A nurse is assisting with a presentation about types of aggression to a group of residents at a community outreach center. One of the attendees states, "I keep seeing the same person outside my apartment and they are leaving me items at my door." Which of the following types of aggression should the nurse identify the client is experiencing?

Bullying

Stalking

Assault

Abandonment

Answer and Explanation

The Correct Answer is B

A. Bullying. Bullying typically involves repeated aggressive behavior that is intended to intimidate or harm another individual, often occurring in a more social or organizational context, such as schools or workplaces. The described behavior does not align with this definition.
B. Stalking. Stalking involves unwanted and repeated surveillance or contact with an individual, which can include leaving items at their residence. The attendee's experience of seeing the same person outside their apartment and receiving items at their door indicates a pattern of behavior consistent with stalking.
C. Assault. Assault refers to the threat or act of causing physical harm to another person. In this scenario, there is no indication of a direct threat or physical attack, so this option is not applicable.
D. Abandonment. Abandonment typically refers to a caregiver or responsible party leaving a person without necessary care or support. This concept does not fit the situation described, as it does not involve the dynamics of an aggressive or threatening relationship.

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Correct Answer is D

Explanation

A. The importance of avoiding foods that contain tyramine when taking an antipsychotic. Tyramine restrictions apply to monoamine oxidase inhibitors (MAOIs), not antipsychotics like clozapine. MAOIs require dietary modifications to prevent hypertensive crises, but clozapine does not interact with tyramine-containing foods.
B. The importance of routine red blood cell count laboratory work when taking an antipsychotic. Clozapine requires regular white blood cell (WBC) and absolute neutrophil count (ANC) monitoring, not red blood cell counts, due to the risk of agranulocytosis, a potentially fatal condition that can lead to severe infections.
C. The importance of limiting fluid intake when taking an antipsychotic. Fluid restriction is not a standard recommendation for clozapine use. However, some antipsychotics can cause polydipsia (excessive thirst), which may lead to water intoxication, but fluid restriction is not a routine precaution.
D. The importance of medication adherence after the resolution of acute psychosis when taking an antipsychotic. Antipsychotic medications, including clozapine, require long-term adherence to prevent symptom relapse. Clients may feel better and stop taking their medication, increasing the risk of relapse into psychosis, so adherence education is crucial.

A. A history of self-injurious behavior B. A history of schizophrenia C. Borderline personality disorder D. History of trauma during the developmental years

Correct Answer is D

Explanation

A. A history of self-injurious behavior. While self-injurious behavior can be associated with various mental health conditions, it is not specifically identified as a risk factor for dissociative identity disorder (DID).
B. A history of schizophrenia. Schizophrenia is a distinct mental health disorder characterized by psychotic symptoms, and while individuals with schizophrenia may experience dissociation, it is not considered a direct risk factor for DID.
C. Borderline personality disorder. While there is some overlap between symptoms of borderline personality disorder and dissociative symptoms, having borderline personality disorder itself is not a primary risk factor for developing DID.
D. History of trauma during the developmental years. A significant risk factor for dissociative identity disorder is a history of severe trauma or abuse during childhood, particularly chronic emotional, physical, or sexual abuse. This trauma can disrupt normal psychological development and contribute to the fragmentation of identity characteristic of DID.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?

Correct Answer is D

Explanation

A nurse is preparing an in-service for a group of staff members about dissociative identity disorder. Which of the following should the nurse identify as a risk factor for this disorder?

Correct Answer is D

Explanation

A nurse is caring for a client who has schizophrenia. Which of the following findings indicates that the client is in the prodromal phase?

A newly licensed nurse asks the charge nurse about functional neurological symptom disorder. Which of the following responses should the charge nurse make?

A nurse is caring for a client who states, "When I get in the car to drive to work in the morning, my hands go numb. It is to the point where I can't grip the steering wheel." Which of the following conditions is the client likely experiencing?

A nurse is caring for a client who has a serious mental illness and has developed tardive dyskinesia from anti-psychotic medication use. Which of the following adverse effects from anti-psychotic medication use would be expected for the client?

A nurse is reviewing the DSM-5 diagnostic criteria for schizophrenia. Which of the following symptoms must be present for a client to be diagnosed with schizophrenia? (Select All that Apply.)

A nurse is caring for a client in an outpatient clinic. Exhibits Select the 3 interventions the nurse should plan to take.