Author Question: Two staff nurses were considered for promotion. The promotion was announced by a memo on the unit ... (Read 20 times)

jjjetplane · **on:** Jul 19, 2018

Two staff nurses were considered for promotion. The promotion was announced by a memo on the
unit bulletin board.

When the nurse who was not promoted first read the memo and learned that the
other nurse had received the promotion, she left the room in tears. This behavior is an example of
a. conversion.
b. regression.
c. introjection.
d. rationalization.

Question 2

A client appears sad and speaks slowly and haltingly. She tells the nurse of the death of her husband
of 50 years and the death of her daughter in a recent automobile accident.

The client has no other
family but has a circle of close friends who offer support. What nursing diagnosis should be
considered for this client?
a. Spiritual distress related to being angry with God for taking her family
b. Anxiety related to sudden and abrupt lifestyle change
c. Social isolation related to loss of existing family
d. No nursing diagnosis listed is warranted at this time

Juro · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: B
Crying is a regressive behavior. The ego returned to an earlier, comforting, and less mature way of
behaving in the face of disappointment. Option B: Conversion involves the unconscious
transformation of anxiety into a physical symptom. Option C: Introjection involves intense,
unconscious identification with another person. Option D: Rationalization involves the unconscious
process of developing acceptable explanations to justify unacceptable ideas, actions, or feelings.

Answer to Question 2

D
The client is experiencing normal grief related to the loss of her family. No defining characteristics
exist for the diagnoses listed in options A, B, and C, and no defining characteristics exist for the
diagnosis of dysfunctional grieving.