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 D

Explanation

Choice A reason: The concept that cooperative people become increasingly helpless over time does not align with psychosocial theories of personality disorder development. Cooperation is generally seen as a positive trait and is not typically associated with the development of personality disorders.

Choice B reason: Self-transcendence contributing to self-consciousness and materialism is not a recognized psychosocial factor in the development of personality disorders. While self-transcendence can relate to a person's sense of connectedness with the broader universe, it is not directly linked to personality disorders.

Choice C reason: Highly self-directed individuals are often seen as having a strong sense of autonomy and control, which is not typically associated with the development of personality disorders. Uncooperativeness and intolerance are not inherent in self-direction.

Choice D reason: Failure to complete a developmental task can lead to psychosocial issues, which may contribute to the development of personality disorders. According to Erik Erikson's stages of psychosocial development, if an individual does not successfully navigate a stage, it may impact their personality and could potentially lead to disorders.

A. The client focuses conversations on nutritious food. B. The client gains 2 pounds in 1 week. C. The client demonstrates healthy coping mechanisms that decrease anxiety. D. The client verbalizes an understanding of the etiology of the disorder.

Correct Answer is C

Explanation

Choice A reason: Focusing conversations on nutritious food can be positive, but it does not directly indicate a change in behavior related to bulimia nervosa.

Choice B reason: Gaining weight may be a positive sign, but it is not sufficient on its own to indicate a behavioral change, as weight can fluctuate for various reasons.

Choice C reason: Demonstrating healthy coping mechanisms that decrease anxiety is a strong indicator of positive behavioral change in a client with bulimia nervosa, as it suggests the client is developing strategies to manage the disorder.

Choice D reason: While verbalizing an understanding of the disorder's etiology is beneficial, it does not necessarily reflect a change in behavior.

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

A client diagnosed with bulimia nervosa has been attending a mental health clinic for several months. Which factor should the nurse identify as an appropriate indicator of a positive client behavioral change?

Correct Answer is C

Explanation

The nurse is providing a high-school prevention program for adolescents and parents about eating disorders. Which important preventative measures will the nurse educate the group regarding? (Select all that apply.)

A client and their spouse come to talk with the nurse about their suspicion that the client may have intermittent explosive disorder after researching it on the internet. Which behaviors reported by the spouse indicate that the client may be experiencing this disorder? (Select all that apply.)

A client has a history of excessive fear of water. Which term should the nurse use to describe this specific phobia, and under what subtype is this phobia identified?

The nurse is working with another nurse in the emergency department (ED) when a client comes in stating they have been raped during a date. Which statement made by the other nurse privately requires immediate correction?

The nurse suspects another nurse of substance use disorder while working in the long-term care facility. Which behavior(s) will the observing nurse report to the nurse manager? Select all that apply.

Which of the following explanations should the nurse include when teaching parents why it is difficult to diagnose a child or adolescent exhibiting symptoms of bipolar disorder? Select all that apply.

The nurse is caring for a client who delivered a newborn 2 days ago and states that they are experiencing crying spells, anxiety, and sadness that started the day after delivery. Which is the most therapeutic action by the nurse?

A nurse is discussing comorbidities associated with eating disorders with a newly admitted client. Which of the following conditions should the nurse include in the discussion? (Select all that apply)