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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. General anxiety disorder: General anxiety disorder (GAD) is commonly seen as a comorbidity with cluster B personality disorders, which include borderline, antisocial, histrionic, and narcissistic personality disorders. Individuals with these personality disorders may experience significant anxiety, particularly related to interpersonal relationships and emotional instability.
B. Schizophrenia: Schizophrenia is classified as a serious mental illness, but it is not typically considered a comorbidity of cluster B personality disorders. The symptomatology of schizophrenia is distinct from that of personality disorders.
C. Obsessive-compulsive disorder: While obsessive-compulsive disorder (OCD) can occur alongside various mental health conditions, it is more commonly associated with cluster C personality disorders (e.g., obsessive-compulsive personality disorder) rather than cluster B.
D. Anorexia nervosa: Anorexia nervosa is an eating disorder that may co-occur with various mental health conditions, but it is not specifically recognized as a common comorbidity with cluster B personality disorders. The focus of cluster B disorders is more on interpersonal dynamics and emotional regulation rather than eating behaviors.
Correct Answer is C
Explanation
A. Fluoxetine: Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) used primarily to treat depression and anxiety disorders. It is not indicated for the treatment of tardive dyskinesia and does not address the symptoms associated with this condition. Therefore, it would not be an appropriate choice for this client.
B. Naloxone: Naloxone is an opioid antagonist used to reverse opioid overdoses. It is not relevant to the treatment of tardive dyskinesia and does not provide any therapeutic benefit in this context. Naloxone specifically targets opioid receptors, which are unrelated to the mechanisms involved in tardive dyskinesia.
C. Valbenazine: Valbenazine is specifically approved for the treatment of tardive dyskinesia. It works by decreasing the abnormal movements associated with this condition and is considered an appropriate medication for managing tardive dyskinesia symptoms. By addressing the underlying neurotransmitter imbalances, valbenazine helps improve the client's quality of life.
D. Diphenhydramine: Diphenhydramine is an antihistamine that may provide temporary relief of acute extrapyramidal symptoms, but it is not effective for managing tardive dyskinesia. Long-term use of anticholinergics like diphenhydramine is not appropriate for this chronic condition. Continued reliance on diphenhydramine could lead to other complications or side effects without resolving the issue of tardive dyskinesia.
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