A patient is undergoing diagnostic tests. The patient says, ...

[CBme]

A patient is undergoing diagnostic tests. The patient says, Nothing is wrong with me except a stubborn chest cold. The spouse reports that the patient smokes, coughs daily, has lost 15 pounds, and is easily fatigued.
 
  Which defense mechanism is the patient using?
 
  a. Displacement
  b. Regression
  c. Projection
  d. Denial

Question 2

A patient with a high level of motor activity runs from chair to chair and cries, They're coming They're coming The patient is unable to follow staff direction or respond to verbal interventions. Which nursing diagnosis has the highest priority?
 
  a. Risk for injury
  b. Self-care deficit
  c. Disturbed energy field
  d. Disturbed thought processes

[gabrielle_lawrence]

Answer to Question 1

ANS: D
Denial is an unconscious blocking of threatening or painful information or feelings. Regression involves using behaviors appropriate at an earlier stage of psychosexual development. Displacement shifts feelings to a more neutral person or object. Projection attributes one's own unacceptable thoughts or feelings to another.

Answer to Question 2

ANS: A
A patient who is experiencing panic-level anxiety is at high risk for injury, related to an increase in nongoal-directed motor activity, distorted perceptions, and disordered thoughts. Existing data do not support the nursing diagnoses of Self-care deficit or Disturbed energy field. This patient has disturbed thought processes, but the risk for injury has a higher priority.

[CBme]

Excellent

[T4T]

TYSM