During a routine check-up, a teenager reveals to the nurse that they are experiencing emotional abuse from their partner. What should the nurse do first?
Ignore the statement as the teenager might be exaggerating
Provide the teenager with resources and support for dealing with emotional abuse
Contact the teenager's parents immediately
Advise the teenager to break up with their partner immediately
The Correct Answer is B
Choice A reason: Ignoring emotional abuse risks further psychological harm. Emotional abuse triggers stress responses, elevating cortisol and amygdala activity, potentially leading to anxiety or depression. Scientifically, dismissing claims fails to address trauma’s neurobiological impact, leaving the teenager vulnerable to worsening mental health and ongoing abuse.
Choice B reason: Providing resources and support addresses immediate needs, offering tools like counseling or hotlines. Scientifically, this reduces stress-induced cortisol spikes, stabilizing emotional regulation. Support empowers the teenager to manage abuse’s psychological impact, fostering resilience and preventing long-term trauma-related disorders like PTSD or depression.
Choice C reason: Contacting parents immediately may breach confidentiality, increasing stress. Emotional abuse can cause shame, and premature parental involvement may exacerbate anxiety or fear responses. Scientifically, this risks heightened amygdala activity, complicating trust in healthcare providers and delaying effective intervention for abuse-related psychological harm.
Choice D reason: Advising immediate breakup is impractical without assessing safety or context. Emotional abuse involves complex psychological dynamics, and abrupt action may escalate harm. Scientifically, such advice ignores trauma’s impact on decision-making, potentially increasing stress responses and risking further emotional or physical harm from the abuser.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Four tablets (100 mg) match the prescribed Clozapine dose. This antipsychotic stabilizes dopamine and serotonin in schizophrenia. Scientifically, accurate dosing ensures therapeutic receptor antagonism, controlling psychotic symptoms without toxicity, supporting mental health stability by addressing neural hyperactivity effectively in treatment.
Choice B reason: Three tablets (75 mg) underdose the prescribed 100 mg. Clozapine’s efficacy relies on sufficient receptor blockade. Scientifically, subtherapeutic dosing fails to control dopamine-driven symptoms, risking persistent psychosis or hallucinations, as inadequate levels don’t stabilize neural activity, compromising schizophrenia management.
Choice C reason: Five tablets (125 mg) exceed the prescribed dose, risking toxicity. Clozapine overdosing can cause agranulocytosis or seizures due to excessive receptor antagonism. Scientifically, precise dosing prevents severe side effects, ensuring safe treatment by maintaining therapeutic levels for effective schizophrenia symptom control.
Choice D reason: Two tablets (50 mg) significantly underdose the required 100 mg. Scientifically, insufficient Clozapine fails to modulate dopamine and serotonin, risking persistent psychotic symptoms. This compromises treatment efficacy, as subtherapeutic levels don’t address neural hyperactivity, delaying recovery in schizophrenia management.
Correct Answer is C
Explanation
Choice A reason: Focusing solely on physical recovery neglects psychological distress in panic attacks. Natural disasters can exacerbate anxiety, increasing amygdala activity and cortisol levels. Scientifically, addressing only physical needs fails to mitigate panic-driven hyperarousal, risking worsening mental health and hindering recovery from trauma-induced anxiety.
Choice B reason: Encouraging direct confrontation of fears may intensify panic, as exposure therapy requires controlled settings. Post-disaster, heightened stress responses overwhelm coping mechanisms. Scientifically, premature exposure increases amygdala activation, escalating panic symptoms and potentially worsening trauma-related disorders, making it an inappropriate initial intervention.
Choice C reason: Relaxation techniques, like deep breathing, reduce acute panic symptoms by activating the parasympathetic nervous system, lowering heart rate and cortisol. Scientifically, they calm amygdala-driven hyperarousal, stabilizing emotional regulation post-disaster. This prioritizes immediate symptom management, fostering psychological stability and preventing escalation of panic attacks.
Choice D reason: Planning for future disasters is secondary to managing acute panic. While preparedness reduces long-term anxiety, immediate symptom control is critical. Scientifically, focusing on future planning during a crisis may heighten stress responses, as the prefrontal cortex is less engaged under acute anxiety, delaying effective emotional stabilization.
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