A forensic nurse is using the epidemiological triangle to explain factors that contribute to violent behavior. Which of the following factors should the nurse identify as an environmental factor in the epidemiological triangle?
Crowded living conditions
Traumatic brain injury
Alzheimer's disease
Impaired coping abilities
The Correct Answer is A
A. Crowded living conditions: The epidemiological triangle consists of the agent, host, and environment. Environmental factors include external conditions that influence the likelihood of violence, such as overcrowding, lack of resources, and social instability. High-density living situations can increase stress levels, competition for basic needs, and exposure to conflict, all of which may contribute to violent behavior.
B. Traumatic brain injury: This is a host factor, as it directly affects an individual’s neurological function, potentially contributing to aggressive behavior. Damage to specific brain regions, such as the frontal lobe, can impair impulse control and increase the risk of violent actions, but it does not originate from the external environment.
C. Alzheimer's disease: As a condition affecting the individual, this is also a host factor. Cognitive decline may increase impulsivity or aggression, particularly in later stages, as judgment and emotional regulation deteriorate. However, the disease itself is an internal factor and not an external environmental influence.
D. Impaired coping abilities: This is a host factor because it pertains to an individual's psychological and emotional regulation, affecting how they respond to stress or conflict. Poor coping mechanisms can increase vulnerability to engaging in violent behavior, but they arise from personal experiences and mental health conditions rather than external environmental influences.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Hospice care focuses on disease treatment and rehabilitation": Hospice care prioritizes comfort and symptom management rather than curative treatments or rehabilitation. The focus is on improving quality of life for clients with terminal illnesses.
B. "The provider will coordinate your health care needs while in hospice": Hospice care is typically managed by an interdisciplinary team, including nurses, social workers, chaplains, and other specialists, rather than being solely coordinated by a provider. The team collaboratively addresses the client's needs.
C. "You must choose a home caregiver before being admitted into a hospice facility": Hospice care can be provided in various settings, including the client’s home, a dedicated hospice facility, or a hospital. While a home caregiver may be helpful for in-home care, it is not a requirement for admission into a hospice program.
D. "Hospice care continues to help families with grief after a death occurs": Bereavement support is a key component of hospice care, offering counseling, resources, and support groups to help families cope with loss after the client’s passing.
Correct Answer is D
Explanation
A. The advice of an expert nephrology nurse. While experienced nurses provide valuable clinical insights, their knowledge may be based on personal experience rather than the latest evidence-based research. Best practices should be supported by scientific studies rather than anecdotal expertise.
B. Retrospective chart reviews. Chart reviews can offer useful data on past interventions and outcomes, but they do not always reflect the most current evidence-based practices. Additionally, they may contain inconsistencies or lack standardized guidelines necessary for broad application.
C. Facility critical pathway. Critical pathways are developed based on evidence-based guidelines, but they may not always reflect the most up-to-date research. These protocols are useful for standardizing care within a specific institution but should be supplemented with current peer-reviewed research to ensure best practices.
D. A recent peer-reviewed nursing research article. Peer-reviewed nursing research articles provide the most current and scientifically validated evidence. These sources undergo rigorous evaluation before publication, ensuring that recommendations are based on high-quality research rather than opinion or outdated protocols.
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