While you begin dietary teaching with your client, you notice he…

 While you begin dietary teaching with your client, you notice he seems irritated. He is constantly looking at his watch and checking his phone messages. He is also yelling loudly in Spanish to his mother and waving his terrible towel in the air at her.

3. This is an example of which ego defense mechanism? Provide explanation.

Displacement:

Conversion:

Denial:

Avoidance:

4. He then tells you that his father just recently passed away and his mother has not forgiven the doctors; she thinks it’s everyone else’s fault he died, and she has lost ” faith”. Ben says he also feels guilty and is not sure if he “believes” anymore.

Which type of stress are these feelings example of:

Spiritual stress:

Religious stress:

5. He then shares his father’s death was unexpected. Who usually has a more difficult time grieving:

the person who experienced expected or unexpected death of loved one/family and why?

Expected or unexpected? why?

6. He says he feels better now and is ready to discuss how he can better manage his elevated BP (Blood pressure). He knows he needs help because he gets frequent headaches and sometimes chest pain when he gets ” worked up”, especially when the Steelers play the Raven. That’s when he chooses to eat a lot and drink some beer to help calm him down.

Which stage of illness behavior is Ben showing by asking for help to manage his BP?

Stage 1:

Stage 2:

Stage 3:

Stage 4:

Stage 5:

7. Is Ben’s choice of eating a lot and drinking beer adaptive or maladaptive coping? Explain why:

Adaptive:

Maladaptive:

8. Are the symptoms of headache and chest pain associated with GAS (General Adaption Syndrome) or LAS (local Adaption Syndrome)? Explain why:

GAS:

LAS:

9. The nurse works with Ben to develop a healthy dietary plan. He is provided literature, in Spanish and English, about healthy food choices, along with some recipes for foods he enjoys. He is taught to check his blood sugar properly and he practices with the nurse. What domain(s) of learning is being used? Explain your answer:

Cognitive:

Affective:

Psychomotor:

10. How can the nurse confirm Ben understands this current information?

Explanation & Answer

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