A Client with a History of Hypertension Is Diagnosed with Chronic

question 49

Multiple Choice

A client with a history of hypertension is diagnosed with chronic kidney disease (CKD) . When the client asks the nurse how this disease developed, which response by the nurse is the most appropriate?

• A)"Thickening of the kidney structures and gradual death of nephrons has led to this diagnosis."
• B)"Cysts have compressed your renal tissue and destroyed your kidneys, causing this diagnosis."
• C)"High blood pressure has reduced your renal blood flow, harming the kidney tissue and causing this diagnosis."
• D)"Immune complexes have formed in your kidney tissue, causing inflammation that has led to this diagnosis."

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Definitions:

Freud

Sigmund Freud, an Austrian neurologist who founded psychoanalysis, a clinical method for treating psychopathology through dialogue between a patient and a psychoanalyst.

Reality Principle

Principle by which the ego functions; the satisfaction of the demands of the id only when negative consequences will not result.

Immediate Gratification

The desire to experience pleasure or fulfillment without delay or deferment, often prioritized over long-term gain.

Rational Means

Methods or actions that are based on logic or reasoning rather than emotion or desire.