A nurse is discussing stress management techniques with a group of clients. Which of the following actions discussed by a client should the nurse recognize as the least effective'’
"I journal when I find it difficult to talk
"I pray when I begin to breathe fast
I exercise when my neck gets tense
"I make myself a pot of coffee when I get anxious."
The Correct Answer is D
Caffeine is a stimulant that can increase anxiety and nervousness in some people. Making a pot of coffee when feeling anxious could exacerbate the client’s symptoms and make it more difficult for them to manage their stress. The other actions discussed by the clients, such as journaling, praying, and exercising, can be effective stress management techniques that can help to reduce anxiety and promote relaxation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Displacement is a defense mechanism in which an individual redirects their negative feelings or impulses from an object or person that is causing discomfort to a substitute object or person that is less threatening. In this scenario, the client is experiencing negative emotions due to losing their job but instead of dealing with the situation directly, they have redirected their anger towards the car windshield by throwing a rock. This behavior is maladaptive because it does not resolve the root cause of the negative emotions and instead causes harm to others.
Sublimation is a defense mechanism in which an individual channels their negative impulses or energy into socially acceptable behaviors or activities. Repression involves pushing unwanted thoughts or memories into the unconscious mind. Denial involves refusing to acknowledge the reality of a situation. None of these defense mechanisms are applicable to the scenario described.

Correct Answer is ["A","B","D","E"]
Explanation
These are all indicators of mental health. Perception of reality refers to the ability to accurately perceive and interpret the world around us. Love and belonging refer to the need for social connections and relationships. Positive self-thought refers to having a positive self-image and self-esteem. Environmental mastery refers to the ability to effectively navigate and control one’s environment. Dependency is not an indicator of mental health.

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