A nurse should identify that which of the following factors is a protective factor that prevents adults from developing addictions?

Correct Answer: A

Rationale: In the context of the psychiatric nurse certification exam, understanding the factors that contribute to preventing adults from developing addictions is crucial for providing effective care and interventions. The correct answer, A) Positive self-image, is a protective factor because individuals who have a positive self-image are more likely to have a strong sense of self-worth and self-efficacy, which can serve as a buffer against the development of addictive behaviors. Option B) Single status is not a protective factor as relationship status alone does not determine one's susceptibility to addiction. Option C) Passive personality is not a protective factor either, as individuals with passive personalities may still be at risk for developing addictions due to various other factors. Option D) Being a parent is not necessarily a protective factor against addiction, as parenthood does not immunize individuals from the risk of developing addictive behaviors. In an educational context, it is important for nurses to understand the complex interplay of factors that contribute to addiction vulnerability. By recognizing and addressing protective factors like positive self-image, nurses can better support individuals in maintaining healthy behaviors and overcoming addictive tendencies. This knowledge equips nurses with the skills to provide comprehensive care and interventions for individuals struggling with addiction.

Correct Answer: A

Rationale: In this scenario, option A is the correct answer as it presents behaviors that are indicative of potential substance use disorder in a nurse. The behaviors of volunteering for overtime to have access to medications without supervision, avoiding witnesses when handling narcotics, and needing to be alone in the medication room are all red flags that suggest potential drug diversion for personal use. Option B, manipulation, is a vague term and does not specifically point towards substance use disorder. Option C, displaying emotional distress and personal sharing, may indicate stress or personal issues rather than substance abuse. Option D, increased cheerfulness and energy, as well as helping others, are positive behaviors and do not strongly suggest substance use disorder. Educationally, it is vital for nurse managers to be able to recognize signs of substance use disorder in their staff to ensure patient safety and support for the affected nurse. Understanding these behaviors can lead to early intervention and appropriate support mechanisms to address the issue effectively. Recognizing these signs is crucial in maintaining a safe and healthy work environment in healthcare settings.

Correct Answer: A

Rationale: In this scenario, option A is the correct choice as it indicates a protective factor in the form of a positive childhood experience. The statement reflects a supportive relationship with the English teacher, which can serve as a protective factor against the negative impact of anxiety. This positive interaction can foster a sense of security and trust for the adolescent. Option B is incorrect because frequent relocations due to parents being in the military can contribute to instability and disrupt the sense of security, potentially exacerbating anxiety in the adolescent. Option C is incorrect as being born to a teenage mother may have certain challenges and stigmas attached to it, which could lead to feelings of insecurity or inadequacy for the adolescent. Option D is also incorrect as the constant worry about the health of a sibling and the parents' absence due to caregiving responsibilities can increase stress and anxiety for the adolescent. Educationally, this question highlights the importance of identifying protective factors in a patient's history that can mitigate the impact of mental health challenges. It underscores the significance of positive relationships and experiences in promoting mental well-being, especially in vulnerable populations like adolescents with anxiety disorders.

Correct Answer: D

Rationale: In the context of caring for a client with borderline personality disorder, the defense mechanism of splitting is commonly observed. Splitting is a coping mechanism where individuals see things as either all good or all bad, failing to integrate both positive and negative qualities into a cohesive whole. This can lead to challenges within the healthcare team as the client may idealize one team member while demonizing another, creating division and discord among the team. Option A, regression, involves reverting to an earlier stage of development in the face of stress. This defense mechanism is not specifically associated with creating division in the healthcare team when compared to splitting in borderline personality disorder. Option B, reaction formation, is when a person exhibits behaviors that are the opposite of their true feelings. While this defense mechanism can impact interactions, it is not typically associated with the significant division that splitting can cause. Option C, denial, involves refusing to acknowledge aspects of reality. While denial can impact treatment adherence and rapport with healthcare providers, it is not as directly linked to creating division among the healthcare team as splitting is in borderline personality disorder. Educationally, understanding defense mechanisms in psychiatric disorders is crucial for nurses to provide effective, empathetic care. By recognizing the impact of splitting in clients with borderline personality disorder, nurses can work to foster collaboration within the healthcare team and mitigate potential conflicts that may arise.

Correct Answer: B

Rationale: The correct response is option B: "This must be a difficult time for you. Adolescents who have experienced a trauma may exhibit increased reckless behaviors." This response demonstrates empathy and understanding towards the parent's concerns while also providing crucial information about how trauma can manifest in adolescents, leading to reckless behaviors. Option A is incorrect as it focuses on comparing the behavior of the affected child to other siblings and places blame on the parent's established rules, which may not be relevant in this context of trauma. Option C is incorrect as it dismisses the concerning behaviors as normal adolescent behavior, failing to address the underlying trauma and potential need for intervention and support. Option D is also incorrect as it does not directly acknowledge the impact of trauma on the adolescent's behavior and shifts the focus solely to the parent's concerns without providing psychoeducation on trauma responses in adolescents. In an educational context, it is vital for psychiatric nurses to not only address the immediate concerns of parents but also provide psychoeducation on how trauma can affect adolescent behavior. Understanding these dynamics is crucial in providing effective support and interventions for both the adolescent and their family.