Chapter 25, 26, 27 Test Flashcards
The legal term that describes any behavior that presents an immediate threat to another person is:
1) Anger
2) Assault
3) Acting out
4) Aggression
2) Assault
In today’s society, violence is:
1) A nuisance
2) Not a problem
3) Of minor concern
4) A serious problem
4) A serious problem
The client had a terrible argument with his wife during which he hit her several times. Today, he arrives from work with flowers and an expensive necklace “to make up.” His behavior is characteristic of the stage in the assault cycle known as the _____ stage,
1) Crisis
2) Trigger
3) Depression
4) Escalation
3) Depression
To assess a client’s potential for engaging in inappropriate behaviors, the caregiver should perform as soon as possible after admission a:
1) Physical examination
2) Mental status assessment
3) Review of laboratory tests and other results
4) Psychosocial examination
2) Mental status assessment
The ability to express directly one’s feelings or needs in a way that respects the rights of other people and retains the individual’s dignity is called
1) Anger
2) Adjustment
3) Aggression
4) Assertiveness
4) Assertiveness
In the assault cycle, people are unable to listen to reason, follow directions, or engage in mental exercises during the stage of:
1) Trigger
2) Crisis
3) Recovery
4) Escalation
2) Crisis
Persons who naturally relate aggressively to others, seldom have empathy, and lack appropriate guilt feelings are given the diagnosis of ____ disorder
1) Impulse-control
2) Conduct
3) Adjustment
4) Oppositional defiant
2) Conduct
Harm to another’s health or welfare caused by failure to provide for basic needs or placing the person’s health or welfare at unreasonable risk is best described as:
1) Abuse
2) Neglect
3) Violence
4) Exploitation
2) Neglect
The leading cause of maternal injury and death during pregnancy is:
1) Trauma
2) Accidents
3) Hypertension
4) Drug and alcohol abuse
1) Trauma
The child who is more likely to behave aggressively toward his or her peers is:
1) Anne, who reads in her spare time
2) Dale, who wrestles after school daily
3) Carl, who plays tackle on the football team
4) Brian, who watches 6 hours of television a day
4) Brian, who watches 6 hours of television a day
Whenever a suspected victim of violence is brought into the health care system, the first priority is to:
1) Ensure the client’s safety
2) Assure the client’s relatives
3) Ensure a thorough nursing assessment
4) Ensure an examination for possible evidence
1) Ensure the client’s safety
Mr. Right employs 22 children in his clothing factory. Each child is no older than 10 years of age and works 11 hours a day, 6 days a week. Mr. Right is practicing:
1) Neglect
2) Exploitation
3) Abuse
4) Violence
2) Exploitation
Many victims of violence believe that their abusers may attempt to hurt them again, even as they are seeking help. Recognizing this, the nurse:
1) Immediately gets the name and number of the perp
2) Does not leave the client alone
3) Posts security guards at the door
4) Leaves the client alone no longer than 15 minutes
2) Does not leave the client alone
A female who is physically abused by her husband arrives in the ER following a serious battering incident. During this phase of the domestic abuse cycle, the female is expected to:
1) Have experienced the battering episode a few days prior to the incident
2) Ask the emergency room nurse to call the police immediately to arrest her husband
3) Be very nurturing and compliant and seeking to please her husband
4) Believe in the permanency of their relationship and believe that it will not happen again
3) Be very nurturing and compliant and seeking to please her husband
Which signs and/or symptoms should alert the nurse to a child who is suffering from neglect?
1) Bruises and welts at various stages of healing
2) Child has torn, stained, or bloody underclothing
3) Consistently dirty, hungry, and inappropriately dressed
4) Any fracture in a child younger than 2 years of age or fractures at various stages of healing
3) Consistently dirty, hungry, and inappropriately dressed
The nurse suspects a mother of abusing her child. Which behavior is the most likely cause?
1) The mother is concerned about the child’s health
2) The child relates well to the nursing staff with appropriate interaction for age
3) The child appears overly compliant, passive, and undemanding with the mother and staff
4) The child is at a normal level of physical, emotional, and intellectual development for his or her age.
3) The child appears overly compliant, passive, and undemanding with the mother and staff
The person who is at greatest risk for committing suicide is an:
1) Middle-aged married man
2) Young African-American man who lives alone
3) Elderly white man who is the last survivor of four siblings
4) High school freshman who is 30 pounds overweight
3) Elderly white man who is the last survivor of four siblings
Because of the emotions attached to a suicidal act, the loss of a loved one through suicide compares with the grief reaction of a natural death in that it is ____stressful
1) Less
2) Just as
3) Much more
4) Not at all
3) Much more
Thoughts or fantasies about suicide that are expressed but have no definite intent are called:
1) Suicidal ideation
2) Suicidal threats
3) Suicidal attempts
4) Parasuicidal behaviors
1) Suicidal ideation
During the nursing history interview, the client tells the nurse that he would be better off dead. The care provider’s best response is:
1) To encourage him that things aren’t that bad
2) To ask whether he has a plan to commit suicide
3) To ignore the subject so the client will forget
4) To refrain from using the word suicide to prevent the client from getting any ideas
2) To ask whether he has a plan to commit suicide
The first priority for the care of clients who may be suicidal is:
1) Protection from harm
2) A medical examination
3) A thorough assessment
4) Protection from harming others
1) Protection from harm
Bob drives fast everywhere he goes, especially when he is drinking. Last night, he was arrested for gambling and loud behavior. Bob is engaging in _____ behavior,
1) Adaptive
2) Indirective self-destructive
3) Direct self-destructive
4) Suicidal
2) Indirective self-destructive
The caregiver works with suicidal clients to establish therapeutic rapport. The focused communications and concerned actions encourage suicidal persons to:
1) Feel in control
2) Talk about themselves
3) Feel foolish for thinking about suicide
4) Feel self-worth
4) Feel self-worth
Which mental health problems are categorized as anger control disorders? Select all that apply
- Adjustment disorder
- Conduct disorder
- Conversion disorder
- Oppositional defiant disorder
- Impulse-control disorder
- Dissociation disorder
- Dysthymic disorder
Adjustment disorder
Conduct disorder
Oppositional defiant disorder
Impulse-control disorder
During the psychosocial portion of the assessment of a client with anger, aggression, or violent behavior issues, the nurse will assess which of the following? Select all that apply
- Coping skills
- Cultural, spiritual, and occupational interests
- General appearance
- Value and belief systems
- Potential for engaging in inappropriate behavior
Coping skills
Cultural, spiritual, and occupational interests
Value and belief systems
_____ is a forceful attitude or action that does not take into consideration of others’ feelings or needs and may be expressed verbally, physically, or symbolically
Aggression
____ typically express anger and/or aggression with temper tantrums. (Respond by providing the age group to which this item applies)
Toddlers
The _____ theory explains aggression and violence as being caused by physical or chemical differences among people
biological
Which are characteristics of a dysfunctional family? Select all that apply
- Inconsistent authority
- Clear and supportive communications
- Members are self-centered
- No clearly defined roles
- Setting goals
- Occasional arguments
- Family boundaries are rigid
Inconsistent authority
Members are self-centered
No clearly defined roles
Family boundaries are rigid
During the first phase of the domestic abuse cycle, the female victim of violence inflicted by a male usually displays which characteristics or behaviors? Select all that apply
- Denial of the seriousness of the problem
- Feeling that she deserves minor abuse
- Blaming alcohol and work for his behavior
- Feeling that she cannot control his behavior
Denial of the seriousness of the problem
Blaming alcohol and work for his behavior
_____ refers to a sudden occurrence of physical force that causes harm or injury to another person.
Violence
The ____ _____ theory implies that aggressive and violent behaviors are learned through role modeling of other people
social learning
____ _____ refers to abuse or battering of a family member by another family member
Domestic violence
Which of the following are included in the continuum of self-protective responses? Select all that apply
- Self-enhancement
- Depression
- Self-injury
- Supportive communications
- Suicide
- Goal-setting
- Positive risk-tasking
Self-enhancement
Self-injury
Suicide
Positive risk-taking
Which are facts about suicide? Select all that apply
- Suicide occurs most often in lower socioeconomic classes
- Depression is a high risk factor for attempting suicide
- It is harmful to discuss the subject of suicide with clients
- Giving away important possessions is a sign of suicidal thoughts
- Suicidal threats are serious only if the client conveys the planned method
Depression is a high risk factor for attempting suicide
Giving away important possessions is a sign of suicidal thoughts
Standard interventions implemented in a mental health facility to prevent a client from attempting suicide are called _____?
Suicide precautions
______ ___-______ _______ is a term that is used to describe a form of active suicidal behavior, such as gestures, threats, or attempts to end one’s own life
Direct self-destructive behaviors
______ _______ is when a client thinks or fantasizes about death with no definite intent to commit suicide
Suicidal ideation
