Two staff nurses were considered for promotion to head nurse. ...

[saraeharris]

Two staff nurses were considered for promotion to head nurse.
 
  The nurse who was not promoted
  initially experienced feelings of loss, but as the weeks went on she went out of her way to be
  supportive of the new head nurse and help make the transition smooth. She offered to take on
  additional responsibility to help out and was heard encouraging others. She told a friend I feel good
  about the way things are turning out. I have an investment in this unit and want the best for our
  staff.. The phenomenon occurring has its basis in
  a. altruism.
  b. suppression.
  c. displacement.
  d. passive aggression.

Question 2

An elderly client with depression who is being treated with a tricyclic antidepressant should be
  carefully observed for
 
  a. orthostatic hypotension and urinary retention.
  b. photosensitivity and skin rashes.
  c. pseudo-Parkinsonism and tardive dyskinesia.
  d. diarrhea and electrolyte imbalance.

[BUTTHOL369]

Answer to Question 1

ANS: A
Altruism is the mechanism by which an individual deals with emotional conflict by meeting the
needs of others and receiving gratification vicariously or from the responses of others. Option B:
Suppression is conscious denial of a disturbing feeling or situation. Option C: Displacement
transfers emotions associated with a particular person or event to another person or situation that is
less threatening. Option D: Passive aggression occurs when an individual deals with emotional
conflict by indirectly and unassertively expressing aggression toward others.

Answer to Question 2

A
Both orthostatic hypotension and urinary retention are side effects of tricyclic antidepressants. The
elderly often have circulatory problems predisposing them to orthostatic hypotension and often are
particularly sensitive to the anticholinergic side effects of these drugs, which may cause urinary
retention.

[saraeharris]

Thank you

[BUTTHOL369]

Happy to help you