When seeing a young adult client who has been depressed and expressing thoughts of hopelessness but has not overtly reported having thoughts of suicide. Despite the fact that the client has not reported suicidal thoughts, the nurse should initiate a suicide risk assessment with the client for which reason?

the client feels vulnerable to stigma

young adults tend to use manipulation

this is a standard assessment

the client lives with extended family

Answer and Explanation

The Correct Answer is C

A. the client feels vulnerable to stigma: While stigma can prevent clients from reporting suicidal thoughts, this is not the primary reason for initiating a suicide risk assessment.

B. young adults tend to use manipulation: Assuming that young adults manipulate their symptoms is not a valid reason for initiating a suicide risk assessment. This response is inappropriate and can harm the therapeutic relationship.

C. this is a standard assessment: A suicide risk assessment is a standard part of care for clients with depression and thoughts of hopelessness, even if suicidal ideation is not explicitly reported. This ensures comprehensive evaluation and appropriate intervention.

D. the client lives with extended family: The living situation may influence the support system, but it is not the primary reason to initiate a suicide risk assessment.

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Correct Answer is C

Explanation

A. Emaciation: Emaciation refers to extreme weight loss and muscle wasting due to severe malnutrition, not just loss of appetite.

B. Cachexia: Cachexia is a complex syndrome associated with chronic illness, characterized by severe weight loss, muscle atrophy, and fatigue. While it may include loss of appetite, it’s not the best term for simple loss of appetite.

C. Anorexia: Anorexia is the correct medical term for loss of appetite. It can be related to various conditions, including prolonged illness.

D. Nausea: Nausea is a sensation of discomfort in the stomach with an urge to vomit, not loss of appetite.

A. Benzodiazepines B. SSRIs C. Tricyclic antidepressants D. Calcium channel blockers

Correct Answer is D

Explanation

A. Benzodiazepines: Benzodiazepines are commonly prescribed for short-term management of anxiety disorders due to their rapid anxiolytic effects.

B. SSRIs: Selective serotonin reuptake inhibitors (SSRIs) are frequently used as first-line treatment for various anxiety disorders due to their efficacy and favorable side effect profile.

C. Tricyclic antidepressants: Tricyclic antidepressants (TCAs) are also used in the treatment of anxiety disorders, although they are less commonly prescribed than SSRIs due to their side effect profile.

D. Calcium channel blockers: Calcium channel blockers are not typically used to treat anxiety disorders. They are mainly used for cardiovascular conditions, such as hypertension and arrhythmias.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client visits a health care facility reporting loss of appetite following a prolonged illness. How should the nurse document the client's condition?

Correct Answer is C

Explanation

The nurse is aware that all the following pharmacological agents are useful in treating anxiety disorders except:

Correct Answer is D

Explanation

The nurse is providing education via phone to a client who called stating that the newly prescribed imipramine (Tofranil) is not working as depression is still a problem. Which question is most important to ask first?

A client exhibiting an altered level of consciousness (LOC) due to blunt force trauma to the head is admitted to the ED. The nurse should gauge the client's LOC on the results of what diagnostic tool?

The nurse is caring for a client who had a hemorrhagic stroke. What assessment finding constitutes an early sign of deterioration?

A client with epilepsy is having a seizure. During the active seizure phase, the nurse should:

Clients with a social phobia would most likely fear which situation?

A 51-year-old male has been admitted to the detoxification unit with acute symptoms of alcohol withdrawal. Nursing assessment is likely to reveal what?

A client who is prescribed a tricyclic antidepressant is brought to the emergency department with a suspected overdose. Which would the nurse assess to support this suspicion? Select all that apply.