A client who is participating in an anger management assignment asks to make a leather belt in occupational therapy. The client begins pounding the leather vigorously with a mallet to imprint designs on the belt. Which defense mechanism is the client using?

Regression.

Suppression.

Compensation.

Sublimation.

Answer and Explanation

The Correct Answer is D

A.   Regression involves reverting to behaviors from an earlier developmental stage, which is not demonstrated in this scenario.
B.   Suppression is the conscious decision to delay paying attention to a thought or feeling, which is not evident here.
C.   Compensation involves making up for a perceived deficiency by emphasizing another trait or skill, which does not apply to this situation.
D.   Sublimation is the process of channeling unacceptable impulses into socially acceptable activities. By vigorously working on the leather belt, the client is redirecting potentially aggressive energy into a constructive and creative outlet.

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Correct Answer is B

Explanation

A. A toileting schedule is unnecessary for an anuric client as they do not produce urine.
B. Anemia is a common complication of chronic kidney disease due to reduced erythropoietin production, so monitoring for signs of anemia is important.
C. High potassium foods should be avoided as impaired kidney function can lead to hyperkalemia.
D. While perineal skin care is important, it is not as critical as monitoring for anemia in this context.

A. Ask the client to describe the pain. B. Identify effective pain relief measures. C. Observe body language and movement. C. Provide a numeric pain scale.

Correct Answer is A

Explanation

A. Asking the client to describe the pain allows for a detailed assessment of the pain's quality, location, intensity, and any aggravating or alleviating factors. This information is crucial for tailoring pain management strategies to the client's specific needs.
B. Identifying effective pain relief measures is important but comes after understanding the pain's characteristics.
C. Observing body language and movement can provide clues about pain but is subjective and less accurate than direct communication.
D. A numeric pain scale measures pain intensity but does not provide information about the quality or nature of the pain.

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A client who is participating in an anger management assignment asks to make a leather belt in occupational therapy. The client begins pounding the leather vigorously with a mallet to imprint designs on the belt. Which defense mechanism is the client using?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning care for a client with chronic kidney disease who is a resident at a long-term nursing facility. The client is anuric and has hemodialysis 3 times a week. Which intervention should the nurse include in the client's plan of care?

Correct Answer is B

Explanation

A client with metastatic bone cancer is requesting pain medication. Which approach should the nurse use to assess the quality of the client's pain?

Correct Answer is A

Explanation

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