A teenager is noted to have a heightened awareness of reality, feelings of depersonalization, unpredictable and sometimes violent behavior, and flashbacks. The nurse suspects that the teenager is taking which of the following chemicals?
Cannabis
Heroin
Cocaine
Phencyclidine (PCP)
The Correct Answer is D
A. Cannabis: While cannabis can alter perception and cause depersonalization, it is less likely to cause violent behavior and flashbacks.
B. Heroin: Heroin is a depressant that typically causes sedation and euphoria, not heightened awareness or violent behavior.
C. Cocaine: Cocaine is a stimulant that can cause heightened awareness but is less associated with depersonalization and flashbacks.
D. Phencyclidine (PCP): PCP is known to cause severe alterations in perception, depersonalization, unpredictable and violent behavior, and flashbacks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Ignore the incident since it is an attention-seeking behavior: Ignoring the incident is not appropriate because the client may be in distress or at risk of harm.
B. Stay with the group and ask another client to go and check on the situation: Asking another client to check on the situation is not appropriate, as it is the nurse's responsibility to ensure the safety of all clients.
C. Follow the client to determine the cause of the behavior: Following the client allows the nurse to assess and intervene appropriately to ensure the client's safety and address the cause of the behavior.
D. Ask the group what they think about the client's behavior: Discussing the behavior with the group is not appropriate in an emergency situation and does not address the immediate needs of the distressed client.
Correct Answer is A
Explanation
A. Planning to give his CD collection to his girlfriend: Giving away prized possessions is a common warning sign of suicidal intent, indicating that the person is preparing for their absence.
B. Preferring to eat his meals while watching TV: This behavior is relatively normal and does not necessarily indicate suicidal intent.
C. Stating that he wants to be with his peers more than with his parents: Wanting to spend time with peers is typical for adolescents and does not specifically indicate suicidal intent.
D. Telling his parents that he doesn't want to talk about the attempt: Not wanting to discuss the attempt could be due to embarrassment, guilt, or other reasons, but it is not as direct an indicator of ongoing suicidal intent as giving away possessions.
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