Which scenario best depicts a behavioral crisis?
Crying hysterically after receiving a phone call from a friend
Making threats to harm self and others
Pacing nervously in the hallway
Wrapped up in a blanket during group therapy
The Correct Answer is B
Choice A reason: Hysterical crying may indicate emotional distress but does not necessarily constitute a behavioral crisis unless it escalates to danger. It reflects an emotional response, not an immediate threat requiring urgent intervention, making it less severe than harm threats.
Choice B reason: Making threats to harm self and others indicates a behavioral crisis, signaling imminent danger due to a mental health condition. This requires immediate intervention to ensure safety, aligning with psychiatric emergency criteria, making this the correct choice.
Choice C reason: Nervous pacing suggests anxiety but does not inherently indicate a behavioral crisis. It lacks the immediate risk of harm to self or others, requiring monitoring but not urgent intervention, making this choice incorrect for a crisis scenario.
Choice D reason: Being wrapped in a blanket during group therapy suggests withdrawal or discomfort, not a behavioral crisis. It does not indicate imminent danger or severe behavioral dysregulation, making it an incorrect choice compared to explicit harm threats.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
Choice A reason: Bupropion is not primarily a sedative; it is an atypical antidepressant that stimulates norepinephrine and dopamine. It may cause insomnia, not promote sleep, making this statement incorrect. Sedative medications like zolpidem are used for sleep, not bupropion, which has activating properties.
Choice B reason: Bupropion has a lower risk of sexual dysfunction compared to SSRIs, making it a suitable alternative for depression treatment in patients experiencing this side effect. Its mechanism avoids serotonin-related sexual issues, supporting its use in such cases, making this a correct choice.
Choice C reason: Bupropion is FDA-approved for major depressive disorder, acting on norepinephrine and dopamine to alleviate depressive symptoms. It is commonly prescribed for depression, making this statement true and a correct choice, as it aligns with its primary clinical use.
Choice D reason: Bupropion, under the brand Zyban, is approved for smoking cessation, as it reduces nicotine cravings and withdrawal symptoms by modulating dopamine pathways. This evidence-based use makes the statement true, correctly identifying bupropion’s role in smoking cessation programs.
Correct Answer is A
Explanation
Choice A reason: A neutral attitude in psychiatric nursing maintains professional boundaries and objectivity, preventing bias or emotional entanglement. This fosters a therapeutic environment, allowing patients to express feelings without judgment, aligning with principles of therapeutic communication and mental health care, making this the correct choice.
Choice B reason: Brief check-ins, while useful, may not provide the depth needed for therapeutic care in mental health settings. Consistent, meaningful engagement is more effective for building trust and addressing complex emotional needs, making this approach less optimal compared to maintaining neutrality.
Choice C reason: Discussing a patient’s feelings with another individual risks breaching confidentiality unless authorized by the patient or legally required. This violates ethical standards in mental health care, which prioritize privacy, making this approach non-therapeutic and incorrect for supporting patient care.
Choice D reason: Sharing personal mental health information blurs professional boundaries, potentially shifting focus from the patient’s needs to the nurse’s experiences. This undermines therapeutic communication and objectivity, risking patient trust and care quality, making this approach inappropriate and incorrect.
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