A 4-year-old child has leukemia but is now in remission. What does it mean to be in remission when one has a chronic illness?

Correct Answer: D

Rationale: To be in remission means that the disease is still present but the symptoms are not being experienced. This is the case for the 4-year-old child with leukemia - the cancer cells may still be in the body but they are not causing any symptoms. Choice A is incorrect because remission does not mean the disease has been cured. Choice B is incorrect as further treatment may still be necessary even in remission. Choice C is incorrect as remission means symptoms are not present, so severe symptoms reappearing would not align with being in remission.

Correct Answer: D

Rationale: The correct answer is D, Bill of Rights for Registered Nurses. This document was developed to specifically address the rights and responsibilities of registered nurses in the workplace, ensuring their ability to provide safe and quality patient care. It outlines key principles such as workplace safety, fair treatment, and professional autonomy. A, Code of Ethics for Nurses, focuses on ethical principles and conduct rather than workplace improvements. B, Standards of Clinical Nursing Practice, sets guidelines for nursing care but does not directly address workplace conditions. C, Bioethics Clinical Guidelines, pertains to ethical decision-making in healthcare but does not relate to workplace improvements for nurses.

Correct Answer: A

Rationale: The correct answer is A because it violates the patient's privacy and confidentiality by exposing them inappropriately. HIPAA regulations protect patient privacy, requiring appropriate gowning during ambulation. Choices B and C involve patient care issues, not HIPAA violations. Choice D violates patient privacy but does not involve a direct breach like choice A.

Correct Answer: B

Rationale: Developing a teaching plan is comparable to formulating a nursing care plan because both involve assessing the patient's needs, setting goals, planning interventions, and evaluating outcomes. Teaching plans focus on educating patients, while nursing care plans address the overall care and management of the patient. Documenting in the nurse's notes (A) is important but does not involve the same level of planning and detail as developing a teaching plan. Performing a complex technical skill (C) requires specific hands-on abilities rather than planning and organizing information. Using a standardized form or format (D) may provide structure but does not encompass the individualized approach necessary for developing a teaching plan.

Correct Answer: D

Rationale: The correct answer is D: Displacement. Displacement is the defense mechanism where emotions or impulses are redirected from the original target to a less threatening target. In this scenario, the patient is displacing their anger from their spouse onto the nurse. This is evident by the patient becoming verbally abusive towards the nurse after the argument with their spouse. A: Denial is the defense mechanism where individuals refuse to accept reality. This is not applicable in this situation as the patient is not denying the argument with their spouse. B: Projection is the defense mechanism where individuals attribute their own unacceptable thoughts or feelings onto someone else. This is not the case here as the patient is not attributing their behavior to the nurse. C: Sublimation is the defense mechanism where individuals channel their emotions into more socially acceptable behaviors. This is not relevant in this context as the patient is not channeling their emotions into a constructive outlet.