A patient sits in silence for 20 minutes after a therapy appointment, appearing tense and vigilant. The patient abruptly stands and paces back and forth, clenching and unclenching fists, and then stops and stares in the face of a staff member. What is the likely conclusion regarding the patient's behavior?

Patient is attempting to use relaxation strategies.

Patient is demonstrating withdrawal behaviors.

Patient is exhibiting clues to potential aggression.

Patient is trying to work through angry feelings.

Answer and Explanation

The Correct Answer is C

A.   Relaxation strategies involve deliberate and often structured activities aimed at reducing tension and stress, which isn't depicted in the described behavior.
B.   Withdrawal behaviors typically involve avoiding social interaction or retreating, which doesn't align with the observed actions.
C.   The described behavior, including pacing, clenching fists, and staring at a staff member, indicates potential signs of aggression or agitation.
D.   Working through angry feelings might involve communication or expression of emotions, but the described behavior leans more towards agitation and potential aggression.

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Correct Answer is C

Explanation

A. Verbally reporting to the psychiatrist might be appropriate but doesn’t directly address ensuring the safety of the potential victim.
B. Waiting for a court order might delay necessary action and put the potential victim at risk.
C. Ensuring the potential victim is warned is a crucial step to protect them from potential harm.
D. While confidentiality is important, the duty to protect potential victims supersedes confidentiality in cases of potential harm or danger.

A. The client is unwilling to accept that treatment is needed. B. The client states that she plans to move out of the state immediately. C. The client states that she does not like the neighbor. D. The client is a danger to herself or others.

Correct Answer is D

Explanation

A. This alone might not be a sufficient reason for involuntary commitment. The key factor for extended hospitalization is a threat to safety.
B. Moving out of the state might not justify extended hospitalization if there's no indication of imminent danger.
C. Personal dislike, without posing an immediate danger, might not be sufficient for extended hospitalization.
D. If the client continues to pose a risk of harm to herself or others, involuntary hospitalization beyond the initial hold might be warranted.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a newly licensed nurse about appropriate actions to take when a client threatens to harm a specific individual. Which of the following statements by the newly licensed nurse indicates understanding?

Correct Answer is C

Explanation

A nurse in a psychiatric unit is admitting a client who attacked a neighbor. The nurse should know that the client can be kept in the hospital after the 72-hr hold is over for which of the following conditions?

Correct Answer is D

Explanation

An individual has been diagnosed with a dissociative disorder. Which comorbid psychiatric disorders are most likely to accompany this type of mental illness? (Select all that apply.)

A nurse is caring for a client who was admitted for suspected abuse. The client is quiet and withdrawn. Which of the following actions should the nurse take to promote client communication?

A nurse in an acute mental health facility is caring for a client who jumps out of her chair and begins to shout angrily at the clients around her. Which of the following actions should the nurse take first?

A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient says, "I shouldn't be crying like this. It happened a long time ago." Which responses by the nurse will facilitate communication? (Select all that apply.)

A nurse manager on a mental health unit is discussing involuntary admissions during a staff meeting. Which of the following statements should the manager include in the discussion?

Which intervention(s) should the nurse include in the plan of care for an adolescent who is depressed? (Select all that apply.)