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Suppressing emotions due to societal expectations reflects emotional restraint, not necessarily traumatic grief. While it may indicate difficulty processing loss, it is less specific to traumatic grief than survivor guilt, making this choice incorrect for identifying the condition.

Flashbacks with physical symptoms suggest post-traumatic stress disorder (PTSD), not specifically traumatic grief. While PTSD may co-occur, the statement focuses on trauma response, not grief, making this choice less accurate for traumatic grief.

Social withdrawal over a year suggests prolonged grief, but not necessarily traumatic grief, which involves intense guilt or blame. This statement indicates depression or complicated grief, making it incorrect for the specific traumatic grief diagnosis.

Nuchal rigidity is neck stiffness resisting passive flexion, common in meningitis, but it does not involve leg flexion. The described involuntary leg movement is specific to Brudzinski’s sign, making this choice incorrect for the observed symptom.

Kernig’s sign involves pain or resistance when extending the knee with the hip flexed, not involuntary leg flexion during neck movement. The client’s presentation aligns with Brudzinski’s, not Kernig’s, making this choice incorrect.

Bradykinesia, slow movement, is associated with Parkinson’s disease, not meningitis. It does not involve involuntary leg flexion with neck movement, making this choice irrelevant to the client’s meningeal symptom presentation.

Obesity may indicate neglect in some cases, but it is not a specific abuse indicator. Many factors cause obesity, and without additional signs, this is less concerning than parental overcontrol, making this incorrect.

Frequent visitors suggest a supportive environment, not abuse. A lack of visitors might raise concern, but frequent visitation is a positive sign, making this choice incorrect for identifying potential abuse.

Frequent call light use may reflect anxiety or neediness, but it is not a specific abuse indicator. It could stem from medical needs, making this less concerning than parental overcontrol, so this is incorrect.

Hyperkalemia is not typical in bulimia; hypokalemia is more common due to vomiting or laxative abuse. Electrolyte imbalances occur, but high potassium is unrelated, making this incorrect for bulimia findings.

Lanugo, fine body hair, is associated with anorexia nervosa, not bulimia. Bulimia patients often maintain normal weight, lacking severe starvation signs, making this incorrect for the expected findings.

Sunken parotid glands are not a bulimia feature; enlarged parotids occur due to frequent vomiting. Sunken glands are unrelated, making this incorrect compared to Russell’s sign as a bulimia indicator.

Cool extremities suggest vascular issues, not carpal tunnel syndrome, which involves nerve compression. Temperature changes are not a primary feature, making this incorrect for the client’s wrist pain.

Decreased radial pulse is unrelated to carpal tunnel syndrome, which affects the median nerve, not arterial flow. Pulse changes might indicate other conditions, making this incorrect for the diagnosis.

Trousseau’s sign, arm muscle spasms with blood pressure cuff inflation, indicates hypocalcemia, not carpal tunnel syndrome. It’s unrelated to wrist nerve compression, making this incorrect for the manifestation.

Protamine reverses heparin, not opioids. It has no effect on respiratory depression from opioid toxicity, making it irrelevant and incorrect for addressing the client’s life-threatening condition.

Flumazenil reverses benzodiazepines, not opioids. It won’t address respiratory depression from opioid toxicity, which requires naloxone, making this incorrect for the client’s current emergency situation.

Epinephrine treats anaphylaxis or cardiac arrest, not opioid-induced respiratory depression. It doesn’t reverse opioid effects, making it incorrect compared to naloxone for managing opioid toxicity.

Repetitive cleaning in OCD is not primarily to avoid social interaction but to alleviate anxiety from obsessive thoughts. While isolation may occur, it’s secondary, making this incorrect for the behavior’s purpose.

OCD cleaning is not manipulative; it’s driven by internal distress, not intent to control others. The behavior aims to reduce anxiety, not influence people, making this incorrect for the client’s motivation.

Cleaning in OCD doesn’t prevent aggression or impulsivity but addresses anxiety from intrusive thoughts. These behaviors are ritualistic, not related to impulse control, making this incorrect for the purpose.

Fever, dystonia, and muscle rigidity suggest neuroleptic malignant syndrome, linked to antipsychotics, not sertraline or St. John’s Wort. This is unrelated to the drug interaction, making it incorrect.

Worsening depression or suicidal ideation may occur with antidepressants, but St. John’s Wort more likely causes serotonin syndrome. These symptoms are less immediate, making this incorrect for the primary concern.

Spasms and bizarre movements suggest tardive dyskinesia, associated with antipsychotics, not sertraline or St. John’s Wort. Serotonin syndrome is the primary risk, making this incorrect.

Acknowledging the client’s excitement avoids the request but doesn’t address boundaries. A clear, professional response about policy maintains trust and safety, making this less effective and incorrect.

Giving a personal address violates professional boundaries and safety policies. Nurses must maintain privacy, and sharing personal information is inappropriate, making this incorrect and risky.

A harsh refusal damages therapeutic rapport. While correct about policy, the tone is unprofessional and may alienate the client, making this less appropriate than a polite explanation.

A pulse of 56 and B/P of 130/110 show hypertension but not widened pulse pressure. Respirations are mildly elevated, not irregular, making this less indicative of ICP than Cushing’s triad.

P: 60, R: 18, and B/P: 126/96 are near normal, not reflecting Cushing’s triad. These changes are subtle and less concerning for acute ICP elevation, making this incorrect.

P: 120 and B/P: 80/60 suggest shock, not ICP. Tachycardia and hypotension are opposite to Cushing’s triad, making this incorrect for indicating increasing intracranial pressure.