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 D

Explanation

A. "A relapse plan explains how you can be hospitalized if needed.": Focusing on hospitalization addresses only a narrow aspect of the plan. While hospitalization may be an option, the primary goal is to manage symptoms effectively before reaching that point.
B. "A relapse plan addresses your living, housing, and working needs.": While living conditions and employment are important in treatment, they do not specifically explain the purpose of a relapse plan. The plan is more focused on recognizing and managing symptoms of schizophrenia.
C. "A relapse plan describes how you use coping strategies for living in the community.": Coping strategies are essential, but this response does not capture the full purpose of a relapse plan. The plan primarily focuses on identifying warning signs and outlining steps to take when symptoms worsen, rather than just coping mechanisms.
D. "A relapse plan helps your recovery by recognizing symptoms of schizophrenia and provides steps to follow if symptoms are getting worse.": Highlighting the importance of recognizing early warning signs and having a strategy for symptom management emphasizes the necessity of the relapse plan for maintaining stability and preventing crises in the community.

A. "This is it! You are getting a bath! There are three of us here to bathe you!" B. "It is now time for you to bathe. Do you want to wear the red or green shirt?" C. "I'm going to ignore your lack of self-care because it is an aspect of the disorder." D. "Do you really think it is okay not to bathe? What is going on with you?"

Correct Answer is B

Explanation

A. "This is it! You are getting a bath! There are three of us here to bathe you!": Being overly aggressive does not respect the client's autonomy and may cause feelings of threat or coercion. Such an approach could exacerbate anxiety or agitation, making it counterproductive in building rapport.
B. "It is now time for you to bathe. Do you want to wear the red or green shirt?": Establishing a clear expectation while offering a choice promotes the client's autonomy. Providing options helps engage the client in the process and encourages participation in self-care activities without overwhelming them.
C. "I'm going to ignore your lack of self-care because it is an aspect of the disorder.": Ignoring the client's lack of self-care is unhelpful and may reinforce neglect of personal hygiene. Addressing self-care needs directly while being sensitive to the client's condition is essential for providing appropriate support.
D. "Do you really think it is okay not to bathe? What is going on with you?": Asking questions in a confrontational or judgmental manner can hinder open communication and trust. While understanding the client's feelings is important, a more supportive and non-judgmental approach is effective in promoting engagement and encouraging self-care.

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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 is preparing to discharge a client who has been diagnosed with schizophrenia. The client asks, "I am not sure why I need to have a relapse plan." Which of the following responses should the nurse make?

Correct Answer is D

Explanation

A nurse is caring for a client who has been diagnosed with schizophrenia. The client has been wearing the same clothes for the past week and appears unkempt and unbathed. Which of the following statements should the nurse make to the client?

Correct Answer is B

Explanation

A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as a comorbidity to this condition?

A nurse is caring for a client who has obsessive-compulsive disorder. Which of the following comorbidities should the nurse anticipate when reviewing the client's medical record?

A nurse is preparing a presentation about alcohol withdrawal. Which of the following findings should the nurse include in the presentation?

A nurse is interviewing a client who is experiencing negative symptoms of psychosis about their family history of schizophrenia. In which of the following phases of the nursing process should this take place?

A nurse is caring for a client who has schizophrenia and has been taking a first generation medication for several years. The client is exhibiting jerking movements and twitching of the face and tongue. Which of the following is the client experiencing?

A nurse is preparing an in-service for a group of staff members about dissociative identity disorder. Which of the following should the nurse identify as a risk factor for this disorder?

A nurse is caring for a client who has schizophreniform disorder. Which of the following manifestations should the nurse expect?

A nurse is reviewing the DSM-5 diagnostic criteria for schizophrenia. Which of the following symptoms must be present for a client to be diagnosed with schizophrenia? (Select all that apply).