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 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.

A. Moderate level B. High level C. No risk D. Low level

Correct Answer is B

Explanation

A. Moderate level would suggest a plan that has some risk but may be less imminent or less likely to result in death.
B. A plan involving a loaded gun aimed at a vital organ like the heart, coupled with alcohol consumption and intent, indicates a high level of lethality.
C. This scenario presents a significant risk given the method and the caller's intent, so "No risk" would not be appropriate.
D. Low level would suggest a plan that is less likely to cause severe harm or death, which is not the case here.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

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.)

Which experiences are most likely to precipitate posttraumatic stress disorder (PTSD)? (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?

A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements?

A nurse is caring for a client who has major depressive disorder (MDD). Which of the following findings should the nurse expect?

A nurse is discussing legal exceptions to client confidentiality with nursing staff. Which of the following statements by a staff member indicates an understanding of the teaching?

A nurse is caring for a client following a suicide attempt. The client has a history ofdepression, substance abuse, and anorexia nervosa. Which of the following actions is the nurse's priority?

A nurse is providing teaching for a client who has a recent diagnosis of depression. Which of the following should the nurse identify as a primary risk factor for this disorder?