A male client is attending an after-school, adolescent group session because he frequently loses his temper, argues with his teachers, and refuses to comply with classroom rules. During the group session, the adolescent repeatedly blames others regardless of the situation. To help modify the adolescent's behavior, which action should the nurse implement?

Describe the consequences of his behavior in concrete terms.

Encourage the client to verbalize his feelings of anger.

Ignore blaming behavior and praise the client's appropriate behavior.

Explain that blaming others limits his psychological growth.

Answer and Explanation

The Correct Answer is A

A) Describing the consequences of the adolescent's behavior in concrete terms is the best action. This approach helps the client understand the direct impact of his actions on himself and others. Clear and specific explanations can facilitate accountability and encourage the adolescent to reflect on how his behavior affects his relationships and environment, which is essential for behavior modification.

B) Encouraging the client to verbalize his feelings of anger may provide an outlet for his emotions, but it does not directly address the problematic behavior of blaming others. While exploring feelings is important, it should be paired with teaching responsibility and consequences for behavior.

C) Ignoring blaming behavior and praising appropriate behavior might reinforce a lack of accountability. While positive reinforcement is beneficial, it is crucial to address negative behaviors directly to facilitate change. Ignoring the blaming behavior could lead to its continuation.

D) Explaining that blaming others limits his psychological growth could be insightful, but it may not resonate with the adolescent or lead to immediate behavior change. The focus should be on concrete consequences that he can understand and relate to, which can encourage more constructive behaviors.

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Correct Answer is A

Explanation

A) The statement "It is essential not to abruptly discontinue taking the medication" indicates the client’s awareness of the critical importance of tapering off benzodiazepines like alprazolam to avoid withdrawal symptoms, which can include rebound anxiety, seizures, and other complications. This demonstrates a fundamental understanding of medication safety and the potential risks associated with abrupt discontinuation.

B) Reporting any decrease in anxiety using a 10-point scale is beneficial for monitoring progress but is not as critical as understanding the implications of stopping medication suddenly. This reflects an awareness of managing anxiety but not necessarily the highest priority in self-care.

C) Attending individual and group therapy sessions is important for comprehensive treatment of GAD. However, this statement does not reflect the most immediate self-care concern related to the medication.

D) Reporting dizziness, light-headedness, or sedation shows the client’s awareness of potential side effects, which is important, but again, it does not encompass the crucial self-care goal regarding the safe management of alprazolam.

A. Sit within two feet of the client to enhance the level of safety and security. B. Dim the lights in the room to help the patient feel calm. C. Position a table between the client and the nurse for extra personal space. D. Reduce the noise level in the room by turning off the television and radio.

Correct Answer is D

Explanation

A) Sitting within two feet of the client may enhance feelings of safety and security for some individuals, but for others, it could feel intrusive or overwhelming. Establishing an appropriate personal distance is essential, and too close of a proximity might create discomfort, especially in a mental health setting where clients may already feel vulnerable.

B) Dimming the lights in the room can create a calming atmosphere; however, excessive dimness might hinder visibility and affect communication. While lighting can influence mood, it’s crucial to strike a balance that allows the client to feel comfortable without compromising the ability to engage effectively during the interview.

C) Positioning a table between the client and the nurse may provide a sense of personal space, but it can also create a physical barrier that may hinder open communication and rapport-building. Establishing a connection is important in mental health interviews, and a table might inadvertently foster feelings of separation or defensiveness.

D) Reducing the noise level in the room by turning off the television and radio is the most effective approach to facilitate the interview. A quiet environment minimizes distractions, allowing both the nurse and the client to focus on the conversation. This fosters a safe and supportive atmosphere where the client feels heard and respected, which is crucial for building trust and promoting an effective therapeutic interaction.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a client for discharge who has been taking alprazolam long-term for generalized anxiety disorder (GAD). When evaluating the client's understanding of the discharge teaching, which statement made by the client shows awareness of the most important self-care goal?

Correct Answer is A

Explanation

The nurse is preparing the physical environment to interview a new client for admission to the mental health unit. Which environmental setting facilitates the best outcome of the interview?

Correct Answer is D

Explanation

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