful or uncomfortable thoughts or feelings. This does not fit the scenario provided.

Question 14.

Choice A rationale
Carbonic anhydrase inhibitors are not typically the first line of treatment for glaucoma. They work by decreasing the production of eye fluid, but they are usually used when other treatments have not been successful. Choice B rationale
Prostaglandin analogs, such as latanoprost and travoprost, are often the first line of treatment for glaucoma. They work by increasing the outflow of eye fluid to lower pressure in the eye.
Choice C rationale
Alpha-agonists are not typically the first line of treatment for glaucoma. They work by both decreasing the production of eye fluid and increasing its outflow, but they are usually used when other treatments have not been successful.
Choice D rationale
Beta-blockers, like timolol, are sometimes used as initial treatment for glaucoma, but they are not typically the preferred initial medication. They work by reducing the production of eye fluid.