The nurse used the term “labile” in describing a client’s mood and behavior. What does this term indicate?
The client is angry and showing signs of hostility.
The client is overreactive and euphoric.
The client is sad and withdrawn.
The client has mood swings and is unpredictable.
The Correct Answer is D
The term “labile” means that something is unstable or constantly changing. In the context of mood and behavior, it indicates that the client’s mood and behavior are unpredictable and subject to rapid changes.
Received message. The correct answer is d. The client has mood swings and is unpredictable. The term "labile" means that something is unstable or constantly changing. In the context of mood and behavior, it indicates that the client's mood and behavior are unpredictable and subject to rapid changes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
This response encourages the client to share her thoughts and concerns about returning to school, which can help the nurse to understand the client's perspective and provide support and guidance as needed. It also shows that the nurse is actively listening and interested in what the client has to say, which can help to build trust and rapport in the therapeutic relationship.
Responses a and b are positive but not necessarily helpful in addressing the client's concerns.
Response c is potentially intrusive and could make the client feel uncomfortable or judged.
Correct Answer is A
Explanation
Disassociation is a defense mechanism that involves mentally separating oneself from a stressful or traumatic situation in order to maintain a sense of calm and focus. In this scenario, the nurse is able to block out the sirens and alarms, which may be causing stress and anxiety, and maintain a calm and focused demeanor while speaking with the client's family. This is an adaptive use of disassociation because it allows the nurse to provide effective care and support to the family despite the chaotic environment.
Denial is a defense mechanism that involves denying or minimizing the existence of a stressful or traumatic situation. Rationalization involves justifying or excusing one's behavior or actions. Altruism involves selflessly helping others as a way of dealing with one's own problems. In this scenario, none of these defense mechanisms are being used by the nurse.
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