When a client has a nursing diagnosis of Ineffective Coping, which nursing interventions would best meet the desired outcome of demonstrating appropriate coping strategies? (Select all that apply).

Assist the client in identification of a social support network.

Administer sedative-hypnotics as directed.

Identify stress-reducing techniques when environmental stressors cannot be controlled.

Discuss with the client factors they feel contribute to stress.

Answer and Explanation

Correct Answer : A,C

These interventions help the client to cope with stress by enhancing their social support and teaching them skills to manage stressors.

Choice B is wrong because sedative hypnotics may cause dependence and do not address the underlying causes of stress.

Choice D is wrong because discussing factors that contribute to stress may increase the client’s anxiety and does not provide any solutions.

The normal range for coping is to use adaptive strategies that reduce stress and promote well-being.

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Correct Answer is B

Explanation

According to the Addiction Nursing Competencies, antisocial personality traits are one of the risk factors for developing addictive behaviors.

Antisocial personality disorder is characterized by a disregard for the rights and feelings of others, impulsivity, deceitfulness, and lack of remorse.

Choice A is wrong because high self-esteem is not associated with addictive behaviors. On the contrary, low self-esteem, passivity, and inability to relax or defer gratification are some of the personality factors that can predispose a person to substance use disorders.

Choice C is wrong because good communication skills are not related to addictive

behaviors. In fact, poor communication skills, social isolation, and lack of support are some of the psychosocial factors that can contribute to substance use disorders.

Choice D is wrong because aggressive behaviors are not a specific indicator of addictive behaviors.

Aggression can be a result of various factors, such as frustration, anger, stress, or mental illness. Aggression can also be influenced by the type and amount of substance used.

A. Close the window and remove the client’s oxygen. B. Sound the fire alarm and activate the emergency response system. C. Cover the client with a blanket to smother the flames. D. Remove the client from the room and close the door.

Correct Answer is C

Explanation

This is the priority action because it follows the RACE acronym for fire safety: Rescue, Alarm, Contain, Extinguish. The nurse should first rescue the client from immediate danger by smothering the flames with a blanket.

This will also help contain the fire and prevent it from spreading.

Choice A is wrong because closing the window and removing the client’s oxygen will not put out the fire.

Oxygen is not flammable, but it can make a fire burn faster and hotter. Removing the oxygen source may help reduce the intensity of the fire, but it will not extinguish it.

Choice B is wrong because sounding the fire alarm and activating the emergency response system are important steps, but they are not the priority. The nurse should first ensure the client’s safety before alerting others and calling for help.

Choice D is wrong because removing the client from the room and closing the door may expose the client to more harm and make the fire worse.

The nurse should not move the client unless it is absolutely necessary, as this may cause further injury or infection. Closing the door may create a backdraft, which is a sudden explosion of fire caused by oxygen rushing into an enclosed space.

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When a client has a nursing diagnosis of Ineffective Coping, which nursing interventions would best meet the desired outcome of demonstrating appropriate coping strategies? (Select all that apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When evaluating a client for a tendency toward addictive behaviors, the nurse would expect which findings?

Correct Answer is B

Explanation

A nurse enters a client’s room and finds the client’s gown is on fire. Which is the nurse’s priority action?

Correct Answer is C

Explanation

The nurse is preparing to perform a physical assessment. What are the four techniques used?

The nurse is educating a client with insomnia how to promote better sleep. Which interventions should she include for this client? (Select all that apply).

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