A nurse is caring for a client who has been admitted for a psychiatric evaluation after displaying aggressive behavior towards their partner and 2-year-old child. Which of the following client statements should the nurse identify as potentially contributing to aggression?
"My parent was physically abused as a child."
"My parent used their fists to hit me as a child."
drink a glass of wine occasionally with dinner."
A. family member took me fishing several times when I was a kid.
The Correct Answer is B
B. Childhood experiences of physical abuse, such as being hit with fists by a parent, can significantly contribute to the development of aggressive behaviors later in life. Research has shown that individuals who have experienced physical abuse during childhood are at increased risk of displaying aggression towards others, including their partners and children, as adults.
A. This statement is less directly related to the client's own experiences of aggression and may not necessarily contribute directly to their current behavior.
C. and D do not directly address experiences of violence or abuse and are less likely to contribute directly to the client's aggressive behavior towards their partner and child.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Dissociative identity disorder (DID) can affect individuals of any age, including children. While treatment approaches may vary depending on the age of the individual and their specific needs, one aspect that remains consistent across age groups is the importance of assessing for thoughts of self-harm or suicidal ideation.
A. Nursing interventions for dissociative identity disorder (DID) can be diverse and tailored to the individual needs of the patient, regardless of age. While managing DID in children may present some unique challenges compared to adults, it doesn't mean that nursing interventions are limited. This option may not provide helpful information to the guardian seeking guidance.
C. Treatment outcomes for DID can vary widely depending on various factors, including the severity of symptoms, the presence of comorbid conditions, the quality of therapeutic interventions, and the individual's support system. While some older individuals may respond well to treatment, age alone is not a determining factor in treatment outcomes.
D. Dissociative identity disorder can occur in both children and adults, and psychiatric medication may be prescribed to individuals of any age depending on the severity of symptoms and individual treatment plans. Medication is often used to manage comorbid conditions such as depression, anxiety, or mood disorders that commonly co- occur with DID.
Correct Answer is B
Explanation
B. Borderline personality disorder (BPD) is characterized by unstable mood, behavior, and relationships, often leading to impulsive behaviors including self-harm. It's crucial for the family to understand the potential for self-harm in individuals with BPD and to learn how to recognize warning signs and effectively intervene to ensure the client's safety.
A. While medication may be a component of treatment for some individuals with BPD, it is not typically the first-line intervention for managing the disorder.
C. Group therapy, particularly dialectical behavior therapy (DBT) groups, can be beneficial for individuals with BPD as they provide opportunities for skill-buildin. However, it may not be the immediate priority when teaching the family about BPD.
D. Insurance coverage can be addressed at a later time, and the immediate focus should be on providing information and support to help the family understand and cope with the diagnosis and its implications for the client's well-being.
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