20 The client recently moved into a dormitory to begin their first year in

20. The client recently moved into a dormitory to begin their first year in college. The dormitorysupervisor reprimanded the client for not disposing of food items properly, and the clientresponded by throwing all their belongings from a second-story window while shoutingobscenities. The campus police escorted the client to campus health services, where the clientwas diagnosed with an adjustment disorder with disturbance of conduct. Which of the followingitems in the client’s history reflects a predisposition to this disorder?Select all that apply.1. The client reports that they have no friends in the dormitory.2. The client’s family currently lives out of the country and is often difficult to reach.3. The client was notified the same day that they would have to withdraw from one of theirclasses due to poor grades.4. The client has a higher-than-average grade point average and is a member of the NationalHonor Society.5. The client has a scholarship due to excellent grades and athletic ability on the field.ANS: 1, 2, 3Chapter: Chapter 28, Trauma- and Stressor-Related Disorders

TownsendPMHN, 10eChapter 28 - ETBObjective: Describe various types of trauma- and stressor-related disorders and identifysymptomatology associated with each; use this information in client assessment.Page: 589Heading: Predisposing Factors to Adjustment DisordersIntegrated Processes: Nursing Process: AnalysisClient Need: Psychosocial IntegrityCognitive Level: Analysis [Analyzing]Concept: StressDifficulty: ModerateFeedback1.This is correct. Lack of friends indicates a poor support system.2.This is correct. Unavailability of family contributes to the client’s unavailablesupport system.3.This is correct. The possibility of having to withdraw from a class interferes with theclient’s developmental tasks.4.This is incorrect. These are protective factors.5.This is incorrect. These are protective factors. The client has excellent grades andpossibly has a support system within the team.CON: Stress