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 C

Explanation

A. Personality Diagnostic Questionnaire: This tool is specifically designed for assessing and diagnosing personality disorders, such as borderline or antisocial personality disorder. While it provides valuable insights into personality traits, it does not yield information on recent substance use and is not applicable for determining if the client has used illicit drugs.
B. Eysenck Personality Inventory: The Eysenck Personality Inventory focuses on measuring personality traits, particularly dimensions like introversion and extraversion. Although it may be useful in understanding the client's personality profile, it lacks the capability to assess or screen for substance use, making it irrelevant in this context.
C. Toxicology test: A toxicology test is the most appropriate screening tool in this situation as it directly analyzes the client’s biological samples (such as urine, blood, or saliva) to detect the presence of illicit substances. This test provides immediate and objective evidence of recent drug use, which is crucial for the nurse to make informed clinical decisions regarding the client's care and potential interventions.
D. Minnesota Multiphasic Personality Inventory (MMP): The MMPI is a comprehensive psychological assessment tool that evaluates various psychological conditions and personality traits. While it can provide insights into the client’s mental health, it does not specifically test for substance use, thus making it an unsuitable option for assessing recent illicit drug consumption.

A. Antisocial personality disorder B. Avoidant personality disorder C. Schizoid personality disorder D. Dependent personality disorder

Correct Answer is D

Explanation

A. Antisocial personality disorder: Individuals with antisocial personality disorder typically exhibit a disregard for the rights of others and may engage in manipulative or harmful behaviors. They do not generally display a need for constant reassurance or difficulty making decisions for themselves.
B. Avoidant personality disorder: While individuals with avoidant personality disorder often experience anxiety in social situations and may fear criticism or rejection, they are capable of making decisions. Their behavior is more characterized by avoidance and fear of social interactions rather than a dependency on others for decision-making.
C. Schizoid personality disorder: Individuals with schizoid personality disorder tend to be emotionally detached and have a limited range of emotional expression. They often prefer solitary activities and do not seek out close relationships, which does not align with the need for constant reassurance or decision-making support.
D. Dependent personality disorder: This disorder is characterized by a pervasive and excessive need to be taken care of, leading to submissive and clinging behaviors. Clients with dependent personality disorder often struggle to make decisions independently and require constant reassurance from others, making this the correct identification of the client's manifestations.

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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

A nurse in an emergency department is collecting data from a client who has a personality disorder and reports that they recently used illicit drugs. Which of the following screening tools should the nurse use to determine if the client has recently used an illicit substance?

Correct Answer is C

Explanation

A nurse is caring for a client who is unable to make any decisions for themself and needs constant reassurance. The nurse should identify that these are manifestations of which of the following personality disorders?

Correct Answer is D

Explanation

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A nurse manager is reviewing a recent client report related to a staff nurse. Which of the following behaviors by a nurse at work might be red flags for a substance use disorder?

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