A nurse is meeting with a client and their family at a local treatment clinic. The client's partner demands to see the client's records and treatment plan, and states they need to be responsible for overseeing the treatment. The client's partner reports that their own health has deteriorated since caring for the client. The nurse should recognize that the client's partner is displaying which of the following behaviors?

Manipulation

Marginalization

Codependency

Enabling

Answer and Explanation

The Correct Answer is C

C. Codependency refers to a dysfunctional pattern of behavior in which a person excessively relies on another individual (often a partner or family member) for their sense of identity, self- worth, or emotional well-being. In this scenario, the partner's demand to see the client's records

and treatment plan, as well as the assertion of needing to oversee the treatment, suggests an excessive need for control and involvement in the client's life and healthcare decisions.

A. Manipulation involves influencing or controlling someone in a deceptive or dishonest way to achieve one's own goals.

B. Marginalization refers to the exclusion or relegation of a person or group to a lower or outer edge of society or a group.

D. Enabling refers to behaviors that unintentionally or intentionally allow someone to continue engaging in harmful behaviors or avoid facing consequences.

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Correct Answer is B

Explanation

B. Exposure to substances at a young age, especially during periods of brain development, increases the risk of addiction. Adolescents and young adults are particularly vulnerable to the effects of drugs and alcohol because their brains are still developing, particularly in areas related to decision-making, impulse control, and risk assessment.

A. The availability of medical insurance coverage for treatment does not directly increase the potential for addiction.

C. Cognitive deficits or vulnerabilities may predispose individuals to addiction, such as impulsivity or difficulty regulating emotions but they are not inherent characteristics of the brain.

D. Addiction can occur at any age, depending on various factors such as genetic predisposition, environmental influences, and individual vulnerabilities.

A. The client will exercise for 30 min each day. B. The client provides a list of exercises that they are interested in. C. The client will exercise daily for the next 2 weeks. D. The client will share their exercise log with an identified support person.

Correct Answer is D

Explanation

D. This promotes accountability by involving an identified support person in the client's exercise plan. Sharing the exercise log with a support person creates a sense of responsibility and encouragement for the client to adhere to their exercise regimen. Knowing that someone else will review their progress can motivate the client to stay committed to their goals and maintain consistency in their exercise routine.

A. Setting a specific duration for daily exercise is a good goal-setting strategy. However, it does not inherently provide a mechanism for accountability. The client may not feel as motivated to adhere to the exercise plan consistently.

B. This option involves client engagement and preference, which is important for promoting adherence to an exercise routine. However, it does not directly address accountability.

C. Setting a specific timeframe for daily exercise is another goal-setting strategy, but without mechanisms for accountability, the client may struggle to maintain consistency.

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Naxlex Comprehensive Predictor Exams

A nurse is educating a group of clients about addiction. The nurse should include that which of the following factors increases the potential for addiction?

Correct Answer is B

Explanation

A nurse is assisting a client to develop a plan to increase daily exercise. Which of the following interventions should the nurse include in the plan to elicit accountability?

Correct Answer is D

Explanation

A nurse is preparing to discharge a client who has been diagnosed with schizophrenia. The client asks, "I am not sure why I need to have a relapse plan." Which of the following responses should the nurse make?

A nurse is caring for a client who has substance use disorder and is experiencing acute toxicity to sedatives, but has no history of schizophrenia spectrum disorders. Which of the following manifestations should the nurse expect the client to experience?

A nurse is discussing telehealth with a group of state legislators. Which of the following statements pertinent to homebound clients should the nurse include in the discussion?

A nurse is caring for a client who has illness anxiety disorder. Which of the following medications should the nurse expect the provider to prescribe?

A nurse is caring for an adolescent who has an anxiety disorder. Which of the following statements by the adolescent indicates a protective factor in the form of a positive childhood experience?

A nurse is discussing schizophrenia spectrum disorders with a client. The client states, "My friend says that before I started hearing voices. I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?