A young adult client with a new diagnosis of rheumatoid arthritis states, "The pain in my joints is just a temporary thing. If I keep eating right and exercising, it'll go away." The nurse should identify the client is exhibiting which of the following defense mechanisms?

Displacement

Reaction formation

Rationalization

Denial

Answer and Explanation

The Correct Answer is D

A.   Displacement involves redirecting emotions, which does not apply here.
B.   Reaction formation is expressing the opposite of one's true feelings; this does not fit the statement.
C.   Rationalization involves justifying behaviors or feelings; the statement does not justify.
D.   Denial is refusing to accept the reality of the situation, which aligns with the client's belief about their pain.

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Correct Answer is D

Explanation

A. A pill-rolling tremor is associated with Parkinson's disease, not myasthenia gravis.
B. Electrical charge in a muscle increasing is not relevant to this test.
C. Muscle strength showing no change indicates a negative test result.
D. Muscle contractions becoming progressively stronger after administration of Tensilon indicates a positive test for myasthenia gravis.

A. Administering an IM injection B. Administering an intermittent IV bolus medication C. Talking to the client at the bedside D. Completing a dressing change

Correct Answer is D

Explanation

A. Administering an IM injection does not typically require a gown.
B. Administering an intermittent IV bolus medication also does not usually require gowning.
C. Talking to the client at the bedside does not pose a risk requiring gowning.
D. Completing a dressing change involves exposure to potentially infectious materials, necessitating the use of a gown.

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A young adult client with a new diagnosis of rheumatoid arthritis states, "The pain in my joints is just a temporary thing. If I keep eating right and exercising, it'll go away." The nurse should identify the client is exhibiting which of the following defense mechanisms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a suspected diagnosis of myasthenia gravis. The provider prescribes a Tensilon test. Which of the following findings indicates a positive test?

Correct Answer is D

Explanation

A nurse is caring for a client who is HIV positive and is one day postoperative following an appendectomy. The nurse should wear a gown as personal protective equipment when taking which of the following actions?

Correct Answer is D

Explanation

A nurse is teaching a group of clients about osteoarthritis. Which of the following recommendations should the nurse include in the teaching?

A nursing is providing dietary teaching for a client who has Cushing's disease. Which of the following recommendations should nurse include in the teaching?

A nurse is caring for a client who has Cushing's syndrome. The nurse should recognize that which of the following are manifestations of Cushing's syndrome? (Select all that apply.)

A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect?

A nurse is preparing to administer PO medication to a client who has myasthenia gravis. Which of the following actions should the nurse take prior to administering the client medication?

A nurse is assessing a client for early manifestations of rheumatoid arthritis (RA). Which of the following changes is an early manifestation of RA?

A nurse is providing care to a client who has osteoarthritis and is experiencing difficulty with mobility and cannot leave their house. Which of the following psychosocial health impacts is expected and requires further evaluation?

A nurse is assisting a client who has hypothyroidism with meal planning. Which of the following foods should the nurse recommend that the client add to her diet?