A war veteran describes having his legs blown off during an attack. His affect is flat, and he shows no emotion during his disclosure. The veteran is using which defense mechanism?
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A client diagnosed with schizophrenia states, “look, color,…
A client diagnosed with schizophrenia states, “look, color, hate me, get away, yes, yes.” Which is an appropriate charting entry to describe this client’s statement?
A nurse is attempting to administer antianxiety medications…
A nurse is attempting to administer antianxiety medications to an involuntary committed patient. The client refuses the medications, curses, and states, “I am going to kill you.” Which nursing action is most appropriate at this time?
On an inpatient psychiatric unit, a client diagnosed with ma…
On an inpatient psychiatric unit, a client diagnosed with major depressive disorder states, “I’m so glad the Zoloft that my doctor just prescribed will quickly help me with my mood.” Which nursing response reflects the role of teaching?
On an inpatient psychiatric unit, a client diagnosed with ma…
On an inpatient psychiatric unit, a client diagnosed with major depressive disorder states, “I’m so glad the Zoloft that my doctor just prescribed will quickly help me with my mood.” Which nursing response reflects the role of teaching?
A client diagnosed with Alzheimer’s dementia can no longer a…
A client diagnosed with Alzheimer’s dementia can no longer ambulate, does not recognize family members, and communicates with agitated behaviors and incoherent verbalizations. The nurse recognizes these symptoms as indicative of which stage of the illness?
Describe 4 signs and symptoms that would warrant immediate r…
Describe 4 signs and symptoms that would warrant immediate referral for an athlete suspected of having a sports-related concussion.
The client with antisocial personality disorder is trying to…
The client with antisocial personality disorder is trying to convince the nurse that he deserves special privileges, and that an exception to the rules should be made for him. What is the nurse’s best response to this client’s request?
A nurse is assessing a client who, over the past 3 years, ha…
A nurse is assessing a client who, over the past 3 years, has experienced feelings of sadness related to the death of a beloved aunt. The client eats and sleeps little and isolates themselves. How should the nurse interpret the client’s behavior?
A client diagnosed recently with Alzheimer’s dementia is pre…
A client diagnosed recently with Alzheimer’s dementia is prescribed donepezil. The client’s spouse inquires, “How does this work? Will this cure him?” Which is the appropriate nursing response?