A schizophrenic client has made sexual overtures toward her physician on numerous
occasions. During lunch, the client tells the nurse, "My doctor is in love with me and wants to marry me." This client is using which of the following defense mechanisms?

• A.Displacement
• B.Projection
• C.Reaction formation
• D.Suppression

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A client has been diagnosed with congestive heart failure. His fluid intake and output are strictly regulated. For lunch, he drank 8 oz of milk, 4 oz of tea, and 6 oz of coffee. His intake would be recorded as:

• A.500 mL
• B.540 mL
• C.600 mL
• D.655 mL

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The nurse will be alert to the most potentially lifethreatening side effect associated with the administration of monoamine oxidase (MAO) inhibitor. This is:

• A.Oculogyric crisis
• B.Hypertensive crisis
• C.Orthostatic hypotension
• D.Tardive dyskinesia

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A 12-year-old girl has been diagnosed with insulindependent diabetes mellitus. Which of these principles would best guide her nutritional management?

• A.Concentrated sweets are taken during increased activity.
• B.Food restriction is imposed to reduce weight.
• C.Caloric distribution should be calculated to fit activity patterns.
• D.Fat requirements are increased owing to the possibility of ketoacidosis.

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The nurse is trying to help a mother understand what is happening with her son who has recently been diagnosed with paranoid schizophrenia. At present, he is experiencing hallucinations and delusions of persecution and suffers from poor hygiene. The nurse can best help her understand her son's condition by which of the following statements?

• A."Sometimes these symptoms are caused by an overstimulation of a chemical called dopamine in the brain."
• B."Has anyone in your family ever had schizophrenia?"
• C."If your son has a twin, he probably will eventually develop schizophrenia, too."
• D."Some of his symptoms may be a result of his lack of a strong mother-child bonding relationship."

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