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?".
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Therapeutic communication focuses on open-ended statements that encourage the client to express feelings. Exploring the relationship allows the nurse to understand the client's grief and fosters a supportive environment.
Choice B rationale: While this statement is empathetic, it is a non-therapeutic generalization. It can inadvertently shut down the conversation by labeling the client's unique experience as a common or expected occurrence.
Choice C rationale: This is non-therapeutic advice that encourages avoidance. Staying busy prevents the client from moving through the necessary stages of the grieving process and can lead to suppressed or complicated grief.
Choice D rationale: Although support groups are helpful, this is a closed-ended question that focuses on a solution rather than the client's current feelings. The nurse should first prioritize active listening and exploration.
Correct Answer is D
Explanation
Choice A rationale
Increased sleep can sometimes be associated with depression, which can co-occur with schizophrenia, but it is not a primary indicator of relapse of psychotic symptoms. Relapse typically involves an exacerbation of positive symptoms like hallucinations or delusions.
Choice B rationale
Obsession with hygiene rituals is more commonly associated with obsessive-compulsive disorder (OCD), which can be a comorbid condition in individuals with schizophrenia but is not a direct indicator of a psychotic relapse. While changes in behavior should be noted, this specific manifestation is less indicative of worsening schizophrenia.
Choice C rationale
Excessive appetite can be a side effect of certain antipsychotic medications or related to other factors, but it is not a core manifestation of a relapse of schizophrenia. Changes in appetite can occur, but increased suspiciousness is a more direct indicator of worsening psychotic symptoms.
Choice D rationale
Increased suspiciousness, paranoia, and mistrust are hallmark negative symptoms and often early indicators of a psychotic relapse in individuals with schizophrenia. Heightened suspicion can precede the return of more overt psychotic symptoms like hallucinations or delusions, signaling a destabilization of their mental state.
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