The client is a child age 5 years hospitalized for a surgical ...

[daltonest1984]

The client is a child age 5 years hospitalized for a surgical procedure. The client is bedwetting. The parents report this is a new behavior and their child is toilet trained. The nurse assesses the client is exhibiting the defense mechanism of ...
 
  A) compensation.
  B) displacement.
  C) reaction formation.
  D) regression.

Question 2

The client is a single parent being seen at an employee wellness clinic. The client tells the nurse he has three school-age children who participate in various activities.
 
  He states, Every night, I am taking them to soccer practice, football practice, Girl Scouts. I have to fix dinner and then go over homework. I have no time for myself. I am so tired. The client exhibits tremors of his hands. Blood pressure is 140/88 mm Hg, heart rate is 98 beats/minute, and respirations are 30 breaths/minute. Data best supports which of the following nursing diagnoses?
 
  A) Stress Overload related to single parenting
  B) Defensive Coping related to inability to appraise stressors
  C) Hopelessness related to multiple responsibilities
  D) Disturbed Sleep Pattern related to anxiety

[nmyers]

Answer to Question 1

Ans: D
Regression is a maladaptive behavior in which the client returns to an earlier method of behaving, as seen in the child who is now bedwetting. Compensation is overcoming a perceived weakness by emphasizing a more desirable trait. Displacement is transferring an emotional reaction from one object or person to another. Reaction formation is exhibiting behaviors that are the opposite of what the client would really like to do.

Answer to Question 2

Ans: A
The client is stating his stressors and a reaction to the stressor when he states, I am so tired. This would support Stress Overload. Defensive Coping would be not appropriate as he can state stressors in his life. He does not express Hopelessness in his statement to the nurse. The nurse needs more data, such as difficulty falling asleep and interrupted sleep, to support Disturbed Sleep Pattern.

[daltonest1984]

Both answers were spot on, thank you once again

[nmyers]

Great! Please up vote