Question 1

The nurse working in a clinic specializing in treating addiction knows that, in addition to Alcoholics Anonymous and other support groups, a complementary way in which someone might deal with alcohol abuse is to:
Select all that apply.

Accepted Answer

Auricular acupuncture has been shown to help reduce alcohol cravings and withdrawal symptoms. Kudzu tea has some evidence suggesting it may reduce alcohol intake. Yoga can be helpful in managing stress, which can be a trigger for alcohol abuse. Chamomile tea has not been studied specifically for alcohol abuse and does not have strong evidence to support its use in this context. The last option, to do nothing, is not a recommended approach for treating alcohol addiction.

Question 2

A client taking central nervous system (CNS) depressants asks the nurse what natural medicines would be safe to use. The nurse suggests that there is no contraindication for taking CNS depressants with:

Accepted Answer

The answer of A client taking central nervous system (CNS)...

Question 3

One of the following statements regarding crises is incorrect. Identify the incorrect statement.

Accepted Answer

Experiencing a crisis does not always develop into Post Traumatic Stress Disorder (PTSD). While a crisis can be a traumatic experience, not everyone who experiences a crisis will develop PTSD.

Question 4

The nursing diagnosis that would not be made for a client having experienced a situational crisis is:

Accepted Answer

Risk for Loneliness is not typically associated with a situational crisis, which often involves immediate emotional and psychological responses rather than prolonged feelings of loneliness.

Question 5

A 13-year-old client was admitted for giving a younger sister a black eye and throwing a cat out the window. Which neurotransmitter imbalance is not likely to be associated with this behavior?

Accepted Answer

Excess acetylcholine is not likely to be associated with aggressive or impulsive behavior. Instead, it is associated with decreased aggression and increased calmness. The other options (excess dopamine, serotonin deficit, and GABA deficit) have all been linked to impulsivity and aggression.

Question 6

An aspiring actor was brought in by police for psychiatric evaluation. After learning that the client did not get a callback for the role the client wanted, the client got drunk and physically attacked the director. The client has no previous history of violent behavior. Which theory best explains this client's behavior?

Accepted Answer

The answer of An aspiring actor was brought in by...

Question 7

A client with a history of epilepsy has recently experienced more frequent seizures, often followed immediately by episodes of aggressive behavior. Which biological abnormality is likely to be present in this client?

Accepted Answer

The amygdala/temporal lobe is responsible for regulating emotion, including aggressive behavior. A history of epilepsy suggests a problem with the temporal lobe, which can cause seizures and also impact emotional regulation.

Question 8

A client is taking lithium for treatment of a mood disorder. Which of the following herbal products is contraindicated for this client?

Accepted Answer

The answer of A client is taking lithium for treatment...

Question 9

Massage with aromatherapy is useful for persons diagnosed with:

Accepted Answer

The answer of Massage with aromatherapy is useful for persons...

Question 10

A client is brought to the Emergency Department after being in a house fire. After determining the client is stable physically, what is the first phase of crisis intervention?

Accepted Answer

The first phase of crisis intervention is to assess the impact the experience has had on the client. This involves gathering information about the event, the client's response, and their current emotional and psychological state. Once the impact has been assessed, the next steps can be determined, which may include providing support, teaching coping skills, and confronting the reality of the crisis. Reassuring the client and family may also be appropriate, but it is not the first step in crisis intervention.

Question 11

Following a particularly violent incident which resulted in a client being placed in 4-point restraints, the nurse recognizes feeling fearful of having to work with the client again. How should the nurse handle this emotion?

Accepted Answer

It is natural for the nurse to feel fear after a violent incident, and it is important to acknowledge and process these feelings with other staff members. However, avoiding the client may not be the best solution, as it may compromise the nurse's ability to provide effective care. Continuing to work with the client may actually help the nurse gain confidence and develop strategies to better manage challenging situations. Ignoring the fear or accepting it as "part of the job" may lead to burnout or a lack of empathy towards the client, while engaging in debriefing with the client may not be appropriate or feasible depending on the situation.

Question 12

A 15-year-old client who has been diagnosed with conduct disorder has been prescribed medication to control aggressive behavior. For which medication is the nurse likely to be providing client education?

Accepted Answer

Lithium carbonate (Lithobid) is often used to help control aggressive behavior in individuals with conduct disorder.

Question 13

In order to improve diet, an eager mental health client bought a juice machine. The nurse knows that grapefruit juice may interfere with some psychotropic medications. Upon checking the client's medical records, the nurse finds the client's medication should not cause a problem with including grapefruit juice in the client's diet. The client is probably taking:

Accepted Answer

Atypical antipsychotics generally do not have significant interactions with grapefruit juice, unlike some other medications such as certain antidepressants and benzodiazepines.

Question 14

The nurse is conducting training for crisis counselors. The nurse would include the intervention strategies of safety and security, ventilate and validate, predict and prepare which are:

Accepted Answer

Safety and security, ventilate and validate, predict and prepare are commonly referred to as the ABCs of crisis counseling. These are important strategies to implement during a crisis, not before, to help clients feel safe, validated, and prepared for future crises. They are not dependent on the type of crisis or the client's ability to progress.

Question 15

Which of the following clients should be assessed as demonstrating aggression? The client who:

Accepted Answer

The client in choice A is demonstrating verbal aggression by making a threatening demand towards another client. Pacing and singing (choice B) may be disruptive, but does not necessarily indicate aggression. Refusing medication (choice C) may be resistant behavior, but again does not necessarily indicate aggression. Crying (choice D) may be a display of emotion, but is not aggressive behavior.

Question 16

Effective planning for a client's crisis intervention is:

Accepted Answer

The answer of Effective planning for a client's crisis intervention...

Question 17

The mother of an 8-year-old client being treated for conduct disorder says that the child often threatens to "kung-fu" (kick and strike) the client's sister just like a favorite cartoon character does on TV. Based on behavioral theory, the nurse would suspect that the child's aggressive behavior could best be reduced by:

Accepted Answer

According to behavioral theory, positive reinforcement of desired behavior is the most effective way to decrease undesired behavior. In this case, reinforcing nonaggressive behavior can help to decrease the child's threats of violence towards their sister. Engaging the family in therapy and addressing negative thoughts may also be helpful, but positive reinforcement should be the initial intervention. Medication that increases serotonin may be indicated for some children with conduct disorder, but it is not the first line of treatment and is not directly related to reducing aggressive behavior.

Question 18

A nurse working with clients affected by a disaster event must be conscious not only of the clients' responses, but also the nurse's own responses. Which of the following would not be a common experience?

Accepted Answer

Inability to engage in problem solving would not be a common experience for a nurse working with clients affected by a disaster event. Nurses are often trained to be able to problem solve and make quick decisions in high-stakes situations. It is more common for nurses to experience feelings of sadness, grief, anger, denial of rest and recovery time, and feeling the need to stay on scene until all work is finished.

Question 19

A client is standing in the hallway on the phone arguing with the caller. As the client becomes increasing loud and argumentative, an appropriate action for the nurse to take would be to:

Accepted Answer

Approaching the client softly and acknowledging their emotional state shows that the nurse is there to support and listen to their concerns. This can also help prevent the situation from escalating further. Moving other clients away or threatening to take away phone privileges could exacerbate the client's emotional state. Doing nothing is not a productive or therapeutic response.

Question 20

The nurse working with a client who is a survivor of a four-car accident knows that there are risk factors that influence this client's response to the traumatic experience.
The risk factors are: Select all that apply.

Accepted Answer

Cultural expectations, pre-existing psychiatric symptoms, beliefs about help, and prior crisis history can all influence a client's response to trauma. Feelings of loss are more of a consequence than a risk factor.

Quiz 4: Vulnerable Populations

The nurse working in a clinic specializing in treating addiction knows that, in addition to Alcoholics Anonymous and other support groups, a complementary way in which someone might deal with alcohol abuse is to: Select all that apply.