A 16-year-old girl comes to the crisis clinic because of anxiety ...

[SGallaher96]

A 16-year-old girl comes to the crisis clinic because of anxiety associated with having to change schools during the middle of the school year when her father changed jobs. She has used the coping methods listed below for anxiety relief.
 
  Which method would be considered adaptive?
  1. Talking to a friend
  2. Crying for hours
  3. Sleeping during the day
  4. Screaming at her sister

Question 2

A client, admitted to the hospital after an attempted suicide following the sudden death of her husband, reported she and her husband were together most of the time and did not socialize with others.
 
  Now she is experiencing extreme loneliness and lack of companionship. Which nursing diagnosis would address the loneliness she mentions?
  1. Powerlessness related to death of husband
  2. Posttrauma syndrome related to loneliness
  3. Social isolation related to absence of supportive others
  4. Complicated grieving related to sudden death of husband

[ecox1012]

Answer to Question 1

ANS: 1
The only coping method that would be considered adaptive is talking to a friend. Ventilating will relieve stress and help the client to deal with feelings. 2. Occasional crying will relieve stress, but crying for hours is not adaptive. 3. Sleeping is a way of avoiding dealing with the situation. 4. Screaming at another person uses displacement.

Answer to Question 2

ANS: 3
Social isolation is aloneness experienced by the individual and perceived as imposed by others. In this case the aloneness was imposed by the death of her husband. Options 1 and 4 do not address the issue of loneliness. Option 2 is incorrect because the data do not support a diagnosis of post-trauma syndrome.