Exhibits

The nurse engages the client in conversation about her feelings and some of her coping mechanisms.

Click to specify which client statement or behaviors is most likely associated with each of the listed defense mechanisms. Some statements or behaviors may be consistent with more than one mechanism. Each column must have at least one response selected.

The client says that she sometimes forgets why she is in the hospital.

The client seems unemotional when talking about needing 10 rebuild her house.

The client is frightened that the hospital will burn down.

The client discusses moving to Hawaii

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"C"}}

Isolation: The statement about forgetting why she is in the hospital reflects an emotional detachment or numbing, which can be associated with isolating oneself from the reality of the situation.

Fantasy: Discussing moving to Hawaii can be viewed as a way to escape her current distressing reality through imagination or daydreaming. Similarly, her fear of the hospital burning down suggests a disconnect from the present situation, which can be a form of fantasy thinking.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Obtaining a focused history is important for understanding the client’s condition but is not the immediate priority in acute stroke management.

B. Raising the head of the bed to 30 degrees while keeping the head and neck in neutral alignment is essential in stroke management to promote cerebral perfusion and prevent increased intracranial pressure.

C. Maintaining elevated positioning of dependent joints is not as critical as ensuring proper alignment of the head and neck in the context of stroke care.

D. Initiating bilateral intermittent sequential pneumatic compression devices is relevant for preventing deep vein thrombosis but is not the priority in managing acute stroke symptoms.

A. Assessment of a bruit on the left forearm. B. Auscultation of a thrill on the left forearm. C. The left radial pulse is 2+ bounding. D. Distended, tortuous veins in the left hand.

Correct Answer is B

Explanation

Assessment of a bruit indicates blood flow through the fistula but does not directly confirm its patency; it is a good sign but not definitive.

B. Auscultation of a thrill on the left forearm is a direct indicator that the AV fistula is patent. A thrill signifies that blood is flowing freely through the fistula, which is essential for its function.

C. The left radial pulse being 2+ bounding indicates good peripheral circulation but does not specifically assess the status of the AV fistula.

D. Distended, tortuous veins in the left hand can indicate venous congestion, which could signify that the fistula is not functioning properly.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A client with chronic kidney disease (CKD) has an arteriovenous (AV) fistula in the left forearm. Which observation by the nurse indicates that the fistula is patent?

Correct Answer is B

Explanation

The nurse is teaching dietary modifications to a client with hypertension. Which product is the best selection to include as part of the client's lunch?

A 4-month-old infant is brought to the clinic by a parent with symptoms of a runny nose, a slight fever and cough for the last two days. Which finding should alert the nurse that the child is in acute respiratory distress?

Exhibits Based on the assessment data, the nurse recognizes the need to intervene immediately. Select the 5 priority interventions that the nurse should initiate based on the most recent assessment.

When conducting diet teaching for a client who was diagnosed with hypertension, which food(s) should the nurse encourage the client to eat? Select all that apply.

A client who is admitted for primary hypothyroidism has early signs of myxedema coma. In assessing the client, in which sequence should the nurse complete these actions? (Rank the first action at the top with the remainder in descending order.)

A child who weighs 55 lb receives a prescription for cefotaxime 150 mg/kg/day IV in divided doses every 6 hours. How many mg should the nurse administer each day? (Enter numerical value only.)

Which problem reported by a client taking lovastatin requires the most immediate follow-up by the nurse?

The nurse is assessing a 3-month-old client who had a pyloromyotomy yesterday. This child should be medicated for pain based on which finding(s)? Select all that apply.