Answer to Question 1
Correct Answer: 3
Rationale 1: Explaining all procedures in detail may overwhelm the client. Using short, clear sentences and explaining only enough to satisfy the client is a better plan.
Rationale 2: A client who is ill cannot be expected to make the majority of decisions about the plan of care, but should be allowed as much autonomy and choice as can be arranged and tolerated.
Rationale 3: The nurse is in charge of the environment of healing and should take responsibility for limiting noise, dimming lights at night, using minimal numbers of nurses to care for one client, and keeping the area clean and comfortable.
Rationale 4: Using multiple nurses for care can increase anxiety.
Answer to Question 2
Correct Answer: 2
Rationale 1: Repression is an unconscious mechanism by which threatening thoughts and feelings are kept from becoming conscious.
Rationale 2: Sublimation is displacement of sexual drives into more socially acceptable activities.
Rationale 3: Substitution is a mechanism in which highly valued, unacceptable, or unavailable objects are replaced by less valuable, acceptable, or available objects.
Rationale 4: Undoing is an action or words designed to cancel out some disapproved thoughts, impulses, or acts or in which the person acts to make reparation for a wrong.
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