An adult male client is admitted to a mental health facility with the diagnosis of depression following the end of a long-term engagement.
He states that he couldn’t “commit to marriage.”. During his admission assessment, the nurse learns that he did not feel guided, nurtured, or accepted by his parents during his childhood.
One of the goals for this client is to help him develop a positive personal identity.
Which intervention should the nurse implement to meet this goal?
Develop the ability to establish and maintain an intimate relationship.
Improve his strength in the ability to adapt to new situations.
Outline his life’s dream.
Discern his feelings about relationship choices and level of commitment.
The Correct Answer is D
Choice A rationale
Developing the ability to establish and maintain an intimate relationship is an important aspect of personal growth. However, it might not directly help the client develop a positive personal identity.
Choice B rationale
Improving his strength in the ability to adapt to new situations can enhance the client’s coping skills. However, it might not directly help the client develop a positive personal identity.
Choice C rationale
Outlining his life’s dream can provide direction and purpose to the client’s life. However, it might not directly help the client develop a positive personal identity.
Choice D rationale
Discerning his feelings about relationship choices and level of commitment can help the client understand his own values and beliefs. This self-understanding is crucial for developing a positive personal identity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Overinvolvement with unapproved friends could potentially lead to negative influences and behaviors, but it does not directly correlate with the symptoms described.
Choice B rationale
Overinvolvement with social media could explain the girl’s symptoms. Excessive use of social media can lead to social isolation, increased stress, and decreased enjoyment in previously loved activities.
Choice C rationale
While attention-deficit disorder could explain some of the symptoms, such as a decrease in school performance, it does not typically result in social withdrawal or an increased desire to stay in her room.
Choice D rationale
An eating disorder could potentially explain the girl’s withdrawal and increased stress, but there is no mention of changes in eating habits or concerns about body image.
Correct Answer is B
Explanation
Choice A rationale
Parents who were very lenient disciplinarians may not necessarily lead to conduct disorder in their children. While lack of discipline can contribute to some behavioral issues, it is not specifically associated with conduct disorder.
Choice B rationale
Harsh parental discipline and physical punishment can contribute to the development of conduct disorder. Children who experience harsh discipline may learn to use aggressive behavior as a way of dealing with conflict and may have difficulty developing pro-social behavior. This can lead to a pattern of violating the rights of others and societal norms, which is characteristic of conduct disorder.
Choice C rationale
Schizophrenia is a chronic mental disorder characterized by distortions in thinking, perception, emotions, language, sense of self, and behavior. While some individuals with conduct disorder may also have schizophrenia, the presence of schizophrenia does not necessarily indicate that an individual will develop conduct disorder.
Choice D rationale
Autism is a developmental disorder characterized by difficulties with social interaction and communication, and by restricted and repetitive behavior. It is not typically associated with the aggressive and rule-breaking behavior seen in conduct disorder.
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