A nurse is providing care for a client who seems anxious following a recent tragedy. Which of the following statements by the client reflects an adaptive use of sublimation?

I will work out in the gym every time I get mad about what happened.

I can’t remember anything that happened, but I am okay.

I do not have anxiety, and I’m not sure why you think I do.

I’m not capable of moving past this time in my life.

Answer and Explanation

The Correct Answer is A

Choice A reason: Sublimation is a defense mechanism where negative emotions, like anger, are channeled into positive or socially acceptable activities, such as exercise. Working out in the gym when feeling mad transforms the emotion into a constructive outlet, reflecting adaptive use of sublimation.

Choice B reason: Forgetting the event suggests repression or dissociation, not sublimation. This response does not involve channeling emotions into productive activities and is not adaptive for addressing anxiety.

Choice C reason: Denying anxiety indicates denial, not sublimation. This statement avoids acknowledging the emotion rather than redirecting it into a positive action, making it non-adaptive.

Choice D reason: Expressing inability to move past the tragedy reflects rumination or despair, not sublimation. It does not involve transforming negative emotions into constructive behaviors, so it is not an adaptive response.

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Correct Answer is D

Explanation

Choice A reason:Physical activity is beneficial for overall health and can support mental well-being by reducing stress and improving mood. However, it does not replace the need for antipsychotic medication, which is specifically designed to manage symptoms of serious mental health conditions like schizophrenia or bipolar disorder by targeting neurotransmitter imbalances.

Choice B reason:Antipsychotics do not cure mental illnesses. They are effective in managing symptoms, such as hallucinations or delusions, by stabilizing brain chemistry, but they do not address the underlying cause of the condition or eliminate it entirely. Most mental illnesses require long-term management, not a cure.

Choice C reason:Taking antipsychotics at bedtime may help reduce certain side effects, like drowsiness, for some patients. However, it does not universally prevent all side effects, as these medications can cause a range of issues, including weight gain, movement disorders, or metabolic changes, regardless of the time of administration.

Choice D reason:Adherence to antipsychotic medication is critical because skipping doses can disrupt the therapeutic levels of the drug in the body, leading to a relapse of symptoms such as psychosis, mania, or severe mood disturbances. Consistent use helps maintain stability and prevent worsening of the condition, making this the most important point to convey.

A. 2 tablets. B. 4 tablets. C. 5 tablets. D. 3 tablets.

Correct Answer is A

Explanation

Choice A reason:The total daily dose of quetiapine is 800 mg, divided into two doses, meaning each dose is 400 mg (800 mg ÷ 2). With 200 mg tablets, each dose requires 400 mg ÷ 200 mg = 2 tablets. This is the correct calculation for the number of tablets per dose.

Choice B reason:Four tablets per dose would result in 800 mg per dose (4 × 200 mg), totaling 1600 mg daily, which doubles the prescribed daily dose of 800 mg. This is incorrect and could lead to an overdose.

Choice C reason:Five tablets per dose would result in 1000 mg per dose (5 × 200 mg), totaling 2000 mg daily, far exceeding the prescribed 800 mg daily dose. This is incorrect and unsafe.

Choice D reason:Three tablets per dose would result in 600 mg per dose (3 × 200 mg), totaling 1200 mg daily, which exceeds the prescribed 800 mg daily dose. This is incorrect and not aligned with the prescription.

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A nurse is providing care for a client who seems anxious following a recent tragedy. Which of the following statements by the client reflects an adaptive use of sublimation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Joniief is teaching her patient about the importance of adherence to antipsychotic medication. Which is the most important point she should convey?

Correct Answer is D

Explanation

A patient is prescribed 800 mg of quetiapine per day, divided into two doses. If quetiapine is available in 200 mg tablets, how many tablets should be given per dose?

Correct Answer is A

Explanation

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