A client who is being treated for chronic kidney disease complains to the health-care provider that he does not like the food available to him while hospitalized. The health-care provider insists that the client strictly adhere to the diet plan. What action can be expected if the client uses the defense mechanism of displacement?

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Question 1 of 5

A client who is being treated for chronic kidney disease complains to the health-care provider that he does not like the food available to him while hospitalized. The health-care provider insists that the client strictly adhere to the diet plan. What action can be expected if the client uses the defense mechanism of displacement?

Correct Answer: C

Rationale: The correct answer is C. Displacement is a defense mechanism where negative feelings are redirected from the original source to a less threatening target. In this scenario, the client's anger towards the health-care provider is redirected towards the nurse, resulting in snapping and criticism. This behavior is a classic example of displacement. A: Assertively confronting the health-care provider does not align with displacement. It would involve directly addressing the source of conflict. B: Insisting on discharge and going for a walk is more of a flight response rather than displacement. D: Hiding anger by explaining the diet to the spouse is not displacement; it's more about rationalizing the situation. In summary, choice C is the correct answer as it reflects the use of displacement as a defense mechanism in response to the client's frustration with the diet plan.

Question 2 of 5

Disposal of medical records in government hospitals/institutions must be done in close coordination with what agency?

Correct Answer: C

Rationale: The correct answer is C: Records Management Archives Office (RMAO). This agency is responsible for overseeing the proper management and disposal of records in government institutions. They ensure compliance with regulations to protect sensitive information. DILG and MMDA do not have jurisdiction over record management. DOH may have a role in healthcare records but not specifically in the disposal process. RMAO's expertise in records management makes them the most suitable agency for coordinating the disposal of medical records in government hospitals.

Question 3 of 5

Which of the following role would be the responsibility of the scrub nurse?

Correct Answer: C

Rationale: The correct answer is C because the responsibility of the scrub nurse is to account for the number of sponges, needles, and supplies used during the surgical procedure. This is crucial for patient safety and to prevent any foreign objects from being left inside the patient. Explanation: A: Assessing the readiness of the client prior to surgery is typically the responsibility of the pre-op nurse or the circulating nurse, not the scrub nurse. B: Ensuring that the airway is adequate is the responsibility of the anesthesiologist or anesthesia provider, not the scrub nurse. D: Evaluating the type of anesthesia appropriate for the surgical client is the responsibility of the anesthesia provider, not the scrub nurse.

Question 4 of 5

As a nurse, you are always alerted to monitor status asthmaticus who will likely and initially manifest symptoms of:

Correct Answer: C

Rationale: The correct answer is C: respiratory alkalosis. In status asthmaticus, the patient experiences prolonged, severe asthma attacks leading to hyperventilation. Hyperventilation causes excessive removal of carbon dioxide, leading to a decrease in PaCO2 levels and respiratory alkalosis. The other choices are incorrect because metabolic alkalosis (choice A) is not typically associated with asthma attacks, respiratory acidosis (choice B) occurs with inadequate ventilation, and metabolic acidosis (choice D) is not a common initial manifestation of status asthmaticus.

Question 5 of 5

When surgery is on-going, who coordinates the activities outside, including the family?

Correct Answer: C

Rationale: The correct answer is C: Circulating Nurse. During surgery, the circulating nurse is responsible for coordinating activities outside the operating room, including communicating with the family. They ensure the smooth flow of the surgical procedure, handle documentation, equipment, and communication. The other choices are incorrect because: A: Orderly/clerk is not typically involved in coordinating activities outside the operating room. B: Nurse Supervisor focuses on managing the nursing staff and overseeing patient care within the unit, not specifically coordinating activities outside during surgery. D: Anesthesiologist is primarily responsible for administering anesthesia and monitoring the patient's vital signs during surgery, not coordinating activities with the family.

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