Which assessment finding is suggestive of an adaptive coping strategy in an individual?

The client consumes 3 glasses of wine after a stressful day at work.

The client practices meditation for 20 minutes once a day.

The client keeps all unresolved conflict to themselves.

The client consumes a half gallon of ice cream after an argument with a coworker.

Answer and Explanation

The Correct Answer is B

The client practices meditation for 20 minutes once a day. This is an example of an adaptive coping strategy, which is a cognitive or behavioral effort to manage stressful conditions or associated emotional distress.

Meditation can help reduce tension, enhance relaxation, and promote well-being.

Choice A is wrong because the client consumes 3 glasses of wine after a stressful day at work. This is an example of an avoidance coping strategy, which is an attempt to reduce stress by avoiding dealing directly with the problem.

Alcohol consumption can have negative effects on physical and mental health, and does not address the source of stress.

Choice C is wrong because the client keeps all unresolved conflict to themselves. This is an example of an emotion-focused coping strategy, which is an attempt to regulate the emotional distress caused by a stressor.

However, this strategy can be maladaptive if it involves suppressing or denying emotions, which can lead to increased psychological distress and poor interpersonal relationships.

Choice D is wrong because the client consumes a half gallon of ice cream after an argument with a coworker. This is another example of an avoidance coping strategy, which is an attempt to reduce stress by avoiding dealing directly with the problem.

Ice cream consumption can have negative effects on physical health, such as obesity and diabetes, and does not address the source of stress.

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Correct Answer is B

Explanation

A client with expiratory wheezing after an albuterol treatment.

This indicates that the client has a severe bronchospasm that is not responding to the medication and may lead to respiratory failure.

The client needs immediate intervention to improve airway patency and oxygenation.

Choice A is wrong because a fasting blood sugar of 187 mg/dL is high but not life- threatening. The normal range for fasting blood sugar is less than 99 mg/dL.

The client may have diabetes or prediabetes and needs further evaluation and treatment, but this is not a priority over choice B.

Choice C is wrong because a client who has been called to surgery 2 hours early may need some preparation and education, but this is not an urgent situation.

The client can wait until the nurse has assessed the other clients.

Choice D is wrong because a blood pressure of 178/90 mmHg is elevated but not critical. The normal range for blood pressure is less than 120/80 mmHg.

The client needs a dose of atenolol, which is a beta

A. I usually fall asleep after about 15 minutes. B. I wake up to urinate once each night. C. I often wake up feeling tired in the morning. D. I have a regular nighttime routine.

Correct Answer is C

Explanation

This statement requires further follow-up because it indicates that the client may have poor sleep quality or quantity, which can affect their health and well-being. According to, the main components of the sleep history include defining the specific sleep problem, assessing the disorder’s clinical course, differentiating between sleep disorders, evaluating the sleep-wakefulness patterns, questioning the bed partner, and obtaining a family history of sleep disorders.

Choice A is wrong because falling asleep after about 15 minutes is normal and indicates good sleep hygiene.

Choice B is wrong because waking up to urinate once each night is not uncommon in older adults and does not necessarily disrupt their sleep continuity.

Choice D is wrong because having a regular nighttime routine is beneficial for promoting relaxation and preparing for sleep.

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Which assessment finding is suggestive of an adaptive coping strategy in an individual?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse has received report on four clients. What client should the nurse see first?

Correct Answer is B

Explanation

During a sleep history evaluation, which statement by the client requires further follow-up?

Correct Answer is C

Explanation

A home health nurse is providing education to a client discharged with a tracheostomy. Which statement by the client demonstrates teaching has been effective?

Which nursing intervention should be performed before applying client restraints?

A nurse assessing a client’s lung sounds hears continuous low-pitched harsh rattling sounds over the client’s trachea that are most evident on expiration and are decreased after coughing. Which term is the appropriate choice to accurately document this lung sound?

What does the nurse know to be the goals of client teaching? (Select all that apply).

A client has returned to the medical surgical unit with a Jackson-Pratt surgical drain. What safety measures should the nurse use to prevent client injury? (Select all that apply).

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

Which technique is the proper method to administer otic drops to an adult client?

A nurse takes actions to avoid liability when caring for a client with a psychiatric disorder. Which action is not appropriate in the prevention of liability?