A nurse is caring for a client who has agreed to a verbal safety contract following a self-mutilation attempt. Which of the following behaviors indicates that the contract has been effective?
The client goes to their room alone when they feel overwhelmed.
The client displaces their feelings of self-harm until they talk to the provider.
The client suppresses their feelings when they are angry.
The client notifies the nurse when they want to harm themselves.
The Correct Answer is D
Choice A reason: Going to their room alone when feeling overwhelmed may indicate that the client is trying to manage their emotions, but it does not directly address the effectiveness of the safety contract. The goal of the contract is to ensure that the client seeks help and communicates their feelings of self-harm to a healthcare provider.
Choice B reason: Displacing feelings of self-harm until talking to the provider is not a clear indication of the contract's effectiveness. The client may still be at risk of self-harm if they do not have immediate access to the provider. The safety contract aims to encourage the client to seek help and communicate their feelings promptly.
Choice C reason: Suppressing feelings when angry is not a healthy coping mechanism and does not indicate the effectiveness of the safety contract. The contract should promote open communication and seeking help rather than suppressing emotions, which can lead to further distress and potential self-harm.
Choice D reason: Notifying the nurse when they want to harm themselves is a clear indication that the safety contract has been effective. The client is following the agreed-upon plan to seek help and communicate their feelings of self-harm, which is the primary goal of the safety contract. This behavior demonstrates that the client is taking steps to ensure their safety and seeking support from healthcare providers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This statement is incorrect. Buspirone is not known to cause dependence, which is one of the reasons it is often preferred for the treatment of generalized anxiety disorder. Unlike benzodiazepines, which can lead to dependence and withdrawal symptoms, buspirone does not have these effects, making it a safer long-term option for managing anxiety.
Choice B reason: There is no specific dietary restriction regarding the consumption of leafy green vegetables when taking buspirone. This statement might confuse the client unnecessarily. Dietary interactions are more commonly associated with certain other medications, such as MAO inhibitors, which require patients to avoid tyramine-rich foods to prevent hypertensive crises. However, this does not apply to buspirone.
Choice C reason: This statement is accurate and important for the client to understand. Buspirone typically takes several weeks to achieve its full therapeutic effect. Clients should be advised to continue taking the medication as prescribed and not to expect immediate relief of anxiety symptoms. This information helps set realistic expectations and encourages adherence to the treatment plan.
Choice D reason: This statement is incorrect and could lead to improper medication administration. If a dose of buspirone is missed, it should not be doubled up with the next dose. Instead, clients should take the missed dose as soon as they remember unless it is almost time for their next scheduled dose. Doubling up on doses can increase the risk of side effects and is not a safe practice.
Correct Answer is B
Explanation
Choice A reason: While this statement might be true, it can come across as dismissive or invalidating the adolescent's feelings. The nurse's goal should be to listen and understand the adolescent's perspective, rather than making assumptions about the parents' intentions.
Choice B reason: This response opens up a conversation about the adolescent's feelings and experiences regarding their relationship with their parents. It shows empathy and a willingness to understand the adolescent's perspective, which can help build trust and rapport. By exploring the relationship, the nurse can gather more information and provide appropriate support and guidance.
Choice C reason: Asking "Why do you think your parents are hard to please?" can come across as confrontational or judgmental. It might make the adolescent feel defensive or misunderstood. The nurse should focus on creating a supportive environment for the adolescent to express their feelings without feeling judged.
Choice D reason: Telling the adolescent that "Things will get better as time goes on" can seem dismissive and may not address the immediate concerns and feelings the adolescent is experiencing. It is important for the nurse to validate the adolescent's feelings and offer support and understanding in the present moment.
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