A charge nurse is teaching new staff members about factors that increase a client's risk to become violent. Which of the following risk factors should the nurse include as the best predictor of future violence?
A history of being in prison
Male gender
Previous violent behavior
Experiencing delusions
The Correct Answer is C
A. While this may be a risk factor for some behaviors, it is not as strong a predictor of violence as a history of actual violent behavior.
B. Although statistics show higher rates of violence among males, it's not a specific predictor for individual behavior.
C. Previous violent behavior is the strongest predictor of future violence.
Understanding a client's history of violence is critical in assessing risk and planning interventions.
D. While certain types of delusions may increase risk, they are not as definitive in predicting violence as past violent behaviors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Uneven shoulder and pelvic heights are classic signs of scoliosis, visible during a physical examination where one shoulder or hip may appear higher than the other.
B. Mild pain in the hip region is not a specific indicator of scoliosis.
C. Exaggerated curvature of the sacrum is not a specific indicator of scoliosis.
D. Limited range-of-motion of the hips is not a specific indicator of scoliosis
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}
Explanation
Conditions:
- Placental abruption, the premature separation of the placenta from the uterine wall, can occur due to hypertension, which increases the risk of vascular damage and bleeding behind the placenta, leading to its separation.
- Oligohydramnios, a condition characterized by a deficiency of amniotic fluid, is typically associated with decreased fetal urine production, renal abnormalities, or placental insufficiency. However, none of the findings listed in the scenario directly correlate with this condition.
- Spontaneous abortion, also known as miscarriage, can occur due to various factors such as genetic abnormalities, hormonal imbalances, or maternal health conditions. However, none of the findings listed in the scenario directly correlate with this condition.
- Chorioamnionitis is an infection of the fetal membranes and amniotic fluid. While maternal fever is often associated with chorioamnionitis, it is not a finding listed in the scenario. Additionally, the other findings do not directly correlate with this condition.
- Placenta previa is a condition where the placenta partially or completely covers the cervix. This condition is not directly associated with the findings listed in the scenario.
Findings:
- Hypertension is a risk factor for placental abruption due to increased vascular resistance, which can lead to vascular damage and placental separation.
- Temperature elevation may indicate an infection, such as chorioamnionitis, which can increase the risk of placental abruption.
- Hyperreflexia can be associated with conditions like preeclampsia, which is characterized by hypertension and can increase the risk of placental abruption.
- Vomiting alone is not directly associated with an increased risk of placental abruption.
- Fundal height measurement can provide information about fetal growth and gestational age but is not directly associated with an increased risk of placental abruption.
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