Nurse Ronald could evaluate that the staff’s approach to setting limits for a demanding, angry client was effective if the client:
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Solution
Discuss concerns regarding the emotional condition that required hospitalizations
Option C: This would document that the client feels comfortable enough to discuss the problems that have motivated the behavior.
Nurse Trish suggests a crisis intervention group to a client experiencing a developmental crisis. These groups are successful because the:
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Solution
Client is assisted to investigate alternative approaches to solving the identified problem
Option D: Crisis intervention group helps client reestablish psychologic equilibrium by assisting them to explore new alternatives for coping. It considers realistic situations using rational and flexible problem solving methods.
The most critical factor for nurse Linda to determine during crisis intervention would be the client’s:
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Solution
Available situational supports
Option A: Personal internal strength and supportive individuals are critical factors that can be employed to assist the individual to cope with a crisis.
Joy who has just experienced her second spontaneous abortion expresses anger towards her physician, the hospital and the “rotten nursing care”. When assessing the situation, the nurse recognizes that the client may be using the coping mechanism of:
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Solution
Displacement
Option B: The client’s anger over the abortion is shifted to the staff and the hospital because she is unable to deal with the abortion at this time.
When working with children who have been sexually abused by a family member it is important for the nurse to understand that these victims usually are overwhelmed with feelings of:
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Solution
Self blame
Option C: These children often have nonsexual needs met by individual and are powerless to refuse.Ambivalence results in self-blame and also guilt.
Before helping a male client who has been sexually assaulted, nurse Maureen should recognize that the rapist is motivated by feelings of:
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Solution
Hostility
Option A: Rapists are believed to harbor and act out hostile feelings toward all women through the act of rape.
A 48 year old male client is brought to the psychiatric emergency room after attempting to jump off a bridge. The client’s wife states that he lost his job several months ago and has been unable to find another job. The primary nursing intervention at this time would be to assess for:
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Solution
Current plans to commit suicide
Option B: Whether there is a suicide plan is a criterion when assessing the client’s determination to make another attempt.
A tentative diagnosis of opiate addiction, Nurse Candy should assess a recently hospitalized client for signs of opiate withdrawal. These signs would include:
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Solution
Muscle aches, papillary constriction, yawning
Option D: These adaptations are associated with opiate withdrawal which occurs after cessation or reduction of prolonged moderate or heavy use of opiates.
Nurse John is aware that a serious effect of inhaling cocaine is?
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Solution
Deterioration of nasal septum
Option A: Cocaine is a chemical that when inhaled, causes destruction of the mucous membranes of the nose.
Francis who is addicted to cocaine withdraws from the drug. Nurse Ron should expect to observe:
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Solution
Depression
Option B: There is no set of symptoms associated with cocaine withdrawal, only the depression that follows the high caused by the drug.