The nurse manager, teaching a class to new staff members about ...

[student77]

The nurse manager, teaching a class to new staff members about working with clients with ad-justment disorders, will specify that the intervention most helpful in working with clients with this diagnosis is:
 
  1. Including family members in the interdisciplinary treatment plan
  2. Reducing the client's level of anxiety to prevent behavioral escalation
  3. Identifying the precipitating stressful event and current problems
  4. Including pertinent data in the client's medical record

Question 2

A client's parents accompany their adolescent daughter to the mental health clinic. When dis-cussing the client's diagnosis with the nurse, the father states, I don't understand what the doc-tor means by saying my daughter has an adjustment disorder
 
  The nurse should explain that this disorder often results from:
  1. Failure of existing coping skills
  2. Lack of emotional support
  3. Denial that a problem exists
  4. Overcompensation to present a controlled appearance

[batool]

Answer to Question 1

ANS: 3
Identification of the precipitating stressful event and interpretation of the existing problem are fundamental to working with the client to reduce symptoms. 1. Including family in treatment planning is secondary to identification of the stressor and the problem. 2. Anxiety will remain high until the problem and the stressor are identified. 4. This intervention is not directly related to the question posed.

Answer to Question 2

ANS: 1
When existing coping skills are not adequate to deal with a stressor, and new coping skills have not been developed, symptoms appear. These symptoms may fit the DSM-IV-TR criteria for ad-justment disorder. 2. This is not applicable to the situation. 3. The disorder does not result from use of denial. The client usually recognizes that a problem exists. 4. This is not related to the on-set of adjustment disorder.