Author Question: A patient is mute, curled in a fetal position, and incontinent of urine. The patient eats small ... (Read 51 times)

jace · **on:** Jul 19, 2018

A patient is mute, curled in a fetal position, and incontinent of urine. The patient eats small amounts only if spoon-fed. The nurse assesses this behavior as most indicative of

a. displacement.
b. compensation.
c. conversion.
d. regression.

Question 2

A patient is withdrawn and avoids talking to the nurse. The best initial intervention for the nurse would be to

a. offer to listen and help.
b. directly ask why the patient does not wish to talk.
c. involve the patient in a group activity to decrease isolation.
d. respect the patient's desire not to talk and leave the patient alone.

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

Answer to Question 1

D
Regression is defined as the return to an earlier, more comfortable developmental statein this case, infancy. Displacement involves discharging feelings to an object that is less threatening. Compensation refers to covering a weakness by overemphasizing a desirable trait. Conversion refers to the unconscious expression of conflict symbolically through physical symptoms.

Answer to Question 2

A
Patients might be afraid or unable to approach nurses. Nurses must take the initiative to approach the patient, thus acknowledging the patient's worthiness and conveying acceptance. Why questions usually elicit rationalization. Leaving the patient alone does not foster trust. Decreasing isolation will not build trust in the nurse.