Author Question: When gathering data on clients with substance abuse and dependency, the nurse will expect to find ... (Read 23 times)

dbose · **on:** Jul 22, 2018

When gathering data on clients with substance abuse and dependency, the nurse will expect to find the most common coping mechanism in clients, families, and nurses working with them to be:

1. Projection.
2. Sublimation.
3. Denial.
4. Rationalization.

Question 2

The nurse is caring for a client who received spinal anesthesia. The client calls the nurse into the room, saying, Come quick I can't feel my legs The nurse's best response is:

1. I will call the doctor immediately.
2. Loss of feeling is normal, and will subside as the anesthesia wears off.
3. Have you fallen or injured yourself in any way since surgery?
4. Did this occur suddenly, or have you noticed this ever since surgery?

bbburns21 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3
Rationale: The families of clients with substance dependency and abuse often use denial to cope with the client's problem, and are likely to make excuses for the client, or attempt to explain away his behavior as normal.

Answer to Question 2

2
Rationale: Spinal anesthesia diminishes sensation below the level of the injection, and can completely eliminate sensation, depending on what medication is used and how much is administered. The nurse will reassure the client that the sensation loss is normal and temporary, and that he will regain full function within a few hours postoperatively. There is no need to notify the doctor or assess for injury.