Chapter 25, 26, 27 Test

Question 1

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

Answer 1

2) Assault

Question 2

In today’s society, violence is:

1) A nuisance
2) Not a problem
3) Of minor concern
4) A serious problem

Answer 2

4) A serious problem

Question 3

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

Answer 3

3) Depression

Question 4

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

Answer 4

2) Mental status assessment

Question 5

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

Answer 5

4) Assertiveness

Question 6

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

Answer 6

2) Crisis

Question 7

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

Answer 7

2) Conduct

Question 8

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

Answer 8

2) Neglect

Question 9

The leading cause of maternal injury and death during pregnancy is:

1) Trauma
2) Accidents
3) Hypertension
4) Drug and alcohol abuse

Answer 9

1) Trauma

Question 10

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

Answer 10

4) Brian, who watches 6 hours of television a day

Question 11

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

Answer 11

1) Ensure the client’s safety

Question 12

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

Answer 12

2) Exploitation

Question 13

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

Answer 13

2) Does not leave the client alone

Question 14

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

Answer 14

3) Be very nurturing and compliant and seeking to please her husband

Question 15

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

Answer 15

3) Consistently dirty, hungry, and inappropriately dressed

Question 16

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.

Answer 16

3) The child appears overly compliant, passive, and undemanding with the mother and staff

Question 17

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

Answer 17

3) Elderly white man who is the last survivor of four siblings

Question 18

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

Answer 18

3) Much more

Question 19

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

Answer 19

1) Suicidal ideation

Question 20

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

Answer 20

2) To ask whether he has a plan to commit suicide

Question 21

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

Answer 21

1) Protection from harm

Question 22

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

Answer 22

2) Indirective self-destructive

Question 23

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

Answer 23

4) Feel self-worth

Question 24

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

Answer 24

Adjustment disorder
Conduct disorder
Oppositional defiant disorder
Impulse-control disorder

Question 25

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

Answer 25

Coping skills
Cultural, spiritual, and occupational interests
Value and belief systems

Question 26

_____ 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

Answer 26

Aggression

Question 27

____ typically express anger and/or aggression with temper tantrums. (Respond by providing the age group to which this item applies)

Answer 27

Toddlers

Question 28

The _____ theory explains aggression and violence as being caused by physical or chemical differences among people

Answer 28

biological

Question 29

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

Answer 29

Inconsistent authority
Members are self-centered
No clearly defined roles
Family boundaries are rigid

Question 30

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

Answer 30

Denial of the seriousness of the problem

Blaming alcohol and work for his behavior

Question 31

_____ refers to a sudden occurrence of physical force that causes harm or injury to another person.

Answer 31

Violence

Question 32

The ____ _____ theory implies that aggressive and violent behaviors are learned through role modeling of other people

Answer 32

social learning

Question 33

____ _____ refers to abuse or battering of a family member by another family member

Answer 33

Domestic violence

Question 34

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

Answer 34

Self-enhancement
Self-injury
Suicide
Positive risk-taking

Question 35

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

Answer 35

Depression is a high risk factor for attempting suicide

Giving away important possessions is a sign of suicidal thoughts

Question 36

Standard interventions implemented in a mental health facility to prevent a client from attempting suicide are called _____?

Answer 36

Suicide precautions

Question 37

______ ___-______ _______ 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

Answer 37

Direct self-destructive behaviors

Question 38

______ _______ is when a client thinks or fantasizes about death with no definite intent to commit suicide

Answer 38

Suicidal ideation