A husband is yelling and swearing at his wife during an argument. He also is pacing and pounding his fist. This pattern of behavior is consistent with which stage in the assault cycle?

Recovery stage

Crisis stage

Escalation stage

Trigger stage

Answer and Explanation

The Correct Answer is C

A. Recovery stage: The recovery stage occurs after the crisis has passed and the individual begins to calm down and return to baseline behavior.
B. Crisis stage: The crisis stage involves the peak of aggression, often resulting in physical violence.
C. Escalation stage: The escalation stage involves increasing agitation and aggressive behaviors, such as yelling, swearing, pacing, and fist-pounding, before reaching a crisis.
D. Trigger stage: The trigger stage involves the initial event or situation that provokes the individual's anger or aggression.

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Correct Answer is D

Explanation

A. Sexual abuse: While sexual abuse can cause physical and emotional symptoms, the combination of unexplained injuries and fussiness/irritability is more suggestive of physical trauma.
B. Neglect: Neglect involves failure to provide for the child's basic needs, which can lead to developmental issues, but is less likely to cause unexplained injuries.
C. Munchausen syndrome by proxy: Munchausen syndrome by proxy involves a caregiver fabricating or inducing illness in a child for attention. It can cause unexplained injuries, but the focus is more on medical symptoms.
D. Shaken baby syndrome: Shaken baby syndrome results from violently shaking an infant, leading to physical injuries, irritability, and fussiness. It fits the description of unexplained injuries and behavioral changes.

A. Inspect the client's personal belongings. B. Assign the client to a private room. C. Tuck bedcovers over client's hands and arms. D. Remove utensils from the client's meal trays.

Correct Answer is A

Explanation

A. Inspect the client's personal belongings. Inspecting the client's personal belongings helps to ensure that the client does not have access to items that could be used for self-harm, such as sharp objects or medications.
B. Assign the client to a private room. Assigning a client who has attempted suicide to a private room can increase isolation and the risk of self-harm, as they are not easily observed.
C. Tuck bedcovers over client's hands and arms. This intervention is not effective and could potentially restrict the client's movement, increasing feelings of distress.
D. Remove utensils from the client's meal trays. Removing utensils, especially sharp ones, from meal trays helps to prevent the client from using them to harm themselves.

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A husband is yelling and swearing at his wife during an argument. He also is pacing and pounding his fist. This pattern of behavior is consistent with which stage in the assault cycle?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse recognizes unexplained fussiness and irritability in an infant, as well as unexplained injuries. The nurse should suspect which of the following?

Correct Answer is D

Explanation

A nurse is assisting with planning of care for a client following a suicide attempt. Which of the following interventions is an appropriate suicide precaution?

Correct Answer is A

Explanation

A nurse is reinforcing teaching about alcohol withdrawal with a client who has a history of alcohol use disorder. Which of the following client statements indicates an understanding of the teaching?

Which method of suicide is more characteristic of women?

A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following findings should the nurse expect?

An out-of-control client is verbally abusive and physically aggressive with staff members who are at increased risk for injury. Which intervention is most appropriate?

Which of the following is an impulse control disorder?

A nurse is caring for a client who is threatening to commit suicide. Which of the following questions should the nurse ask?

The use of cocaine is higher in which group of people?

A nurse is sitting in the day room at an acute care mental health facility with a group of clients who are watching television. Suddenly one of the client's jumps up screaming and runs out of the room. Which of the following actions should the nurse take?