Which of the following patients is most likely to become violent?
The patient who is staring at staff in silence while clenching their fist
The patient who overdosed, is under sedation and unconscious
The patient with antisocial personality disorder who wants to leave AMA (against medical advice)
The patient who is hallucinating and believes God is giving them “clear messages”
The Correct Answer is A
A: The patient who is staring at staff in silence while clenching their fist is exhibiting signs of potential aggression. This behavior indicates a high level of tension and possible imminent violence. The clenched fist is a physical sign of anger or frustration, and the silent staring can be intimidating and threatening to staff. This patient requires immediate attention to de-escalate the situation and prevent any violent outburst.
B: The patient who overdosed and is under sedation and unconscious is not likely to become violent in their current state. Sedation and unconsciousness significantly reduce the risk of aggressive behavior. This patient needs medical monitoring and care for their overdose, but they do not pose an immediate threat of violence.
C: The patient with antisocial personality disorder who wants to leave AMA may exhibit manipulative or non-compliant behavior, but this does not necessarily indicate an immediate risk of violence. While patients with antisocial personality disorder can be challenging to manage, their desire to leave AMA is more about non-compliance than aggression.
D: The patient who is hallucinating and believes God is giving them “clear messages” may be experiencing psychosis, which can sometimes lead to unpredictable behavior. However, hallucinations alone do not directly indicate a likelihood of violence. The content of the hallucinations and the patient’s overall behavior would need to be assessed to determine the risk of violence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A: Overcrowding can increase stress and the potential for violence among patients.
B: Inexperienced staff may not be as effective in managing violent behaviors and de-escalating situations.
C: A quiet atmosphere and private rooms help reduce stress and agitation among patients, lowering the risk of violence.
D: Strict rules can lead to frustration and rebellion among patients, potentially increasing the risk of violence. A balanced approach with clear guidelines and flexibility is more effective.
Correct Answer is D
Explanation
A: Having the patient eat meals in private is not recommended as it can facilitate purging behaviors without supervision.
B: Educating the patient on the long-term complications of purging is important but not the primary intervention to prevent immediate purging behavior.
C: Weighing the patient at the same time every morning is a standard practice in managing eating disorders but does not directly address the purging behavior.
D: Monitoring the patient during and after meal times is crucial to prevent purging and ensure the patient is following the treatment plan.
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