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: Naltrexone reduces cravings for alcohol but is used after detoxification, not during acute withdrawal.

Choice B reason: Acamprosate helps maintain abstinence but is started after detox, not during acute withdrawal.

Choice C reason: Disulfiram deters alcohol use by causing unpleasant reactions when alcohol is consumed, but it is not used for withdrawal management.

Choice D reason: Diazepam, a benzodiazepine, is the medication of choice during acute alcohol withdrawal because it prevents seizures, reduces agitation, and manages withdrawal symptoms.

A. Pseudoparkinsonism. B. Tardive dyskinesia. C. Neuroleptic malignant syndrome. D. Acute dystonia.

Correct Answer is C

Explanation

Choice A reason: Pseudoparkinsonism involves tremors, shuffling gait, rigidity, and bradykinesia, but it does not cause high fever, blood pressure instability, or diaphoresis.

Choice B reason: Tardive dyskinesia involves involuntary movements such as lip smacking, tongue protrusion, or grimacing, and it develops gradually after long-term medication use. It does not cause acute systemic symptoms.

Choice C reason: Neuroleptic malignant syndrome (NMS) is a rare but life-threatening reaction to antipsychotics. It presents with hyperpyrexia, autonomic instability (blood pressure changes, diaphoresis), muscle rigidity, and altered mental status. This fits the scenario.

Choice D reason: Acute dystonia is characterized by sudden, severe muscle contractions (often of the neck, eyes, or jaw) but does not include fever or autonomic instability.

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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?

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A nurse is caring for a client who is experiencing acute manifestations of withdrawal from alcohol. Which of the following medications should the nurse expect to administer to the client?

Correct Answer is D

Explanation

A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications and who suddenly became ill. Findings include blood pressure changes, hyperpyrexia, and diaphoresis. The nurse should recognize that which of the following adverse effects may be occurring?

Correct Answer is C

Explanation

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