A client's history documents that there have been examples of indirect self-destructive behavior. Which nursing assessment data supports this diagnosis?

Correct Answer: B

Rationale: The correct answer is B because reports of abusing alcohol since the age of 16 indicate a pattern of indirect self-destructive behavior. This behavior can lead to physical harm and other negative consequences. Option A directly mentions suicide attempts, not indirect behavior. Option C is unrelated to self-destructive behavior. Option D, while acknowledging suicidal thoughts, does not demonstrate a pattern of indirect self-destructive behavior like long-term alcohol abuse.

Correct Answer: A

Rationale: The correct answer is A: Motivational interviewing. This therapy aligns with the person-centered approach by focusing on empathetic listening, understanding the client's perspective, and fostering self-motivation for change. It emphasizes a collaborative and non-confrontational communication style, allowing clients to explore and resolve ambivalence towards behavior change. The other choices (B: CBT, C: Narrative Therapy, D: Existential Therapy) involve structured techniques and interventions rather than solely relying on communication to facilitate change.

Correct Answer: A

Rationale: The correct answer is A: Potential for tolerance/dependence exists - doses may need to be increased. When assessing the effectiveness of Valium dosage, it's crucial to consider tolerance and dependence because long-term use can lead to reduced efficacy, necessitating dose adjustments. This is important for ensuring the patient receives the optimal therapeutic benefit. Gastrointestinal disturbances (B) and sexual dysfunction (C) are potential side effects of Valium but are not directly related to assessing dosage effectiveness. Selective serotonin reuptake inhibitors (D) are a different class of medications and not relevant to evaluating Valium dosage.

Correct Answer: A

Rationale: The correct answer is A: Block manifestations: Tremors. Beta blockers and alpha-2 receptor agonists are used in patients with anxiety to block physical manifestations such as tremors. Beta blockers reduce the physical symptoms of anxiety by blocking the effects of adrenaline on the body, including tremors. Alpha-2 receptor agonists also help reduce physical symptoms by decreasing the release of norepinephrine. Palpitations (B), tachycardia (C), and sweating (D) are also physical symptoms of anxiety, but beta blockers and alpha-2 receptor agonists primarily target tremors in this context.

Correct Answer: A

Rationale: The correct answer is A because tricyclic antidepressants have numerous side effects such as dry mouth, constipation, weight gain, and sedation. These side effects can be intolerable for patients, leading to poor adherence. Choices B, C, and D are incorrect because while tricyclic antidepressants can have interactions with other medications, cause cardiac problems, and be lethal in overdose, these factors alone do not fully explain why they are infrequently used compared to other antidepressant options. The primary reason for their limited use lies in their significant side effect profile.