Later that day, he bought his son ice cream and food. What defense mechanism is Legrande unconsciously doing?

Correct Answer: A

Rationale: Legrande's buying ice cream and food is restitution (A), compensating for shouting at his son. Conversion (B) turns stress into physical symptoms. Redoing (C) isn't a term; undoing reverses. Reaction formation (D) acts opposite to feelings. Restitution, per psychology, repairs guilt, matching his actions, making A correct.

Correct Answer: A

Rationale: Yura and Walsh (A, 1,2) proposed the 4-step APIE process, per nursing history. Roy (B, 3) focused adaptation, Knowles (C, 4) adult learning. A matches early process development, making it correct.

Correct Answer: B

Rationale: When assessing a client's temperature, the method chosen must be accurate, safe, and appropriate for the client's condition. In this scenario, the client is alert but has dehydration secondary to vomiting and diarrhea, which suggests recent or ongoing gastrointestinal disturbances. The oral route (A) is generally accurate but is contraindicated in this case because vomiting increases the risk of aspiration, and residual nausea or oral irritation could affect the reading or patient comfort. The axillary route (B) is a safer alternative, as it is non-invasive and avoids the gastrointestinal system, though it may be slightly less accurate (typically 0.5°C lower than oral). It is suitable for an alert client who can cooperate by keeping the thermometer in place. The radial option (C) is incorrect because it refers to pulse assessment, not temperature. Heat-sensitive tape (D) is less precise and not a standard method for clinical vital sign monitoring in a hospital setting. Given the client's condition, axillary measurement balances safety and reliability, making B the best choice.

Correct Answer: C

Rationale: Pain is subjective (A) and multidimensional (B), varying by perception and experience, per pain theory. Pain threshold (C) the point of noticing pain differs between individuals, not the same, making it untrue. Tolerance (D) varies with factors like culture, psychology true. C's universal claim contradicts evidence of individual variation, making it the correct false statement.

Correct Answer: C

Rationale: Cheyne-Stokes respiration is alternating apnea and hyperpnea (C), per its definition common in dying or heart failure. It's not sleep-specific (A), not normal (B), nor from obstruction (D) it's neurological. C accurately describes its cyclic pattern, making it the true statement.