Brian is seeking treatment for PTSD following his tour of duty in a combat zone. He reports to the assessment nurse that he has been smoking marijuana and drinking alcohol daily for the past 4 days because he just can't stand feeling depressed all the time. Which of these assessments is the nurse's highest priority?

Suicide risk assessment

Neurological assessment

Amount of current cannabis use

Marital status

Answer and Explanation

The Correct Answer is A

Choice A reason: Given Brian's recent substance use and expression of not being able to tolerate depressive feelings, a suicide risk assessment is the highest priority to ensure his immediate safety.

Choice B reason: While a neurological assessment may be relevant, it is not the highest priority when there is a potential risk of suicide.

Choice C reason: Assessing the amount of current cannabis use is important but secondary to evaluating the risk of suicide.

Choice D reason: Marital status may inform social support but is not the highest priority in the context of potential self-harm.

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Correct Answer is ["A","B","D"]

Explanation

Choice A reason: This statement reflects a justification of the spouse's behavior, which can enable the continuation of abuse.

Choice B reason: Providing money for drugs, even if to prevent theft, is enabling the substance abuse to continue.

Choice C reason: Encouraging rehab is not enabling; it is an attempt to address the problem.

Choice D reason: Calling in sick for the spouse to cover for their potential job loss due to substance abuse is an enabling behavior.

Choice E reason: This is a protective behavior. Both are healthy responses to dealing with a partner’s destructive behavior.

A. "Your doctor is a man, so it should not be a problem." B. "I can review the assignments and arrange for a female nurse to care for you." C. "The nurse assigned to you is very capable and cares for other women in this situation." D. "I can arrange for a female assistive personnel to do your personal hygiene care."

Correct Answer is B

Explanation

Choice A reason: This response is dismissive of the client's concerns and does not address her discomfort with a male nurse.

Choice B reason: This response is respectful of the client's wishes and offers a solution that could make her more comfortable.

Choice C reason: This response does not acknowledge the client's specific discomfort with a male nurse and does not offer an alternative.

Choice D reason: While this offers an alternative, it may not fully address the client's discomfort with having a male nurse responsible for her overall care.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement(s) made by the spouse indicates that they are exhibiting enabling behaviors? Select all that apply.

Correct Answer is ["A","B","D"]

Explanation

A male nurse is assigned to care for a female client who was admitted to the hospital for treatment of injuries following a domestic abuse incident. The client expresses discomfort with a male nurse as her caregiver. Which response should the nurse manager provide?

Correct Answer is B

Explanation

A nurse is caring for a client who has an extremely elevated lithium level. Which of the following actions should the nurse take?

A client is seeking counseling due to difficulty coping with being a victim of a violent attack 16 months ago. Which elements will the nurse assess for when determining the major components of posttraumatic stress disorder (PTSD)? (Select all that apply.)

Which is a psychosocial explanation for the development of personality disorders?

A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? Select all that apply.

The nurse observes a lack of hair on the eyebrows and hairline of a young adolescent. Which statement made by the parent demonstrates an understanding of the type of hair loss the child is experiencing?

A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? Select all that apply.

When a community health nurse arrives at the home of a client diagnosed with Bulimia Nervosa and finds the client unconscious on the floor with a history of using laxatives, what is the most likely cause of the client's current state?