A nurse is caring for a client who reports a recent increase in stressors. Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this client?

Justified vs. unjustified

Adaptive vs. maladaptive

Right vs. wrong

Good vs. bad

Answer and Explanation

The Correct Answer is B

B. This concept involves understanding how individuals respond to stressors and whether their coping strategies are effective in managing stress and promoting well-being. By assessing whether the client's responses to stress are adaptive (i.e., helpful and constructive) or maladaptive (i.e., harmful or ineffective), the nurse can tailor interventions to support the client in developing healthier coping mechanisms and managing stress more effectively.

A. Although understanding the client's perception of the stressors is important, labeling them as justified or unjustified may not fully capture the complexity of the client's experience or their individual response to stress.

C This concept involves evaluating the moral or ethical implications of the client's actions or decisions in response to stressors.

D. While assessing the client's behaviors and their impact on health and well-being is important, labeling them as inherently good or bad may oversimplify the complexity of the client's experience.

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Correct Answer is C

Explanation

C. Dementia related to a traumatic brain injury can result in a variety of cognitive and physical impairments. A shuffling gait, characterized by short steps with feet barely leaving the ground, is often associated with Parkinsonian symptoms, which can occur in advanced stages of dementia or as the condition progresses. Therefore, a shuffling gait would indicate worsening of the client's condition.

A. While visual disturbance can occur in individuals with dementia, visual field cuts alone may not necessarily indicate worsening of the condition unless they are accompanied by other concerning symptoms.

B. CD4 counts are a measure of immune system function, particularly in relation to HIV/AIDS. Decreased CD4 counts are not typically associated with dementia related to traumatic brain injury and would not be a relevant finding in this context.

D. Chorea is not a common feature of dementia related to traumatic brain injury. The presence of chorea may indicate a different underlying neurological condition or complication

A. To treat pain and ease anxiety B. To promote sleep and rest C. Because they witnessed their parents using drugs or alcohol to cope D. To treat hallucinations and perform better at work

Correct Answer is A

Explanation

A. Opioids are often prescribed for pain management, and individuals with chronic pain conditions may be at increased risk for developing opioid use disorder if they misuse or become dependent on these medications.

B. While opioids can have sedating effects and may be used by some individuals to promote sleep, it is less likely to be a primary reason for starting opioid use, especially in the context of other significant factors such as chronic pain and anxiety.

C. While exposure to parental substance use can contribute to an individual's risk of developing substance use disorders, there is no indication in the scenario provided that the client's parents used opioids specifically or that their parents' substance use directly influenced the client's opioid use.

D. Opioids are not typically used to treat hallucinations, and their use for performance enhancement in the workplace is uncommon.

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A nurse is caring for a client who reports a recent increase in stressors. Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who has dementia related to a traumatic brain injury. Which of the following findings should indicate to the nurse that the client's condition is worsening?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

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