"The nurse recognizes that the following statement best describes which phase in the cycle of battering: 'The woman senses that the man's tolerance for frustration is declining. He becomes angry with little provocation but may be quick to apologize. She may just try to stay out of his way.' Which of the following phases does this statement describe?"

Phase I

Phase II

Phase III

Phase IV

Answer and Explanation

The Correct Answer is A

Choice A reason:

This scenario reflects the tension-building phase, where the abuser’s frustration threshold lowers and minor irritability escalates into anger over trivial issues. Although he may offer quick apologies, genuine remorse is lacking, and the victim focuses on avoidance to diffuse mounting tension.

Choice B reason:

The acute battering phase involves overt and often severe physical violence, marking a clear escalation from verbal or emotional aggression to tangible harm. Since the description centers on irritability without actual battering, it does not fit this phase.

Choice C reason:

Phase III is described as a tranquil, loving, or at least nonviolent phase. This is when the abuser may apologize and promise that the behavior will never occur again. The statement does not describe this phase as it focuses on the anticipation of violence rather than reconciliation or calm.

Choice D reason:

There is no widely recognized 'Phase IV' in the cycle of battering. The cycle typically consists of three phases: tension-building, acute battering incident, and calm-loving respite. Therefore, this choice does not apply to the given statement.

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Correct Answer is ["A","C","E"]

Explanation

Choice A Reason:

Impulsive behaviors are a hallmark of manic episodes in bipolar disorder. During mania, individuals often exhibit poor judgment and engage in risky activities without considering the consequences. This can include spending sprees, reckless driving, or making hasty decisions.

Choice B Reason:

Sleeping for long periods of time is more indicative of a depressive episode rather than a manic episode. During mania, individuals typically experience decreased need for sleep and may feel energized despite getting very little rest.

Choice C Reason:

Interacting with others in a flirtatious way is a common behavior during manic episodes. Individuals may exhibit increased sociability, hypersexuality, and inappropriate or provocative behavior. This heightened sociability and flirtatiousness are often out of character for the individual when they are not experiencing mania.

Choice D Reason:

Dressing in black or grey clothing is not specifically associated with manic behavior. While changes in appearance can occur during mood episodes, the color of clothing is not a reliable indicator of mania. Manic episodes are more characterized by behaviors and mood changes rather than specific clothing choices.

Choice E Reason:

Talking in rapid, continuous speech, also known as pressured speech, is a classic symptom of mania. Individuals may speak quickly, loudly, and incessantly, making it difficult for others to interrupt or follow the conversation. This symptom reflects the heightened energy and racing thoughts typical of manic episodes.

A. Attention-seeking conduct B. Aggressive behavior C. Mild fidgeting D. Mild difficulty problem-solving

Correct Answer is C

Explanation

Choice A reason:

Attention-seeking conduct is not typically a manifestation of severe anxiety. While individuals may exhibit behaviors that draw attention in an attempt to alleviate their distress, it is not a direct symptom of anxiety itself. Attention-seeking may be associated with other psychological conditions or may be a response to feeling neglected or ignored.

Choice B reason:

Aggressive behavior can sometimes be seen in individuals with severe anxiety, particularly if they feel trapped or overwhelmed. However, it is not as common as other manifestations. Aggression may also stem from a variety of other factors, including personality disorders, mood disorders, or situational stressors, rather than anxiety alone.

Choice C reason:

Mild fidgeting is a common manifestation of severe anxiety. Anxiety can cause a surplus of energy and nervousness that manifests physically as fidgeting, such as tapping feet, playing with hands, or shifting positions frequently. This physical manifestation is a direct result of the body's fight-or-flight response, which prepares the individual to either confront or flee from perceived threats.

Choice D reason:

Mild difficulty problem-solving can occur in individuals with severe anxiety due to the overwhelming nature of their thoughts and feelings. Anxiety can disrupt cognitive processes, making it challenging to concentrate and think clearly. However, this is a broader cognitive effect of anxiety rather than a specific behavioral manifestation.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

What manifestations might a nurse at a walk-in mental health clinic recognize in a client experiencing severe anxiety?

Correct Answer is C

Explanation

A nurse is assessing a client diagnosed with schizophrenia. Which of the following behaviors should the nurse document to be associated with schizophrenia?

A nurse is admitting a client who has experienced a weight loss of 11 kg (25 lb) in the past 3 months. The client weighs 40 kg (88 lb) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client?

A school nurse is talking with a 13-year-old female at her annual health-screening visit. Which of the following comments made by the adolescent should be the nurse's priority to address?

A nurse is assessing a client who is withdrawing from alcohol. Which of the following findings should the nurse expect? (Select all that apply).

The nurse is asking a patient diagnosed with schizophrenia how they slept, and they respond, "This is a new day in May, and I can't wait to play." Which communication pattern does the nurse identify?

A nurse is caring for a client who is withdrawing from opioids. Which of the following medications should the nurse prepare to administer?