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Author Question: A mother of a young child kicks a trashcan in anger and says to the nurse, You just don't understand ... (Read 39 times)

bobbie

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A mother of a young child kicks a trashcan in anger and says to the nurse, You just don't understand Why can't the doctor find out what is wrong with my child? This behavior is most likely an example of:
 
  a. suppression
  b. sublimation
  c. displacement
  d. rationalization

Question 2

The nurse is assisting a co-worker who is preparing to change a deep wound dressing on a patient's abdomen. Several of the patient's out-of-town friends are at the bedside watching a football game.
 
  Which action is most appropriate for the nurse to consider prior to the dressing change?
  a.
  Ask the friends to leave the room.
  b.
  Pull the curtain around the bed.
  c.
  Allow visitors to stay in the room during the procedure.
  d.
  Ask the patient to turn up the volume on the television.



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cici

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Answer to Question 1

ANS: C
Displacement is an unconscious defense mechanism used to avoid conflict and anxiety by transferring emotions from one object to another object that is less anxiety-producing. The mother is upset that the health care team is not able to determine the cause of her child's illness and expresses her anger by kicking the trashcan. Suppression is the conscious decision to conceal unacceptable or painful thoughts. Sublimation is the rechanneling of unacceptable impulses into socially acceptable activities. Rationalization is the act of suggesting a different explanation for one that is painful, negative, or unacceptable.

Answer to Question 2

ANS: A
It is appropriate for the nurse to ask visitors to leave a patient's room for a few minutes. Several factors affect the location appropriate for communication with patients. Privacy and confidentiality are critical during the interviewing and assessment process. Simply pulling a cubicle curtain around a patient's bed does not prevent the transmission of sound beyond the curtain. Make every effort to talk with patients in an environment with as few interruptions and distractions as possible. Ask the patient to turn off competing technology and to focus on the nurse-patient interaction as needed.





 

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