Which information from a patient's record would indicate marginal coping skills and the need for careful assessment of the risk for violence? A history of:
a. academic problems.
b. family involvement.
c. childhood trauma.
d. substance abuse.
ANS: D
The nurse should suspect marginal coping skills in a patient with substance abuse. They are often anxious, may be concerned about inadequate pain relief, and may have personality styles that externalize blame. The incorrect options do not signal as high a degree of risk as substance abuse.
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A. Cottage cheese B. Yogurt C. Poached eggs D. Cooked cereal