Answer to Question 1
C
Feedback:
Therapeutic coping strategies usually help the person to acquire insight, gain confidence to confront reality, and develop emotional maturity. Maladaptation results when people use nontherapeutic coping strategies such as mind- and mood-altering substances, hostility and aggression, excessive sleep, avoidance of conflict, and abandonment of social activities. Sensory manipulation involves altering moods, feelings, and physiologic responses by stimulating pleasure centers in the brain using sensory stimuli. Negative coping strategies may provide immediate temporary relief from a stressor, but they eventually cause problems.
Answer to Question 2
D
Feedback:
The nurse in this case should try to find the factors that have caused stress and depression in the child. The nurse should calmly talk to the child and find the reason for her avoiding going to school. The child will not likely understand the importance of being happy and unstressed, and this approach is simplistic and usually ineffective. Administering therapies or antidepressants is premature and likely beyond the nurse's scope of practice.
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