A nurse is reviewing the documentation for a newly admitted client and notes the following entry, "Client verbalizes the use of coping mechanisms when experiencing stress." Which of the following can the nurse expect when interacting with this client?

The client follows all rules.

The client prefers to sit quietly.

The client adapts well to change.

The client prefers solitary activities to group activities.

Answer and Explanation

The Correct Answer is C

A. The client follows all rules: Following rules does not necessarily correlate with the use of coping mechanisms during stress. Clients may adhere to rules for various reasons unrelated to their coping strategies, such as desire for approval or fear of consequences, so this statement may not accurately reflect the client's behavior.
B. The client prefers to sit quietly: Preferring to sit quietly may indicate avoidance or withdrawal rather than an active use of coping mechanisms. Clients who effectively utilize coping strategies during stress are more likely to engage in constructive activities rather than remain passive, making this option less likely.
C. The client adapts well to change: The ability to verbalize the use of coping mechanisms suggests that the client has developed skills to manage stress and adapt to new situations. This adaptability often reflects a higher level of resilience and can indicate that the client is equipped to handle change positively, which can enhance their interactions with others.
D. The client prefers solitary activities to group activities: A preference for solitary activities may suggest avoidance or social withdrawal rather than the effective use of coping mechanisms. Clients who employ adaptive coping strategies are often more willing to engage in social interactions and group activities, which can foster support and connection during stressful times.

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Correct Answer is A

Explanation

A. “I have lost 15 pounds! I just don’t want to eat lately.”: Significant weight loss and a loss of appetite can indicate the development of a substance use disorder, as these symptoms may reflect the prioritization of alcohol consumption over proper nutrition. The client’s decreased interest in eating raises concerns about potential alcohol misuse or dependence.
B. “I have been hanging out with friends who are my support system.”: Engaging with a supportive social network is generally a positive indicator and can assist in recovery. Having supportive friends does not indicate a substance use disorder and may even help the client address their drinking behavior.
C. “I am so focused right now. I have a lot of goals.”: A focused and ambitious mindset reflects a positive attitude towards life and managing responsibilities. This perspective does not suggest substance use disorder and may indicate effective coping and life management, despite issues with alcohol.
D. “I am taking art lessons to relieve stress.”: Participating in art lessons demonstrates a constructive approach to managing stress through creativity. This behavior indicates healthy coping mechanisms and does not suggest a substance use disorder.

A. Restrict calories to maintain weight. B. Abstain from getting pregnant until later in life. C. Avoid contracting a viral infection D. Limit iron intake.

Correct Answer is C

Explanation

A. Restrict calories to maintain weight: Restricting calories is not a recommended practice during pregnancy. Adequate nutrition is essential for the health of both the mother and the developing baby, and weight management should be approached with a focus on healthy eating rather than calorie restriction.
B. Abstain from getting pregnant until later in life: While age can be a factor in the risk of certain conditions, there is no definitive evidence that waiting to become pregnant significantly reduces the risk of the baby developing schizophrenia. The focus should be on overall health and prenatal care rather than solely on age.
C. Avoid contracting a viral infection: Certain viral infections during pregnancy, particularly in the first and second trimesters, may increase the risk of developmental disorders, including schizophrenia. Therefore, taking precautions to avoid infections (such as practicing good hygiene and getting vaccinations) is a relevant recommendation for reducing potential risks.
D. Limit iron intake: Adequate iron intake is important during pregnancy to support both the mother’s health and the baby’s development. Limiting iron is not advisable and could lead to anemia or other complications during pregnancy.

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A nurse is reviewing the documentation for a newly admitted client and notes the following entry, "Client verbalizes the use of coping mechanisms when experiencing stress." Which of the following can the nurse expect when interacting with this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is assisting in teaching a client at a prenatal clinic. The client shares that they have family members diagnosed with schizophrenia and wants to know how they can reduce their baby's risk of developing schizophrenia. Which of the following information should the nurse include?

Correct Answer is C

Explanation

A nurse is caring for a client who has schizophreniform disorder. Which of the following manifestations should the nurse expect?

A nurse is reinforcing education to a newly licensed nurse about comorbidities associated with cluster B personality disorders. The nurse should identify which of the following disorders as a comorbidity?

A nurse is caring for a client who states, "When I get in the car to drive to work in the morning, my hands go numb. It is to the point where I can't grip the steering wheel." Which of the following conditions is the client likely experiencing?

A nurse is speaking to a group of nurses about the difference between schizoaffective disorder and schizophrenia. Which of the following findings is associated with the active phase of schizoaffective disorder?

A nurse is caring for a client who has a serious mental illness and has developed tardive dyskinesia from anti-psychotic medication use. Which of the following adverse effects from anti-psychotic medication use would be expected for the client?

A nurse is discussing medication used for maintaining alcohol abstinence with a client who is undergoing this type of treatment. Which of the following statements by the client indicates an understanding of their prescriptions?

A nurse is planning care for several clients. The nurse knows that which of the following findings are common in clients who have dependent personality disorder?