Nursing Elites

1. A healthcare professional is assessing a client with suspected substance use disorder. Which of the following findings should the healthcare professional not expect?

• A. Neglect of responsibilities
• B. Increased tolerance to the substance
• C. Withdrawal symptoms when not using the substance
• D. Unsuccessful attempts to cut down or control use

Correct answer: B

Rationale: Findings in a client with substance use disorder typically include neglect of responsibilities, withdrawal symptoms when not using the substance, and unsuccessful attempts to cut down or control use. Increased tolerance to the substance is a common phenomenon in substance use disorder and is expected as the individual requires higher doses to achieve the same effect.

2. Meditation has been shown to be an effective stress management technique. When meditation is effective, what should a healthcare professional expect to assess?

• A. An achieved state of relaxation
• B. An achieved insight into one's feelings
• C. A demonstration of appropriate role behaviors
• D. An enhanced ability to problem-solve

Correct answer: A

Rationale: Corrected Rationale: When meditation is effective, a healthcare professional should expect to assess an achieved state of relaxation. Meditation is known to facilitate a special state of consciousness through concentrated focus, leading to a sense of calm and relaxation. While meditation can sometimes provide insights into one's feelings, the primary outcome related to stress management is the promotion of relaxation. Choices C and D are not directly related to the typical outcomes of effective meditation for stress management.

3. What is the most significant consequence of the excessive use of defense mechanisms?

• A. Suppression of problem-solving skills.
• B. Intense experience of emotions.
• C. Enhancement of learning and growth.
• D. Limitation of problem-solving.

Correct answer: D

Rationale: The most significant consequence of the excessive use of defense mechanisms is the limitation of problem-solving skills. When individuals rely excessively on defense mechanisms to cope with stress or anxiety, they may avoid addressing underlying issues or seeking healthier coping strategies. This can lead to maladaptive behaviors, hindering their ability to effectively deal with reality, maintain healthy relationships, or perform well in various aspects of life. Choices A, B, and C are incorrect because the suppression of problem-solving skills, intense experience of emotions, and enhancement of learning and growth are not the primary consequences of excessive use of defense mechanisms.

4. A client with bipolar disorder is prescribed lithium. Which of the following statements by the client indicates a need for further teaching?

• A. I should maintain a consistent salt intake.
• B. I should drink 6-8 glasses of water daily.
• C. I need to have my lithium levels checked regularly.
• D. I can stop taking my medication once my mood stabilizes.

Correct answer: D

Rationale: The statement "I can stop taking my medication once my mood stabilizes" indicates a need for further teaching. Clients should continue taking their medication as prescribed and have regular monitoring of lithium levels.

5. A client has been diagnosed with borderline personality disorder. Which behavior is characteristic of this disorder?

• A. Excessive need for attention
• B. Instability in relationships
• C. Fear of abandonment
• D. Lack of interest in activities

Correct answer: B

Rationale: The correct answer is B: Instability in relationships. Individuals with borderline personality disorder often exhibit instability in their relationships, characterized by intense and unstable interpersonal connections, oscillating between idealization and devaluation. This pattern can lead to frequent conflicts, dramatic emotional shifts, and difficulties maintaining stable relationships. Choices A, C, and D are incorrect. While individuals with borderline personality disorder may also have an excessive need for attention, fear of abandonment, or lack of interest in activities, the hallmark feature defining this disorder is the instability in relationships.

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