A nurse is caring for a client who reports a recent increase in stressors.
Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this client?.
Adaptive vs. maladaptive
Justified vs. unjustified.
Good vs. bad.
Right vs. wrong.
The Correct Answer is A
Choice A rationale:
Adaptive vs. maladaptive refers to how well an individual’s behavior or response helps them cope with stressors. It’s the most relevant concept for understanding and delivering nursing care in this context.
Choice B rationale:
Justified vs. unjustified is not a relevant concept in this context as it pertains to moral or ethical judgments, not stress responses.
Choice C rationale:
Good vs. bad is also not relevant in this context as it’s a subjective judgment, not a measure of stress response.
Choice D rationale:
Right vs. wrong is not relevant in this context as it pertains to moral or ethical judgments, not stress responses.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
If a client states that they do not want to live anymore and plans to end their life, the nurse should ask the client about the lethality of their plan. This can help the nurse assess the immediate risk and determine the appropriate level of intervention.
Choice B rationale:
While it’s important to encourage clients to focus on the positive aspects of life, this should not be the first response when a client expresses suicidal ideation. The priority is to assess the risk and ensure the client’s safety.
Choice C rationale:
Reassuring the client that everything is going to work out may seem helpful, but it can also minimize the client’s feelings and potentially make them feel misunderstood. The priority is to assess the risk and ensure the client’s safety.
Choice D rationale:
Allowing the client time alone to self-reflect is not the appropriate action when a client expresses suicidal ideation. The client should not be left alone, as they may be at risk of self-harm.
Correct Answer is C
Explanation
Choice A rationale:
While it’s important to address the parent’s concerns, this response does not provide the parent with information about why their child might be exhibiting these behaviors.
Choice B rationale:
This response does not address the parent’s question about why their child is exhibiting these behaviors.
Choice C rationale:
This is the best choice because it provides the parent with information about why their child might be exhibiting these behaviors.
Choice D rationale:
This response minimizes the parent’s concerns and does not provide them with information about why their child might be exhibiting these behaviors.
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