A nurse is reviewing the treatment plan of a client who is receiving anger management therapy.
Which of the following Questions should the nurse ask the client to evaluate the effectiveness of the treatment plan?

"Do you feel like your anger is becoming more manageable?".

"What do you do when something makes you angry?".

"Did you learn any coping strategies from your counselor?".

"Have you been attending your anger management group?".

Answer and Explanation

The Correct Answer is A

Choice A rationale

Asking "Do you feel like your anger is becoming more manageable?" directly assesses the client's subjective experience of their anger levels. This is a crucial indicator of the treatment's effectiveness as it reflects the client's internal perception of change in their emotional regulation. While objective measures are also important, the client's self-report provides valuable insight into the practical impact of therapy on their daily life.

Choice B rationale

Asking "What do you do when something makes you angry?" explores the client's behavioral responses to anger-provoking situations. While this provides information about their coping mechanisms, it doesn't directly evaluate whether their anger is becoming more manageable overall. The client might still be engaging in maladaptive behaviors even if they are learning new strategies.

Choice C rationale

Asking "Did you learn any coping strategies from your counselor?" assesses the client's acquisition of new skills taught in therapy. While learning coping strategies is a goal of anger management, it doesn't necessarily indicate that the client is effectively applying these strategies or experiencing a reduction in the intensity or frequency of their anger.

Choice D rationale

Asking "Have you been attending your anger management group?" evaluates the client's adherence to the treatment plan. While attendance is important for progress, it doesn't directly measure the effectiveness of the therapy itself. A client may attend sessions without actively engaging or experiencing a reduction in their anger.

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Correct Answer is D

Explanation

Choice A rationale

Encouraging a child to focus solely on the future after a sexual assault can minimize the impact of the trauma and discourage processing the difficult emotions associated with the event. A positive support system allows the child to acknowledge and work through their feelings, not avoid them.

Choice B rationale

Suggesting that the child think about what they did to allow the assault to happen places blame on the victim. A positive support system emphasizes that the assault was not the child's fault and focuses on support and healing, not assigning blame.

Choice C rationale

While concern for the child's well-being is understandable, attempting to monitor all of their relationships can be overly controlling and undermine the child's autonomy and trust. A positive support system balances safety with respect for the child's personal boundaries and development.

Choice D rationale

Anticipating that the child will feel some self-blame is a realistic and empathetic understanding of the potential psychological impact of sexual assault. Survivors often internalize blame, even though they are not at fault. Acknowledging this possibility allows the guardian to provide appropriate support and reassurance.

A. Encourage the client to use personal support systems. B. Assist with a client referral for social services. C. Identify if the client has thoughts of self-harm. D. Reinforce teaching on the client's use of coping skills.

Correct Answer is C

Explanation

Choice A rationale

Encouraging the client to use personal support systems is a helpful intervention in a situational crisis, providing emotional and practical assistance. However, the immediate priority is to assess for safety.

Choice B rationale

Assisting with a client referral for social services can address long-term needs arising from the crisis. However, it is not the initial action when a client is experiencing a situational crisis.

Choice C rationale

Identifying if the client has thoughts of self-harm is the priority action in a situational crisis. Crisis situations can increase the risk of suicidal ideation, and ensuring the client's safety is paramount before addressing other needs.

Choice D rationale

Reinforcing teaching on the client's use of coping skills is important for managing the crisis. However, assessing for immediate safety concerns, such as self-harm, takes precedence.

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A nurse is reviewing the treatment plan of a client who is receiving anger management therapy.Which of the following Questions should the nurse ask the client to evaluate the effectiveness of the treatment plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an adolescent who was recently sexually assaulted.Which of the following statements by the adolescent's guardian represents the presence of a positive support system?

Correct Answer is D

Explanation

A nurse is caring for a client who is experiencing a situational crisis.Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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A nurse is reviewing the treatment plan of a client who is receiving anger management therapy.
Which of the following Questions should the nurse ask the client to evaluate the effectiveness of the treatment plan?