Author Question: During his first interview at the crisis center, a client who is having suicidal ideation associated ... (Read 27 times)

appyboo · **on:** Jul 19, 2018

During his first interview at the crisis center, a client who is having suicidal ideation associated with
divorce proceedings tells the nurse he has usually been able to talk over problems with his sister.

He
also states he finds playing the bagpipes relaxing but had given them up when be became an
apartment dweller. He mentions that he took diazepam (Valium) for a short time several years ago
but did not like the side effects. The nurse should help the client weigh the consequences of various
alternatives, including (more than one answer may be correct)
A. visiting his sister to talk about his problem.
B. joining a pipe band at the local YMCA.
C. returning to the clinic in 24 hours.
D. taking diazepam four times daily.

Question 2

A client is undergoing a series of diagnostic tests. He insists nothing is wrong with him except a
chest cold that he can't shake off. His wife says he smokes and coughs a lot, has lost 15 pounds,
and is easily fatigued.

The defense mechanism the client is using is
a. regression.
b. displacement.
c. denial.
d. projection.

hollysheppard095 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A, B, C
Rationale: Options A and B use previously effective coping strategies that could be helpful in this
instance. Option C is advisable because it provides ongoing support and promotes the feeling that
the client is not alone. Option D would not be useful because the client disliked the medication's side
effects. Furthermore, anxiolytics may not be necessary if other options are successful.

Answer to Question 2

ANS: C
Denial is an unconscious blocking of threatening or painful information or feelings. Option A:
Regression involves using behaviors appropriate at an earlier stage of psychosexual development.
Option B: Displacement shifts feelings to a more neutral person or object. Option D: Projection
attributes one's own unacceptable thoughts or feelings to another.