Legrande De Salvaje Y Cobrador La Jueteng, was caught by the bacolod police because of his illegal activities. When he got home after paying for the bail, He shouted at his son. What defense mechanism did Mr. La Jueteng used?

Correct Answer: C

Rationale: Legrande uses displacement (C), redirecting anger from his arrest to his son. Restitution (A) repairs damage (e.g., gifts). Projection (B) attributes feelings to others. Undoing (D) reverses actions. Displacement, per Freud, shifts emotions to a safer target, fitting Legrande's outburst, making C correct.

Correct Answer: B

Rationale: The ANA's nursing process is ADPIE (B) assessment, diagnosis, planning, implementation, evaluation 5 steps, per current standards. APIE (A) omits diagnosis, ADOPIE (C) and ADOPIER (D) aren't recognized. B reflects practice, making it correct.

Correct Answer: D

Rationale: Standard precautions are infection control practices used to prevent the transmission of pathogens in healthcare settings. They apply to all patient care situations where there is potential contact with blood, body fluids, secretions, excretions (except sweat), non-intact skin, or mucous membranes. Providing oral hygiene involves direct contact with saliva, which is considered a body fluid that may contain pathogens, such as bacteria or viruses, especially in patients with poor oral health or infections. Wearing gloves during this intervention protects the nurse from potential exposure to infectious agents and prevents cross-contamination to other patients or surfaces. In contrast, providing a back massage, feeding a client, or providing hair care typically does not involve contact with body fluids or high-risk areas unless specified otherwise (e.g., open wounds or soiled conditions). Therefore, gloves are not routinely required for these tasks under standard precautions unless additional risk factors are present. The correct answer is D because oral hygiene uniquely involves potential exposure to mucous membranes and saliva, necessitating glove use.

Correct Answer: C

Rationale: Pain radiating to Mr. Gary's upper right quadrant is referred pain (C), where sensation is felt away from its source, per pain types (e.g., gallbladder to shoulder). Acute (A) and chronic (B) describe duration, not location. Phantom (D) is post-amputation. Referred pain aligns with anatomical nerve pathways, common in visceral issues, making C correct for this pattern.

Correct Answer: C

Rationale: Impending death features muscle tone loss (A), sphincter control loss (B), and secretion pooling (D), per terminal physiology body shuts down. Increased sensory perception (C) is untrue senses dull, not sharpen, as consciousness fades. C contradicts decline, making it the correct false statement.