Another client is brought to the emergency room by friends who state that he took something an hour ago. He is actively hallucinating, agitated, with an irritated nasal septum.

Correct Answer: B

Rationale: The correct answer is B: Cocaine. The symptoms described align with acute cocaine intoxication, including hallucinations, agitation, and nasal irritation from snorting it. Heroin (A) typically causes drowsiness, LSD (C) hallucinations without agitation, and marijuana (D) does not typically lead to hallucinations or nasal irritation. Identifying the correct substance can guide appropriate medical interventions and ensure the client's safety.

Correct Answer: C

Rationale: The correct answer is C: The conversion symptom has symbolic meaning to the client. In conversion disorder, physical symptoms arise unconsciously due to psychological stress. The symptom may represent an underlying emotional conflict or distress that the individual is unable to express verbally. Understanding the symbolic meaning of the symptom is crucial for effective treatment. Choice A is incorrect because conversion symptoms are not consciously created to control anxiety. Choice B is incorrect as the client may not necessarily experience high anxiety in response to the paralysis; anxiety may be present but is not the primary cause of the symptom. Choice D is incorrect as a confrontational approach can be counterproductive in conversion disorder, as it may increase resistance and worsen symptoms.

Correct Answer: C

Rationale: The correct answer is C because helping the client establish a plan using privileges and restrictions based on compliance with refeeding is crucial during initial hospitalization for anorexia nervosa. This approach provides structure and support to promote healthy eating behaviors and weight restoration. Option A is incorrect as simply emphasizing good nutrition may not be sufficient for a client with anorexia nervosa who likely has deep-seated psychological issues related to food and body image. Option B is incorrect as ignoring mealtime behavior can be detrimental to the client's recovery process. Option D is incorrect as focusing on long-term consequences may not be effective during the initial phase of treatment when the priority is refeeding and stabilizing the client's health.

Correct Answer: C

Rationale: The correct answer is C: Rationalization. Rationalization is a defense mechanism where an individual justifies their undesirable behavior with seemingly logical reasons. In this case, the client is attributing their substance abuse to external stressors (marriage and job) to make it seem more acceptable. Displacement (A) involves redirecting emotions to a substitute target, projection (B) is attributing one's own thoughts or feelings to others, and sublimation (D) is channeling unacceptable impulses into socially acceptable activities. In this scenario, the client is rationalizing their substance abuse, making choice C the most appropriate.

Correct Answer: D

Rationale: The correct answer is D because the goal of crisis intervention is to help the client stabilize and return to their previous level of functioning. This indicates that the client has successfully managed the crisis and can resume normal activities. Choice A focuses on behavioral changes, which may not necessarily indicate successful crisis intervention. Choice B emphasizes insight, which is important but not the primary indicator of success in crisis intervention. Choice C focuses on interpersonal skills, which are valuable but not the main goal of crisis intervention. Ultimately, returning to the previous level of functioning demonstrates successful crisis management.