Nokea
If the rape victim shares all of the following information during a group session, which findings are most indicative of a severe adjustment reaction? Select all that apply.
- A. The victim reports feeling somewhat anxious.
- B. The victim describes having sporadic nightmares.
- C. The victim has lost weight and eats out of habit.
- D. The victim has occasional doubts about self-worth.
- E. The victim refuses to have sexual relations.
- F. The victim has started to drink wine before bedtime.
Correct Answer: B,C,E,F
Rationale: Nightmares, weight loss, sexual avoidance, and new alcohol use indicate significant distress and maladaptive coping, suggestive of a severe adjustment reaction.
You may also like to solve these questions
Which nursing action is most appropriate at this time?
- A. Criticize the nature of the client's rude behavior.
- B. Support the emaciated client who was targeted by the remark.
- C. Invite others in the group to respond to the situation.
- D. Embarrass the bulimic client with a similar comment.
Correct Answer: B
Rationale: Supporting the targeted client validates their feelings and maintains a safe group environment, addressing the immediate emotional impact.
Which question best assesses the client's long-term memory?
- A. What is your current age?
- B. What is today's date?
- C. What is your date of birth?
- D. What occurred last January?
Correct Answer: C
Rationale: Recalling date of birth tests long-term memory, as it requires retrieving well-established, distant personal information.
The client's family asks the nurse for a list of organizations where they can go for support during this difficult time. Which resource is most appropriate in this situation?
- A. Alcoholics Anonymous
- B. Recovery Anonymous
- C. Al-Anon
- D. Synanon
Correct Answer: C
Rationale: Al-Anon is specifically designed to support family members of individuals with alcoholism, providing them with coping strategies and emotional support.
The client has developed paranoia as a result of regular methamphetamine use. The nurse uses cognitive reappraisal to confront the client’s persecutory thoughts. Which question should the nurse ask the client?
- A. “How can you look at this differently?”
- B. “Why would they want to cause you harm?”
- C. “What did you do that makes others not like you?”
- D. “How do you feel when others create problems for you?”
Correct Answer: A
Rationale: Reappraisal via alternative perspectives (A) aids restructuring. “Why” (B) or blame (C) reinforce distortion feelings (D) aren’t cognitive.
If this client is typical of others with phobias, which coping mechanism has the client most likely been using to deal with the fear of flying?
- A. Suppression
- B. Compensation
- C. Avoidance
- D. Undoing
Correct Answer: C
Rationale: Avoidance is the primary coping mechanism in phobias, as clients steer clear of the feared stimulus, such as refusing to fly.