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
Implementing 24-hr one-to-one nursing observation is a necessary precaution for a newly admitted adolescent who overdosed on prescription pain medication. This close monitoring allows for continuous assessment of the client's physical and mental status, early detection of any complications, and prevention of further self-harm attempts, especially given the prescriptions for an anxiolytic and an SSRI, which could have delayed or paradoxical effects in an overdose situation.
Choice B rationale
Restricting interactions with other clients might increase the adolescent's feelings of isolation and depression, which could be counterproductive to their mental health recovery. Therapeutic interactions with peers can be beneficial.
Choice C rationale
Documenting the client's behavior every 2 hr is a standard nursing practice, but it is not sufficient for a client at high risk for self-harm following an overdose. Continuous observation provides immediate intervention capability.
Choice D rationale
Administering prescribed medication via the IM route is not necessarily a standard precaution for an overdose. The route of administration depends on the specific medication and the client's condition. Oral administration is usually preferred when the client is stable and can tolerate it.
Correct Answer is C
Explanation
Choice A rationale
Diazepam is a benzodiazepine, typically used for anxiety, muscle spasms, and seizures. While it has a calming effect, it does not directly address opioid use disorder and carries a risk of misuse and dependence, potentially exacerbating the client's condition.
Choice B rationale
Phenobarbital is a long-acting barbiturate used to control seizures. It is not a primary treatment for opioid use disorder and has a high potential for dependence and serious withdrawal symptoms if discontinued abruptly.
Choice C rationale
Buprenorphine is a partial opioid agonist that binds to opioid receptors in the brain, reducing cravings and withdrawal symptoms without producing the full euphoric effects of other opioids. It is a key medication in medication-assisted treatment (MAT) for opioid use disorder, helping clients manage their addiction and transition to recovery.
Choice D rationale
Chlordiazepoxide is another benzodiazepine, primarily used for anxiety and alcohol withdrawal. Similar to diazepam, it does not directly treat opioid use disorder and carries a risk of dependence and misuse in individuals with substance use disorders.
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