ATI RN Abuse, Aggression, and Violence test

A nurse is providing care to a client who has a history of anger. The nurse should identify that the comorbidities of anger include which of the following disorders? (Select all that apply) A. Binge-eating disorder B. PTSD C. Substance abuse disorder D. Conduct disorder E. Attention deficit disorder F. OCD

B. PTSD C. Substance abuse disorder D. Conduct disorder E. Attention deficit disorder

A nurse is caring for a client who has been physically abusive to others and was admitted to an inpatient mental health unit. Which of the following client behaviors should the nurse identify as early signs of potential aggression? (Select all that apply) A. Socializing with selected individuals B. Refusing to eat C. Speaking in a soft voice D. Pacing the floor E. Destroying items F. Attempting to leave before discharge

B. Refusing to eat D. Pacing the floor E. Destroying items F. Attempting to leave before discharge

A nurse is providing teaching to a newly licensed nurse who is caring for a client experiencing aggression related to PTSD. Which of the following statements made by the newly licensed nurse indicates an understanding of the teaching? A. The client has an increase in dopamine which results in aggressive behavior B. The client has an excess of serotonin which results in aggressive behavior C. The client has a decrease in histamine which results in aggressive behavior D. The client has an increas

B. The client has an excess of serotonin which results in aggressive behavior

A home health nurse is conducting an initial assessment on a client. Which of the following findings should indicate to the nurse that the client is potentially experiencing neglect? (Select all that apply) A. The client's daily medication are in a pill organizer. B. The client indicates their toilet has been non-functional for the last few weeks. C. The client's bed linens smell of urine D. The client's home has stacked boxes and clutter blocking the walkways E. The client's hair is dirty and

B. The client indicates their toilet has been non-functional for the last few weeks. C. The client's bed linens smell of urine D. The client's home has stacked boxes and clutter blocking the walkways E. The client's hair is dirty and tangled F. The client has a stage one pressure ulcer on their coccyx

A nurse working at a community outreach center is speaking with a resident who reports, "I'm not sure where my child has gone. The come by daily to bring me meals and help me with my medications. It's been over 2 weeks and I can't reach them." The nurse should identify that the client is experiencing which of the following types of abuse? A. Abandonment B. Exploitations C. Physical D. Emotional

A. Abandonment

A nurse on an inpatient mental health unit is caring for a client. Select the three findings that require immediate intervention. A. Aggressive behavior B. Heart rate C. Respiratory rate D. Blood pressure E. Urine output

A. Aggressive behavior B. Heart rate D. Blood pressure

A nurse is caring for a client who is becoming aggressive. Which of the following de-escalation techniques should the nurse use? (Select all that apply) A. Approach the client with respect B. Respond to the clients concerns C. Block the doorway of the unit D. Address the client in a soft voice E. Stand in front of the client when talking

A. Approach the client with respect B. Respond to the clients concerns D. Address the client in a soft voice

A nurse on a mental health unit is reviewing a clients medical record. Click to identify if each action is performed during the assessment of intervention phase of the nursing process. A. Determine if the client has a history of violence B. Communicate with the client using simple terms C. Administer an anxiolytic medication D. Place the client in a low-stimulation environment E. Check the client for delusional thoughts

A. Determine if the client has a history of violence - Assessment B. Communicate with the client using simple terms - Intervention C. Administer an anxiolytic medication - Intervention D. Place the client in a low-stimulation environment - Intervention E. Check the client for delusional thoughts - Assessment

A nurse is providing care to a client who has a history of violent behavior. The nurse should identify which of the following client statements as a risk factor for potential (future) violent behavior? (Select all that apply) A. I don't really have a lot to be proud of B. When I get mad, I make myself count to 10 and take deep breaths C. I drink a half gallon of vodka everyday D. I occasionally use cocaine E. I have been arrested two times for a domestic disturbance F. Sometimes I yell at peopl

A. I don't really have a lot to be proud of C. I drink a half gallon of vodka everyday D. I occasionally use cocaine E. I have been arrested two times for a domestic disturbance F. Sometimes I yell at people who cut me off when I'm driving

A nurse is caring for a client who is experiencing extreme anger. Which of the following client statements should the nurse identify as being consistent with adverse childhood experiences (ACEs)? (Select all that apply) A. My parents separated when I was 9 years old B. My siblings and I would stay alone for days at a time while my parents was gone C. My older sibling dies of a heroine toxicity when I was 12 years old D. My parent remarried and just celebrated their fifth wedding anniversary E.

A. My parents separated when I was 9 years old B. My siblings and I would stay alone for days at a time while my parents was gone C. My older sibling dies of a heroine toxicity when I was 12 years old E. My parents used to hit my siblings and I with a belt when we were younger F. When I was younger, I experiences drive-by shootings in my neighborhood

A charge nurse is preparing an in-service for staff members about non-suicidal self-harm (NSSH). Which of the following information should the nurse include? A. NSSH is often used as a way to release painful emotions B. NSSH indicates a client has developed a plan for suicide C. NSSH occurs more often in males than females D. NSSH is generally not dangerous to a clients physical health

A. NSSH is often used as a way to release painful emotions

A nurse is evaluating a client whose partner is concerned about their episodes of recurrent anger. Which of the following statements should the nurse make when explaining potential reasons for the client's anger? (Select all that apply) A. The client gets a rush of adrenaline when expressing anger B. The client wants to harm someone they think harmed them C. The feeling of anger and aggression helps the client to problem solve D. The client thinks their anger is justified E. The client feels po

A. The client gets a rush of adrenaline when expressing anger B. The client wants to harm someone they think harmed them D. The client thinks their anger is justified E. The client feels powerful when angry F. When the client is angry, their self-esteem is boosted.

A nurse in the emergency department is caring for a client who states they fell down the stairs this morning. Which of the following assessment findings indicates the client might be experiencing physical abuse? (Select all that apply) A. The client has bruises in various stages of healing on their back B. The clients eyeglasses are cracked C. The client is visible uneasy when their partner enters the area D. The client has a scar on their upper arm E. The client has ligature marks around both

A. The client has bruises in various stages of healing on their back B. The clients eyeglasses are cracked C. The client is visible uneasy when their partner enters the area E. The client has ligature marks around both wrist F. The client has an open, discolored wound on their shoulder

A nurse is teaching a newly licensed nurse who is caring for a client who has previously demonstrated aggressive and violent behavior. Which of the following statements should the nurse make? (Select all that apply) A. The clients aggression might be linked to their history of schizophrenia B. A client who has heart failure tends to be aggressive C. A client who has a traumatic brain injury may demonstrate violent behaviors D. A client who has bipolar I disorder could be at a higher risk for da

A. The clients aggression might be linked to their history of schizophrenia C. A client who has a traumatic brain injury may demonstrate violent behaviors D. A client who has bipolar I disorder could be at a higher risk for danger to others E. A client who has been sexually abused might experience aggressive episodes F. A child who has autism might experience episodes of aggression

A nurse is caring for a client who is demonstrating aggressive behavior towards others and is not responding to verbal interventions. Which of the following medications should the nurse anticipate the provider prescribing? A. Ziprasidone B. Paroxetine C. Escitalopram D. Lithium

A. Ziprasidone

A nurse on a mental health unit is caring for a client. Complete the following sentence by using the list of options. The nurse should first address the client's ____ followed by the client's ____. A. auditory hallucinations; restlessness and pacing B. heart rate; refusal to take medication C. WBC count; intake

A. auditory hallucinations; restlessness and pacing

A nurse is reviewing manifestations of non-suicidal self-harm (NSSH). Which of the following findings should the nurse identify as a warning sign that a client might be engaging in self-hard behavior? A. A client is talking to a friend about a recent job loss B. A client is wearing long-sleeve shirts in hot weather C. A client reports meditating when feeling upset D. A client who takes an aerobics class to decrease stress

B. A client is wearing long-sleeve shirts in hot weather

A nurse is caring for a client who was recently placed in seclusion due to their aggressive behavior. Which of the following statements made by the nurse indicates an understanding of the role the neurological system plays in relation to aggression? A. Excessive hypothalamus reaction and inadequate regulation of the prefrontal area will increase the likelihood on aggression in the client B. Excessive amygdala reaction and inadequate regulation of the prefrontal area will increase the likelihood

B. Excessive amygdala reaction and inadequate regulation of the prefrontal area will increase the likelihood on aggression in the client

A nurse is caring for a client who is speaking loudly and threatening to harm staff and other clients. Which of the following medications should the nurse anticipate the provider prescribing for this client? A. Fluoxetine B. Sertraline C. Chlorpromazine D. Duloxetine

C. Chlorpromazine

A nurse is caring for a client who reports that their partner threatens them when they disagree about finances. The nurse should identify that the client is experiencing which of the following types of abuse? A. Economic B. Physical C. Emotional D. Sexual

C. Emotional

A nurse is assessing a client who experienced abuse. Which of the following findings should the nurse expect? A. Trusting B. Independence C. Fear D. Confidence

C. Fear

A nurse is caring for a client who experiences aggression. Which of the following statements made by the client indicates the client experiences hostile aggression? A. I let off steam by yelling out loud B. I shattered a plate because I stubbed my toe in the kitchen C. They made me mad so I hit them D. I clinch my fist when I have to wait in traffic

C. They made me mad so I hit them

A nurse manager is discussing sexual assault nurse examiners (SANEs) and the interventions they use when caring for clients who have been sexually assaulted. Which of the following interventions should the nurse include? A. A SANE informs the client of the requirement to file a police report B. A SANE instructs the client to follow-up with their provider in 2 months C. A SANE requests the police collect the physical evidence from the client's body following the assault. D. A SAME offers client

D. A SAME offers client some options about their care

A nurse is discussing non-suicidal self-hard (NSSH) with a newly licensed nurse. Which of the following statements should the nurse make? A. NSSH is considered attention-seeking behavior B. NSSH is most often initiated as an adult C. There are no serious physical health effects from NSSH D. Clients who engage in NSSH rarely seek medical attention

D. Clients who engage in NSSH rarely seek medical attention

A charge nurse is providing an in-service to a group of staff nurses about the role of a forensic nurse. Which of the following information should the nurse include? A. Counsel the client about the incident B. Request the police gather evidence of the incident C. Encourage the client to seek legal charges against the perpetrator D. Provide legal testimony as requested by the client

D. Provide legal testimony as requested by the client

A nurse is presenting an in-service on the cycle of violence to a nursing staff. The nurse should include that the perpetrator becomes affectionate at which of the following phases? A. Acute battering B. Build-up C. Displacement D. Respite

D. Respite