Prozac 30mg PO is ordered for a client.

Prozac is available in 10mg tablets.

How many tablets will you administer?

Choice C rationale
Assisting the patient in identifying a thought that triggers anger, evaluating the validity of the belief, and replacing it with reality-based thinking is an effective nursing intervention to help an angry patient manage their anger without resorting to violence. This approach is based on cognitive behavioral therapy (CBT), a type of psychotherapy that can help people learn to identify and change destructive thought patterns that have a negative influence on behavior and emotions.
Choice A rationale
While medication can be part of a comprehensive treatment plan for individuals struggling with anger management, it is not the first-line intervention. Medication should be considered if the anger is part of a larger mental health disorder, such as bipolar disorder or intermittent explosive disorder, and should be administered under the guidance of a healthcare provider.
Choice B rationale
Negative reinforcement such as restraint or seclusion can escalate the situation and is not considered a best practice for managing anger. It should only be used as a last resort when the patient poses a risk to themselves or others.
Choice D rationale
Aversive conditioning, such as snapping a rubber band on the wrist, is a type of behavioral therapy that can be used to help a person reduce or eliminate unwanted behaviors. However, it is not the most effective strategy for managing anger and can potentially lead to self-harm.

Choice A rationale:
Anger is a common and expected response to trauma, including sexual assault. It can stem from various sources, including:
Feelings of violation and powerlessness: Survivors may feel intense anger towards the perpetrator for taking control of their bodies and lives.
Betrayal: If the assault was committed by someone they knew or trusted, survivors may feel intense anger towards that person for breaking their trust.
Frustration and injustice: Survivors may feel angry at the injustice of the situation, the lack of control they had, and the ongoing impact of the trauma.
Difficulty processing other emotions: Anger can sometimes mask other emotions that are difficult to deal with, such as fear, sadness, or guilt.
Anger can manifest in various ways, including:
Irritability and outbursts: Survivors may have a short temper, snap at others easily, or have difficulty controlling their anger. Aggression: In some cases, anger can lead to physical or verbal aggression towards others or self-harming behaviors.
Withdrawal and isolation: Some survivors may withdraw from social interactions and relationships to avoid potential triggers for their anger.
Substance abuse: Some survivors may turn to alcohol or drugs to numb their feelings or cope with their anger.
Choice B rationale:
Sleeping 12 hours or more each day can be a symptom of PTSD, but it is not a specific indicator of anger. It can also be a sign of depression, anxiety, or hypersomnia, a sleep disorder characterized by excessive daytime sleepiness.
Choice C rationale:
PTSD can sometimes lead to an increased sense of detachment from others, rather than attachment. Survivors may feel emotionally numb, have difficulty trusting others, or withdraw from relationships.
Choice D rationale:
While some survivors of sexual assault may feel a need to talk about the event, it is not a universal symptom of PTSD. Some survivors may avoid talking about the event altogether due to the distress it causes.