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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?

A.

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

B.

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

C.

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

D.

"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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Related Questions

Correct Answer is {"A":{"answers":"B,C"},"B":{"answers":"B,C"},"C":{"answers":"A"},"D":{"answers":"B,C"},"E":{"answers":"B,C"},"F":{"answers":"A"},"G":{"answers":"B,C"}}

Explanation

Rationales for Each Condition

Opioid Intoxication

  1. Sedation: Opioids cause central nervous system depression, leading to drowsiness, confusion, and reduced level of consciousness.
  2. Pinpoint Pupils: A hallmark sign of opioid intoxication is miosis (pinpoint pupils) due to parasympathetic nervous system activation.

Stimulant Intoxication (e.g., Methamphetamine)

  1. Seizures: Stimulants can lower the seizure threshold, increasing the risk of convulsions.
  2. Tachycardia: Stimulants induce sympathetic activation, leading to increased heart rate.
  3. Dilated Pupils: Sympathetic nervous system stimulation causes pupil dilation (mydriasis).
  4. Paranoia: Stimulant intoxication often results in psychosis, including paranoia and hallucinations.
  5. Hypertension: Elevated catecholamines increase blood pressure, seen in stimulant intoxication.

Hallucinogen Intoxication

  1. Seizures: Some hallucinogens (e.g., LSD) can induce seizures due to excitatory effects.
  2. Tachycardia: Hallucinogens stimulate the autonomic nervous system, increasing heart rate.
  3. Dilated Pupils: Similar to stimulants, hallucinogens can cause mydriasis.
  4. Paranoia: Hallucinogen intoxication can result in psychosis, including paranoia.
  5. Hypertension: Increased autonomic activity leads to elevated blood pressure.

Correct Answer is A

Explanation

Choice A rationale

"Tell me about your baby. Where is she now?" is the priority response because it immediately assesses the safety and well-being of the baby. The mother's statement suggests potential distress and inability to cope, raising concerns about the infant's care.

Choice B rationale

"Do you have a friend who could help you?" explores the client's support system, which is important but secondary to ensuring the immediate safety of the baby.

Choice C rationale

"Having a newborn must be stressful" is an empathetic statement that acknowledges the client's feelings. While therapeutic, it does not address the potential immediate needs and safety of the baby.

Choice D rationale

"Do you have other children?" gathers information about the client's family situation, but it is not the priority when there is a potential concern about the well-being of the newborn. .

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