A nurse is collecting data from a client who experienced physical abuse as a child. Which of the following findings should the nurse identify as a risk factor for the client to become a perpetrator of child abuse?

Submissive personality

Involved in community activities

Low tolerance for frustration

Absence of impulsive behaviors

Answer and Explanation

The Correct Answer is C

A.   A submissive personality alone is less likely to be a direct risk factor for becoming a perpetrator of child abuse. Individuals with a submissive personality tend to avoid confrontation and conflict rather than engage in aggressive or abusive behaviors towards others.
B.   Being involved in community activities is generally a positive factor that promotes social engagement, support networks, and a sense of belonging. It does not inherently contribute to an increased risk of becoming a perpetrator of child abuse.
C.   Low tolerance for frustration can be a risk factor for potential aggressive or impulsive behaviors. When individuals have difficulty managing frustration, they may be more prone to react impulsively or aggressively towards others, including children.

D.   The absence of impulsive behaviors typically indicates better impulse control and decision-making abilities. Individuals who can regulate their impulses are less likely to engage in spontaneous or aggressive actions, including perpetrating child abuse.

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Correct Answer is C

Explanation

A. This response may come across as dismissive or lacking empathy. It does not acknowledge the client's feelings or address the underlying concerns contributing to their anxiety. It's important for the nurse to validate the client's emotions and provide reassurance rather than expressing confusion or disbelief.
B. While this response aims to provide reassurance, it may oversimplify the client's feelings and situation. Anxiety is complex, and telling someone not to worry might not be effective in alleviating their distress. It's crucial to engage the client in a more meaningful conversation about their concerns and offer support tailored to their needs.
C. This response demonstrates active listening and therapeutic communication. It encourages the client to express their worries and feelings, which can help them feel understood and supported. By discussing what is bothering them, the nurse can gather important information about the client's concerns and begin to address them effectively.
D. While nutrition is important, this response may come across as directive and could potentially minimize the client's emotional distress. It does not acknowledge the client's anxiety or provide support for their current feelings of restlessness and worry. The nurse should prioritize addressing the client's emotional needs and anxiety before focusing on physical aspects like nutrition.

A. "The PSDA becomes applicable when a client reaches 65 years of age." B. "A witness is legally required to sign a client's living will." C. "Advance directives do not apply to clients receiving mental health care." D. "A client can verbally designate a durable power of attorney."

Correct Answer is D

Explanation

A. The PSDA applies to all adult clients regardless of age. It ensures that adults have the right to make decisions about their medical care, including the right to accept or refuse treatment, regardless of whether they are elderly or not. Age is not a factor in the applicability of the PSDA.
B. While it's common for a living will to be witnessed, it is not a legal requirement under the PSDA.
C. Advance directives are applicable to all clients, including those receiving mental health care.
D. The Patient Self-Determination Act (PSDA) ensures that adult patients are informed about their rights to make decisions regarding their medical care, including the right to accept or refuse treatment and to prepare an advance directive.

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A nurse is collecting data from a client who experienced physical abuse as a child. Which of the following findings should the nurse identify as a risk factor for the client to become a perpetrator of child abuse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who states, "I am so worried about everything, and I can't seem to sit still, even when I eat." Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about the Patient Self-Determination Act (PSDA). Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is D

Explanation

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