Author Question: A confused elderly nursing home client is in bed sleeping. When the nurse makes rounds, she enters ... (Read 51 times)

stevenposner · **on:** Jul 19, 2018

A confused elderly nursing home client is in bed sleeping. When the nurse makes rounds, she enters
the room quietly and reaches under the top sheet to feel the bottom sheet to see if it is wet.

The client
awakens and strikes out, hitting the nurse in the face. The statement best explaining the client's
action is
a. elderly clients often demonstrate exaggerations of behaviors used earlier in life.
b. the client learned violent behavior by watching excessive television violence.
c. the client interpreted the health care worker's behavior as potentially harmful.
d. the crowding that occurs in nursing homes increases individual tendencies toward
violence.

Question 2

A client was abducted and raped at gunpoint by an unknown assailant. When found she was
confused and disoriented. The client tells the nurse I cannot talk about it Nothing happened.

I have
to forget The client's present coping strategy can be assessed as
a. use of a somatic reaction.
b. use of denial.
c. phobia development.
d. desire for revenge.

flannelavenger · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

C
Confused clients are not always able to evaluate the actions of others accurately. This client behaved
as though provoked by the intrusive actions of the staff.

Answer to Question 2

B
The patient's statements reflect use of the ego defense mechanism denial. This mechanism may be
unconsciously used to protect the person from the emotionally overwhelming reality of the rape. The
client's statements do not reflect somatic symptoms, phobias, or desire for revenge.