A patient sits in silence for 20 minutes after a therapy appointment, appearing tense and vigilant. The patient abruptly stands and paces back and forth, clenching and unclenching fists, and then stops and stares in the face of a staff member. What is the likely conclusion regarding the patient's behavior?

Patient is attempting to use relaxation strategies.

Patient is demonstrating withdrawal behaviors.

Patient is exhibiting clues to potential aggression.

Patient is trying to work through angry feelings.

Answer and Explanation

The Correct Answer is C

A.   Relaxation strategies involve deliberate and often structured activities aimed at reducing tension and stress, which isn't depicted in the described behavior.
B.   Withdrawal behaviors typically involve avoiding social interaction or retreating, which doesn't align with the observed actions.
C.   The described behavior, including pacing, clenching fists, and staring at a staff member, indicates potential signs of aggression or agitation.
D.   Working through angry feelings might involve communication or expression of emotions, but the described behavior leans more towards agitation and potential aggression.

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Correct Answer is A

Explanation

A. This situation reflects the responsibility of a nurse to advocate for patients' safety by intervening if they suspect a staff member is unfit to provide proper care.
B. Working with a client to identify triggers for aggressive behavior is more related to the therapeutic process than the specific role of patient advocacy.
C. A client's need for assistance while ambulating post-surgery is part of standard nursing care but does not directly involve patient advocacy.
D. Providing emotional support to a client experiencing a loss is part of nursing care but does not specifically address the nurse's role as a patient advocate.

A. Suicide is an impulsive act. B. As depression lifts, physical energy becomes available to carry out suicide. C. Suicide may be precipitated by a variety of internal and external events. D. Suicidal patients have difficulty using social supports.

Correct Answer is B

Explanation

A. While impulsive actions can contribute to suicide, it doesn't specifically relate to monitoring during antidepressant therapy.
B. Monitoring is crucial because as depressive symptoms improve, the energy levels may increase before mood stabilizes, potentially increasing the risk of acting on suicidal thoughts.
C. While true, this statement doesn't specifically address the need for monitoring during antidepressant therapy.
D. This statement highlights a potential issue for suicidal patients but doesn't directly relate to the need for monitoring during antidepressant therapy.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The decision to intervene as a patient advocate is clearly identified by the American Nurses Association's (ANA) code of ethics in which situation?

Correct Answer is A

Explanation

Which statement provides the best rationale for why a nurse should closely monitor a severely depressed patient during antidepressant medication therapy?

Correct Answer is B

Explanation

A nurse is discussing the process of evidence-based practice (EBP) with a newly licensed nurse. Which of the following statements made by the newly licensed nurse indicates an understanding of the process?

A nurse is performing an admission assessment for a client who is receiving treatment following a situational crisis. Which of the following assessments by the nurse is the highest priority?

A nurse is caring for a client who has depression. The client refuses to get out of bed, go to activities, or participate in any of the unit's programs. Which of the following responses should the nurse make?

Nursing behaviors associated with the implementation phase of the nursing process are concerned with the responsibilities of the psychiatric mental health nurse?

When assessing a patient's plan for suicide, what aspect has priority?

A nurse is caring for a client following a suicide attempt. The client has a history ofdepression, substance abuse, and anorexia nervosa. Which of the following actions is the nurse's priority?

A severely depressed patient who has been on suicide precautions tells the nurse, "I am feeling a lot better, so you can stop watching me. I have taken too much of your time already." Which is the nurse's best response?