Deck 4: Assessing Risk Factors for Aggressive Behavior and Understanding Mental Health Disorders

Question 1

The nurse is reviewing the medical record of a patient who is experiencing aggressive and violent behavior for possible risk factors. Which of the following would the nurse identify? Select all that apply.

A) Damage to the frontal lobe of the brain
B) Low testosterone levels
C) Family history of aggression
D) Gender
E) High level of competitiveness

Answer 1

Damage to the frontal lobe of the brain
Family history of aggression
High level of competitiveness

Question 2

A patient is experiencing traumatic grief resulting from the suicide of a family member. In addition to the usual emotions experienced with bereavement and grief, which of the following would the person most likely exhibit? Select all that apply.

A) Acceptance of the loss
B) Sense of rejection
C) Disgust
D) Stigmatization
E) Self-blame

Answer 2

Sense of rejection
Stigmatization
Self-blame

Question 3

A nurse is reviewing the medical record of a patient who has attempted suicide. Which of the following would the nurse identify as relating to a psychological cause?

A) History of childhood trauma
B) Cluster B personality disorder
C) Social isolation
D) Suicide contagion

Answer 3

Cluster B personality disorder

Question 4

A nurse is conducting a public information seminar on the topic of rape and sexual assault at a local community center. Which of the following would the nurse include when describing power rapists?

A) Committed by sadistic perpetrators who plan the rape before committing it to experience erotic enjoyment in response to the victims suffering
B) Target very young or elderly victims, may involve extreme force, and often results in victim injury
C) Are not planned ahead of time and result from the perpetrator being obsessed with uncontrollable sexual urges
D) Target victims near the age of the perpetrators and involve minimal physical force and intimidation in controlling their victims

Question 5

A nurse is preparing a presentation for an adolescent and young adult community group about stalking. Which group would the nurse identify as having the highest risk of being stalked?

A) Boys and young men, ages 12 to 21 years
B) Men, ages 24 to 28 years
C) Girls and young women, ages 10 to 18 years
D) Women, ages 18 to 24 years

Question 6

A guest lecturer from a treatment program for perpetrators of abuse is describing the program to a group of nursing students. The program uses cognitive behavioral techniques. Which of the following would the lecturer include as a focus of the program? Select all that apply.

A) Identifying what the perpetrator thinks about before the incident
B) Determining the perpetrators emotional and physical responses to the thoughts
C) Exploring the perpetrators actions that eventually lead to violence
D) Identifying the behaviors in the survivor that led to the violence

Question 7

A group of students is reviewing information about social phobia in preparation for an oral class presentation on this topic. Which of the following would the students expect to include when describing a person with this condition? Select all that apply.

A) Fear that others will judge them negatively
B) Openly speak up in crowds to reduce fear
C) Are insensitive to others criticism
D) Demonstrate a distorted view of their own strengths
E) Exaggerate personal flaws

Question 8

A group of students is reviewing the signs and symptoms associated with anxiety. The students demonstrate an understanding of the information when they identify which of the following as cognitive symptoms? Select all that apply.

A) Edginess
B) Feelings of unreality
C) Difficulty concentrating
D) Tunnel vision
E) Apprehensiveness
F) Speech dysfluency

Question 9

While leading a student class presentation about general adaptation syndrome and its stages, which of the following would the student describe as the final stage?

A) Perception of a threat
B) Use of coping mechanisms
C) Physiologic response
D) Exhaustion

Question 10

The nurse makes a home visit to a client who has dysthymic disorder. Which of the following would the nurse expect to assess?

A) Low energy
B) Intense concentration
C) Agitation
D) Normal appetite

Question 11

A client has been diagnosed with major depression. The client reports that he often wakes up during the night and has trouble returning to sleep. The nurse interprets this finding as suggesting which of the following?

A) Initial insomnia
B) Terminal insomnia
C) Hypersomnia
D) Middle insomnia

Question 12

A client diagnosed with major depression was prescribed imipramine (Tofranil) and has been taking this medication for 1 week. The client took his last dose of imipramine (Tofranil) at 9:00 PM. The client is scheduled to have blood drawn to monitor the medication level the next morning. The nurse should instruct the client to have his blood drawn as close as possible to which time?

A) 6:00 AM
B) 7:00 AM
C) 8:00 AM
D) 9:00 AM

Question 13

A client is prescribed phenelzine (Nardil) to treat her depression. She is at a local caf for lunch with a friend. Which of the following items on the menu would be least appropriate for the client to order?

A) Roast beef, mashed potatoes, and gravy
B) A Cobb salad with blue cheese and Roquefort salad dressing
C) Scrambled eggs, toast, and grape jelly
D) Medium-well steak, French fries, and broccoli

Question 14

A 34-year-old client with depression is admitted to an inpatient psychiatric unit. The nurse enters her room and initiates interaction with the client. When talking with the client, which approach would be least appropriate?

A) Quiet and empathetic manner
B) Animated and cheerful manner
C) Matter-of-fact manner
D) Respectful, direct manner

Question 15

A client is hospitalized on a psychiatric unit secondary to a suicide attempt. He has been diagnosed with depression. He has been consistently depressed. When assessing the client, which of the following would alert the nurse that the clients suicidal risk has worsened?

A) He tells the nurse that he feels more depressed than ever.
B) He is lethargic, remaining isolated from other clients.
C) He says he feels better as he interacts more with other clients.
D) His energy level and degree of depression remain the same.