A nurse in an outpatient facility is teaching a client about the development of mental illness. Which of the following statements by the nurse describes the role of a vulnerability gene?

"it is a gene variant that increases the risk for development of a specific mental illness."

"it is a gene variant that is responsible for an individual's resilience to stress."

"It is a gene variant that is responsible for the development of a specific mental illness.

it is a gene variant that determines an individual's likelihood of recovering from mental illness.

Answer and Explanation

The Correct Answer is A

A. Vulnerability genes are genetic variants or factors that increase an individual's susceptibility or predisposition to developing a particular mental illness or disorder. These genes do not directly cause the illness but can increase the likelihood of its development when combined with environmental factors or stressors.

B. Resilience genes are genetic variations that confer resilience or the ability to adapt and cope effectively with stress, adversity, or traumatic experiences.

C. The effect of vulnerability genes is influenced by various factors, including environmental influences, lifestyle factors, and gene-environment interactions.

D. Vulnerability genes are associated with an increased risk of developing a specific mental illness rather than determining an individual's likelihood of recovering from mental illness.

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Correct Answer is C

Explanation

C. Dementia related to a traumatic brain injury can result in a variety of cognitive and physical impairments. A shuffling gait, characterized by short steps with feet barely leaving the ground, is often associated with Parkinsonian symptoms, which can occur in advanced stages of dementia or as the condition progresses. Therefore, a shuffling gait would indicate worsening of the client's condition.

A. While visual disturbance can occur in individuals with dementia, visual field cuts alone may not necessarily indicate worsening of the condition unless they are accompanied by other concerning symptoms.

B. CD4 counts are a measure of immune system function, particularly in relation to HIV/AIDS. Decreased CD4 counts are not typically associated with dementia related to traumatic brain injury and would not be a relevant finding in this context.

D. Chorea is not a common feature of dementia related to traumatic brain injury. The presence of chorea may indicate a different underlying neurological condition or complication

A. Allow the client to control the conversation. B. Ask the client a series of questions about who assaulted them. C. Insist the client report the incident. D. Touch the client for reassurance.

Correct Answer is A

Explanation

A. Allowing the client to control the conversation empowers them to share their experience at their own pace and in their own way. This approach fosters trust and facilitates open communication between the nurse and the client.

B. While gathering relevant information about the assault may be necessary for documentation and reporting purposes, it's important to approach the topic with sensitivity and respect for the client's emotional well-being.

C. Pressuring the client to report the incident against their will can further traumatize them and undermine their sense of control. Reporting the assault is a personal decision that should be made by the client based on their individual circumstances and preferences.

D. Touch can be a powerful form of nonverbal communication that conveys empathy, support, and reassurance. However, it's important to obtain the client's consent before initiating any form of physical contact, especially considering the sensitive nature of the situation.

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A nurse in an outpatient facility is teaching a client about the development of mental illness. Which of the following statements by the nurse describes the role of a vulnerability gene?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who has dementia related to a traumatic brain injury. Which of the following findings should indicate to the nurse that the client's condition is worsening?

Correct Answer is C

Explanation

A nurse is speaking with a client who experienced physical assault. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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