A female client comes to the nursing clinic for a routine ...

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A female client comes to the nursing clinic for a routine physical. When asked how she has been doing, she reports that she has been feeling very low since her youngest child left to attend dental school.
 
  She indicates that she has told herself to just get over it and find something to do. She has been telling herself that feeling so low is foolish since she is happy her daughter got into a good school. Which coping methods does the nurse recognize in the client's statements? Standard Text: Select all that apply. 1. Talking it out
  2. Privately thinking it through
  3. Seeking comfort
  4. Using symbolic substitutes
  5. Relying on self-discipline

Question 2

A new nurse feels that it is hopeless to provide sexual and physical abuse victims with community resources when most of them choose to go back and live with their abusers. What would be an appropriate response by the counselor?
 
  1. Some of these clients don't know any better.
  2. We are mandated by law to give clients information on resources prior to discharge.
  3. It is important to empower clients and help them see that they can make positive changes.
  4. Sometimes things do improve at home.

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Answer to Question 1

2,5
Rationale: Talking it out. The client does not indicate she has been talking with others.

Answer to Question 2

3
Rationale: Empowering the victim is an important step in the recovery process. The victim knows that what is happening is wrong and that there may be setbacks, but the nurse's role is to help set the stage for movement towards an abuse-free future. Every client should have a discharge plan prior to leaving the hospital, but this practice is not mandated by law. Things rarely improve in abusive homes without outside intervention.