A nurse is reviewing the documentation for a newly admitted client and notes the following entry, "Client verbalizes the use of coping mechanisms when experiencing stress." Which of the following can the nurse expect when interacting with this client?

The client follows all rules.

The client prefers to sit quietly.

The client adapts well to change.

The client prefers solitary activities to group activities.

Answer and Explanation

The Correct Answer is C

A. The client follows all rules: Following rules does not necessarily correlate with the use of coping mechanisms during stress. Clients may adhere to rules for various reasons unrelated to their coping strategies, such as desire for approval or fear of consequences, so this statement may not accurately reflect the client's behavior.
B. The client prefers to sit quietly: Preferring to sit quietly may indicate avoidance or withdrawal rather than an active use of coping mechanisms. Clients who effectively utilize coping strategies during stress are more likely to engage in constructive activities rather than remain passive, making this option less likely.
C. The client adapts well to change: The ability to verbalize the use of coping mechanisms suggests that the client has developed skills to manage stress and adapt to new situations. This adaptability often reflects a higher level of resilience and can indicate that the client is equipped to handle change positively, which can enhance their interactions with others.
D. The client prefers solitary activities to group activities: A preference for solitary activities may suggest avoidance or social withdrawal rather than the effective use of coping mechanisms. Clients who employ adaptive coping strategies are often more willing to engage in social interactions and group activities, which can foster support and connection during stressful times.

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Correct Answer is B

Explanation

A. Encourage group therapy participation: While group therapy can be beneficial, during a manic episode, clients may struggle to engage effectively due to their heightened energy levels and impulsivity. Individual interventions are typically more appropriate at this stage.
B. Provide high-calorie finger foods: During a manic episode, clients often have increased energy expenditure and may neglect their nutritional needs. Providing high-calorie finger foods ensures that the client receives adequate nutrition without requiring them to sit down for a formal meal, accommodating their high activity level and potential lack of focus.
C. Allow the client to lead a unit meeting: Allowing a client in a manic state to lead a meeting could exacerbate their manic behavior, leading to disruptions and further challenges in managing their condition. It is essential to maintain structure and limit opportunities for impulsive actions during this time.
D. Discourage any physical activity to prevent exhaustion: While it's important to monitor for signs of exhaustion, completely discouraging physical activity is not appropriate. Encouraging some level of physical activity can help channel the client's energy positively, but it should be carefully monitored to prevent overstimulation or fatigue.

A. Lack of emotional expression B. Impaired interpersonal relationships C. Disorganized behavior D. Inability to initiate activities E. Hallucinations F. Antisocial personality

Correct Answer is ["C","E"]

Explanation

A. Lack of emotional expression: While affective flattening can occur in schizophrenia, it is not one of the core diagnostic criteria. Schizophrenia is characterized by a variety of symptoms, but the lack of emotional expression alone is not sufficient for diagnosis.
B. Impaired interpersonal relationships: Although individuals with schizophrenia may experience difficulties in relationships, this is a consequence of the disorder rather than a diagnostic criterion. The focus of the diagnosis is on specific symptomatic criteria.
C. Disorganized behavior: This symptom is included in the DSM-5 diagnostic criteria for schizophrenia. Disorganized behavior can manifest as erratic or unpredictable actions that significantly impair functioning and are characteristic of the disorder.
D. Inability to initiate activities: While avolition (lack of motivation to initiate activities) is a symptom associated with schizophrenia, it is not explicitly listed as one of the primary diagnostic criteria in the DSM-5. It may contribute to the overall picture of the disorder.
E. Hallucinations: Hallucinations, particularly auditory hallucinations, are one of the hallmark symptoms of schizophrenia and are essential for diagnosis according to the DSM-5. The presence of hallucinations significantly impacts the individual's perception of reality.
F. Antisocial personality: Antisocial personality disorder is a separate diagnosis and not a symptom of schizophrenia. The presence of antisocial behavior does not align with the diagnostic criteria for schizophrenia.

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A nurse is reviewing the documentation for a newly admitted client and notes the following entry, "Client verbalizes the use of coping mechanisms when experiencing stress." Which of the following can the nurse expect when interacting with this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is ["C","E"]

Explanation

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