A nurse is discussing with a newly licensed nurse the mental health resources available to meet the needs of a client who has schizoaffective disorder, no transportation, and lives at home with their parents. Which of the following resources should the nurse identify as meeting the needs for the client?

Partial Hospitalization Programs (PHP)

Assertive Community Treatment

Crisis Stabilization/Observation Units

Intensive Outpatient Programs (IOPs)

Answer and Explanation

The Correct Answer is B

A. Partial Hospitalization Programs (PHP): While PHP offers structured programs during the day, it typically requires the client to be able to attend regularly. Given that the client has no transportation, this may not be a feasible option.
B. Assertive Community Treatment (ACT): ACT is a comprehensive, community-based service designed for individuals with severe mental health disorders, such as schizoaffective disorder. It offers home visits, transportation, and 24/7 support, which would be ideal for this client.
C. Crisis Stabilization/Observation Units: These units are designed for short-term stays during a crisis but are not long-term solutions for clients with ongoing needs like those of a client with schizoaffective disorder. They are more suited for acute stabilization rather than continuous care.
D. Intensive Outpatient Programs (IOPs): IOPs require the client to attend scheduled sessions, which may be difficult without transportation. Although they provide intensive treatment, they may not fully address the need for at-home and community-based support for this client.

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Correct Answer is C

Explanation

A. Intellectualization: Intellectualization involves using logic or reasoning to avoid emotional response to stress, but it is not the defense mechanism demonstrated here. The client is not using abstract thinking to avoid feelings but justifying behavior.

B. Introjection: Introjection involves internalizing the beliefs or values of others, which is not what is happening in this scenario. The client is not adopting someone else’s values but rationalizing their own actions.

C. Rationalization: Rationalization is the defense mechanism the client is using. The client is justifying their drinking as a way to cope with stress, making the behavior seem reasonable or acceptable even though it may be harmful.

D. Repression: Repression involves unconsciously blocking out uncomfortable thoughts or feelings, but the client is not denying their emotions or thoughts about stress. Instead, they are justifying their behavior, which aligns more with rationalization.

A. "The honeymoon stage of violence usually gets longer over time." B. "Survivors of abuse often feel guilty." C. "As abuse continues, victims become more determined to be independent" D. "Abusers often have high self-esteem."

Correct Answer is B

Explanation

A. "The honeymoon stage of violence usually gets longer over time": The honeymoon stage typically becomes shorter as the cycle of abuse progresses. Over time, the tension-building and abusive episodes tend to increase in frequency and intensity.
B. "Survivors of abuse often feel guilty": Survivors of intimate partner abuse often feel guilty, ashamed, or responsible for the abuse. They may believe they somehow provoked the violence or could have prevented it.
C. "As abuse continues, victims become more determined to be independent": Victims of abuse often become more dependent over time due to manipulation, fear, and control exerted by the abuser. They may find it difficult to leave or make independent decisions.
D. "Abusers often have high self-esteem": This statement is generally inaccurate as abusers often have low self-esteem and may use controlling behaviors as a way to mask feelings of inadequacy or insecurity.

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Naxlex Comprehensive Predictor Exams

A nurse in an alcohol treatment facility is caring for a client who states, "My job is so stressful that the only way I can cope is to drink should recognize that the client is displaying which of the following defense mechanisms?

Correct Answer is C

Explanation

A nurse is giving a presentation about intimate partner abuse for a community group. Which of the following statements by a group member indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is caring for a client who is experiencing alcohol withdrawal. Exhibits A nurse is planning care for a client who has alcohol use disorder. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.

A nurse is caring for a client who has schizophrenia and is preparing for discharge. Exhibits The nurse is providing discharge teaching to the client. Which of the following information should the nurse include when educating the client about relapse prevention? Select all that apply.

A nurse is providing teaching to a client who has depressive disorder and a new prescription for doxepin. Which of the following instructions should the nurse include in the teaching?

A nurse is planning care for a client who has acute delirium. Which of the following instructions should the nurse include in the plan?

A nurse is assessing the client 2 months after the assault. Exhibits Based on the provider's diagnosis, which of the following client manifestations should the nurse expect? Select the 4 potential findings the nurse should expect.

A nurse is caring for a client who is seeking treatment for gambling disorder. The client states, "I have gambled away all of my savings. I don't know what I am going to do." Which of the following statements should the nurse make?