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.

Accepted Answer

A, C, E

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.

Accepted Answer

Traumatic grief, especially following a suicide, often includes feelings of rejection (due to the loved one choosing to leave), stigmatization (due to societal views on suicide), and self-blame (wondering if they could have done something to prevent the death).

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?

Accepted Answer

Cluster B personality disorders, which include borderline personality disorder, antisocial personality disorder, narcissistic personality disorder, and histrionic personality disorder, are associated with a higher risk of suicidal behavior. These disorders are characterized by dramatic, overly emotional, or unpredictable thinking or behavior and can significantly impact an individual's psychological state, contributing to suicidal ideation or attempts.

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?

Accepted Answer

Power rapists often target victims near their own age and use minimal physical force, relying more on intimidation and control rather than physical violence.

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?

Accepted Answer

Women, ages 18 to 24 years, are identified as having the highest risk of being stalked. This demographic is particularly vulnerable due to various factors, including social, lifestyle, and possibly their higher engagement in online activities.

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.

Accepted Answer

Cognitive behavioral techniques focus on understanding and changing thought patterns and behaviors that lead to problematic actions. This includes identifying triggers (A), understanding emotional and physical responses (B), and exploring actions leading to violence (C). It does not involve blaming the survivor (D).

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.

Accepted Answer

Social phobia, also known as social anxiety disorder, is characterized by an intense fear of being negatively judged or evaluated by others, leading to significant anxiety in social situations. Individuals with social phobia may have a distorted view of their own strengths, often underestimating them, and may exaggerate their personal flaws, believing these to be more apparent or significant to others than they actually are. Choices B and C are not characteristic of social phobia; individuals with this condition typically avoid speaking up in crowds due to fear, and they are highly sensitive to criticism, not insensitive.

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.

Accepted Answer

Cognitive symptoms of anxiety include feelings of unreality (B), difficulty concentrating (C), and tunnel vision (D). These symptoms affect the way a person thinks and processes information.

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?

Accepted Answer

The final stage of the general adaptation syndrome, as described by Hans Selye, is exhaustion. This stage occurs after prolonged exposure to stress, when the body's adaptive mechanisms are depleted, leading to decreased stress tolerance, mental and physical fatigue, and potentially serious health consequences.

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?

Accepted Answer

Dysthymic disorder, now known as persistent depressive disorder, is characterized by a chronic state of depression. Individuals with this disorder often experience low energy, among other symptoms such as feelings of hopelessness and low self-esteem, but not necessarily the intense concentration, agitation, or normal appetite suggested by the other options.

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?

Accepted Answer

Middle insomnia is characterized by difficulty maintaining sleep or waking up during the night and having trouble returning to sleep, which matches the client's reported symptoms. Initial insomnia refers to difficulty falling asleep, terminal insomnia involves waking up too early and not being able to fall back asleep, and hypersomnia is excessive sleepiness.

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?

Accepted Answer

Blood levels for medications like imipramine (Tofranil) are typically measured at their trough level, which is the lowest concentration in the patient's bloodstream before the next dose is due. Since the client took his last dose at 9:00 PM, having the blood drawn at 9:00 AM the next morning, just before the next dose is due, would provide the most accurate trough level.

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?

Accepted Answer

Phenelzine (Nardil) is a monoamine oxidase inhibitor (MAOI) used to treat depression. Patients taking MAOIs must avoid foods high in tyramine, such as aged cheeses like blue cheese and Roquefort, to prevent hypertensive crises. Choices A, C, and D do not contain high-tyramine foods and are therefore more appropriate for someone taking phenelzine.

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?

Accepted Answer

An animated and cheerful manner may seem insincere or dismissive to a client experiencing depression, potentially making them feel misunderstood or trivialized. It's important to match the client's emotional state with empathy and understanding.

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?

Accepted Answer

When a client suddenly appears to feel better and interacts more, it may indicate they have made a decision to commit suicide, as they may feel relief from having made a plan.

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