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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This statement reflects a partial understanding of the control issues associated with anorexia but does not indicate a full understanding of the disorder's complexity or the family's role in recovery.
Choice B reason: This statement suggests a lack of understanding of anorexia nervosa, as it is not a phase but a serious mental health condition that requires professional treatment.
Choice C reason: While issues with sexual identity can be stressful, they are not typically the cause of anorexia nervosa, which is characterized by an intense fear of gaining weight and a distorted body image.
Choice D reason: Recognizing a codependent relationship and the enabling of unhealthy behaviors shows an understanding of the dynamics that can contribute to the maintenance of an eating disorder like anorexia nervosa.

Correct Answer is ["B","D","E"]
Explanation
Choice A reason: Hyperventilation is a common symptom of anxiety disorders, including GAD, due to increased tension and stress.
Choice B reason: Irritability is often observed in individuals with GAD as a result of persistent worry and stress.
Choice C reason: While anorexia can occur in individuals with anxiety disorders, it is not a specific symptom of GAD.
Choice D reason: Insomnia is a frequent symptom of GAD, as worry and anxiety can make it difficult to fall or stay asleep.
Choice E reason: Fatigue can be a result of chronic anxiety and the associated sleep disturbances common in GAD.
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