A nurse on a mental health unit is discussing restraints and seclusion with a group of newly hired nurses. At which of the following times should a nurse discuss the restraint and seclusion policy with a client?

When a client becomes agitated.

While administering chemical or physical restraints.

During debriefing after restraint removal.

Upon admission.

Answer and Explanation

The Correct Answer is D

Choice A rationale
While it’s important to discuss the restraint and seclusion policy when a client becomes agitated, it’s not the ideal time. The client may not be in a state to fully understand the information due to their heightened emotional state.
Choice B rationale
Discussing the policy while administering chemical or physical restraints is not appropriate. The client may be distressed or resistant, making it difficult for them to comprehend the information.
Choice C rationale
Although debriefing after restraint removal is a crucial part of the process, it’s not the best time to first introduce the restraint and seclusion policy. The client may be physically and emotionally exhausted after the experience.
Choice D rationale
The restraint and seclusion policy should be discussed with the client upon admission. This ensures that the client is aware of the policy ahead of time, which can help reduce anxiety and fear if restraints or seclusion become necessary.

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Correct Answer is A

Explanation

Choice A rationale
The cortico-striato-thalamo-cortical circuit (CSTC) of the brain is associated with feelings of fear. Anxiety disorders are characterized by an overactivation of this circuit, leading to excessive fear responses14.
Choice B rationale
The amygdala-centered (ACC) circuit of the brain is not typically associated with feelings of apprehension. The ACC is more commonly associated with processing emotions and fear learning14.
Choice C rationale
The cortico-striato-thalamo-cortical circuit (CSTC) of the brain is not specifically associated with phobias. While this circuit plays a role in fear responses, it is not specific to phobic responses14.
Choice D rationale
The amygdala-centered (ACC) circuit of the brain is associated with feelings of panic. However, it is not the only brain circuit involved in anxiety. Other circuits, including the CSTC, also play important roles14.

A. The new mutation can survive in the environment and retain infectivity. B. The new mutation causes more severe disease. C. The new mutation spreads easier from one individual to another. D. The new mutation requires a larger amount of the virus to cause disease.

Correct Answer is C

Explanation

Choice A rationale
While it’s true that some mutations can allow a virus to survive longer in the environment, this doesn’t necessarily increase the virus’s communicability, or its ability to spread from person to person.
Choice B rationale
A mutation that causes more severe disease can make an illness more dangerous, but it doesn’t necessarily make the virus more communicable. In fact, viruses that cause severe disease can sometimes be less communicable, because severely ill individuals are less likely to be moving around and spreading the virus.
Choice C rationale
The new mutation spreads easier from one individual to another. This is the definition of increased communicability. When a virus mutates in a way that allows it to spread more easily between individuals, this can lead to more cases of the disease, especially if the population is not immune to the new strain.
Choice D rationale

A mutation that requires a larger amount of the virus to cause disease would actually decrease the virus’s communicability. If more viral particles are needed to cause an infection, the virus would be less likely to spread from person to person.

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A nurse on a mental health unit is discussing restraints and seclusion with a group of newly hired nurses. At which of the following times should a nurse discuss the restraint and seclusion policy with a client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing manifestations of anxiety. The nurse should recognize which of the following statements about the neurophysiologic manifestations of anxiety as correct?

Correct Answer is A

Explanation

A nurse in a community health clinic is explaining to staff members that a mutation of influenza has increased the communicability of the virus. Which of the following information should the nurse include to describe the effect of communicability of a virus?

Correct Answer is C

Explanation

A nurse is manning a phone line for trauma and crisis support. A client on the phone inquires, “Could you explain how trauma-related disorders develop?” Which response should the nurse provide?

A nurse is caring for a client who is worried about developing a mental health disorder due to their childhood experiences. Which of the following family characteristics is a protective factor against adverse childhood experiences?

A nurse is discussing therapeutic milieu with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of therapeutic milieu?

A nurse is providing care for a client who has recently returned from active combat and lost a close friend during combat. Which statement by the client indicates that they are experiencing traumatic grief?

A nurse is educating a client diagnosed with prolonged grief disorder about the significance of cognitive behavioral therapy (CBT). Which of the following statements from the client indicates a comprehension of the teaching?

A nurse is screening children and adolescents for exposure to adverse childhood experiences (ACEs). Which of the following clients is considered to have experienced an ACE?

A nurse is educating a client about the risk factors associated with the development of anxiety disorders. Which client is most likely to develop an anxiety-related disorder?

A nurse is caring for a client who has been diagnosed with acute stress disorder. Which of the following client statements aligns with this diagnosis?