A nurse is caring for a client who has a prescription for levothyroxine.

Which of the following laboratory tests should the nurse monitor?

Speaking to the client at an increased volume in (option C) is not an effective solution for a language barrier. Simply speaking louder will not address the issue of language comprehension. It is important to use appropriate communication strategies, such as seeking a qualified interpreter or using visual aids or gestures to facilitate understanding.

B. Ask a family member of the client to interpret

Using a family member as an interpreter can lead to miscommunication, lack of confidentiality, and potential biases. A professional interpreter should be used to ensure accurate communication. However, in the absence of a professional interpreter, having a family member interpret can help create an understanding between the nurse and the client.

Rest in (option A) is not an appropriate action in this situation. The nurse should actively seek a way to communicate effectively with the client to ensure safe and appropriate care.

Assuming that the client nodding indicates an understanding of the information in (option D) is not reliable. Nodding can have different cultural interpretations and may not always indicate comprehension. It is important to use other means of communication to confirm understanding, such as using a professional interpreter or utilizing visual aids.

Explanation:

Displacement is a defense mechanism in which an individual redirect their emotions or impulses from their original target to a less threatening or safer target. In this scenario, the client yells at the nurse when medication changes are prescribed by the provider. The client may be feeling angry or frustrated about the medication changes but is unable to express those emotions directly towards the provider. Instead, the client displaces those feelings onto the nurse, who may be seen as a safer or more accessible target. The yelling behavior directed at the nurse is a way for the client to release and express their emotions indirectly.

Let's briefly discuss the other defense mechanisms mentioned:

A- Conversion: Conversion involves the expression of psychological distress or conflict through physical symptoms or ailments. It is not applicable in this scenario since the client's behavior does not involve physical symptoms.

B- Splitting: Splitting is a defense mechanism characterized by a black-and-white thinking pattern, where individuals perceive others or situations as all good or all bad. It does not directly apply in this scenario as the client's behavior is not indicative of splitting.

D- Sublimation: Sublimation is a defense mechanism in which an individual channel their unacceptable or potentially harmful impulses into socially acceptable outlets, such as creative or productive activities. It is not evident in this scenario as the client's behavior does not involve transforming the emotions into a more positive or socially acceptable form.