A nurse in a mental health facility is assessing a client.

Exhibits

For each client assessment finding, click to specify if the finding is a potential risk for suicide or a protective factor against suicide.

Access to lethal means

Feelings of self-worth

Mental health support

Support systems

Physical health

Family history

Alcohol consumption

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"},"G":{"answers":"A"}}

Risk Factor:

Access to lethal means: The client reported having a large supply of alprazolam and thoughts of taking all of them, indicating an immediate means and plan, increasing suicide risk.

Feelings of self-worth: The client has increased depression and thoughts of self-harm, reflecting low self-worth.

Family history: Mother died by suicide, which is a strong familial risk for suicide due to both genetic and environmental factors.

Alcohol consumption: Even though the client is sober now, a history of alcohol misuse is a known long-term suicide risk factor.

Protective Factor:

Mental health support: Has had ongoing psychotherapy for 10 years, suggesting an established support and coping resource.

Support systems: Voluntarily self-admitted based on therapist’s advice, showing willingness to seek help and some external support.

Physical health: The client is in good physical health, which reduces the burden of comorbid conditions and may support recovery.

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Correct Answer is ["B","D","E"]

Explanation

A. Blood pressure: A blood pressure reading (especially an isolated one) is not a psychiatric symptom and not related to schizophrenia symptomatology unless associated with medication side effects.
B. Lack of motivation: Also known as avolition, this is a hallmark negative symptom—reflected in the client's refusal to eat, drink, or attend therapy.
C. Change in behavior: This is too vague. While behavior changes are characteristic of schizophrenia, they could reflect either positive or negative symptoms and require clarification.
D. Lack of energy: Also referred to as anergia, it’s seen in the client's desire to sleep instead of engaging in activities and their slowed movements.
E. Withdrawn: Social withdrawal and isolation are common negative symptoms. The client avoids conversation and stays in bed, demonstrating a diminished interest in social interaction.

A. "If you take too many showers you are more susceptible to getting a UTI because you are washing off the protective bacteria." B. "At your age, you have more sexual intercourse than older females making you more likely to get a UTI." C. "As a female, you have a shorter urethra creating an easier way for bacteria to invade your bladder." D. "As a female, you have more E. coli in your gastrointestinal system that can enter the bladder through your urethra."

Correct Answer is C

Explanation

A. “If you take too many showers...” is incorrect. Showering does not significantly increase UTI risk. In fact, proper hygiene can help prevent UTIs. Overwashing or using harsh soaps may cause irritation, but regular showers are not a primary cause.
B. “At your age, you have more sexual intercourse...” is a generalization and not necessarily accurate. While sexual activity can increase UTI risk, the statement makes an assumption based on age rather than addressing anatomy or physiology.
C. “As a female, you have a shorter urethra creating an easier way for bacteria to invade your bladder” is correct. Women have a shorter urethra than men, and it is located closer to the anus, which makes it easier for bacteria (especially E. coli) to enter the bladder, increasing the risk of UTIs.
D. “As a female, you have more E. coli in your gastrointestinal system...” is incorrect. Both males and females have similar GI flora, including E. coli. The difference lies in anatomical proximity and urethral length, not in the amount of bacteria.

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A nurse in a mental health facility is assessing a client. Exhibits For each client assessment finding, click to specify if the finding is a potential risk for suicide or a protective factor against suicide.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia. Exhibits Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.

Correct Answer is ["B","D","E"]

Explanation

Correct Answer is C

Explanation

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A nurse in a mental health facility is assessing a client.

Exhibits

For each client assessment finding, click to specify if the finding is a potential risk for suicide or a protective factor against suicide.