mental health wk3

A married client expresses to the nurse that the client's spouse's frequent nagging angers the client. The nurse role plays assertive communication techniques with the client. Which indicates that the client understands how to use assertive techniques effectively?

"I feel unappreciated when you criticize me."

The nurse determines that a client is in the Awareness of the loss phase of bereavement. Which statement by the client would lead the nurse to this conclusion?

"I just can't believe that dad won't every be sitting in that chair anymore."

A client who was diagnosed with depression as a young adult has been symptom free for several years. The client is now middle-aged and exhibiting symptoms of depression again. When assessing the client, which would the nurse interpret as contributing to the current situation?

"I just got a new boss who has been incredibly tough and demanding."

The nurse is seeing a client for counselling in a mental health clinic. The nurse notes the client has new superficial cuts to the inside of the upper forearm. Which is the best way for the nurse to discuss this observation with the client?

"I notice some cuts on your arm. Am I correct to think that things have been difficult?"

The nurse approaches a client who looks very sad and is sitting alone crying. Which is the best response by the nurse in this situation?

"You look very sad. What is happening?"

During a follow-up visit, a client asks the nurse, "Why is it that most mental disorders more commonly occur among young adults, and not as a person ages?" Which response by the nurse would be most appropriate?

"Young adults have increased demands being placed on them."

After the death of a client's wife, a man tells the nurse "I can never live without my wife. My wife was my whole life." Which is the most therapeutic response from the nurse?

"Your wife's death is a terrible loss for you."

A nurse is assessing an older adult client's risk for suicide. Which statement by the client would the nurse interpret as placing the client at increased risk? Select all that apply. *

-"I've been having some major health problems for the past several years." -"I'm still mourning the loss of my spouse who died over two years ago." -"I'm pretty much a homebody and stick to myself."

A nurse is assessing a client who is grieving. The nurse suspects that the client is experiencing complicated bereavement based on which statement? Select all that apply.

-"If only I could go back to the way it was before my husband died." -"My life has no meaning since my husband died last year."

A nurse is providing care to an older adult client who is undernourished. Based on the nurse's understanding about the effects of undernutrition, the nurse would be alert for the development of which mental health problem? Select all that apply.

-Depression -Dementia -Agitation

The nurse working in a psychiatric facility for the older adult identifies which of the following to be among the most common mental disorders in the older adult? Select all that apply.

-Depression -Dementia -Anxiety

A community care nurse is visiting a client at home. The client was discharged from the hospital one week ago after having a mastectomy. After the nurse completes the physical examination, the nurse asks, "How are you feeling about your body changes?" The client tells the nurse she is not interested in talking right now and would prefer that the nurse leave. Which is the nurse's most effective use of communication skills?

"I just want you to know that I am available to talk when you are feeling up to it."

A client diagnosed with depression following the death of her infant daughter consistently finds excuses to miss most of the unit's group sessions, especially those dealing with loss and grief. The nurse documents that the client is showing evidence of

Social withdrawal

Which population is more likely to live in poverty?

older women

A client visits the clinic and tells the nurse about being under a great deal of stress on the job for the last month. Using Lazarus' model, the nurse should instruct the client that all stress responses are affected by the

personal meaning of the situation.

The nurse is seeing a male client who is obese and wants to lose weight. The client discusses why he wants to lose weight, how he recognizes that being obese is unhealthy, and that he plans to remain committed to a healthy lifestyle. The nurse recognizes that the client is engaging in which activity? *

primary appraisal

Preschool programs that target children's social and emotional competencies are an example of

primary prevention.

When a nurse assesses prior self-harm behavior, this can provide information about the motivation behind the client's actions and allows the nurse to do what?

Communicate concern and empathy to the client

The nurse is caring for a client whose spouse passed away several years ago. Upon assessment, the nurse finds that the client has a history of signs and symptoms of depression since the spouse's death. Which term correctly describes the client's response to the loss?

Complicated grief

A recent sentinel event involving a suicide attempt on a psychiatric-mental health unit has prompted a reevaluation of practices on the unit. What action is most likely to reduce the incidence of suicide on the unit.

Conducting a survey the unit facilities and practices to ensure items that can be used for hanging are unavailable

The efforts one takes to manage situations that have been appraised as being potentially harmful or stressful refers to

Coping

A nurse is providing care to a client who exhibits maladaptive anger. The client typically exhibits excessive outwardly directed anger. Based on the nurse's understanding of medical conditions associated with this type of anger, the nurse would be alert for signs and symptoms of which condition?

Coronary heart disease

A nurse is reviewing the events that occur in the body as it responds to stress. The nurse demonstrates understanding of the information by identifying which hormone as primarily secreted by the adrenal cortex during stress?

Cortisol

The nurse in the psychiatric unit is aware the atmosphere can change at any time. At which point in the stages of aggressive incidents is intervention least likely to be effective in preventing physically aggressive behavior?

Crisis

A nursing student is discussing with an older client changes in how older adults process and respond to questions. During this discussion the student explains "speed-accuracy shift" as older adults doing which of the following?

Focus more on accuracy than speed in responding

How quickly an older adult responds to questions has been termed speed-accuracy shift, which refers to

Focusing on accuracy rather than speed of answering

All five of the senses gradually decline in acuity with age. The gradual decline may begin in which decade of life?

Fourth

Structural damage to which of the following lobes of the brain may alter the person's ability to modulate aggression?

Frontal

A 32-year-old client is admitted to the inpatient unit for depression with suicidal thoughts. During the nursing assessment, why it is important for the nurse to assess and explore if there is any family member who has committed suicide?

Genetic predisposition

Recently Joan Serson, Erik Erikson's wife, published an extension of his theory that included old age. This ninth stage is known as which of the following?

Gerotranscendence

When teaching prevention to the parents of a 15-year-old client who recently attempted suicide by taking an overdose of alprazolam, the nurse describes which behavioral clue?

Giving away valued personal items

A nurse is teaching an older adult about the normal physical changes that occur with aging. The nurse determines that the teaching was successful when the older adult identifes which change as an expected finding?

Glomerular filtration declines

An 81-year-old woman has been experiencing episodes of increasing forgetfulness in recent months, a problem that prompted her to seek care from her primary care physician. After tests and referrals, she has just received a diagnosis of early-stage Alzheimer's disease. What type of loss is this woman most likely to experience?

Gradual and observable

Successful resolution of a crisis an individual is experiencing is more likely to occur if the individual

Has a realistic view of the situation

A protective factor in older adults' mental health against suicide and despair in later life is

Having a sense of meaning or purpose

When the client is in restraints or seclusion, which of the following must occur?

He or she must be monitored continually.

In the weeks following a natural disaster, which of the following client symptoms does the nurse least expect to see when assessing clients at the community mental health center?

Hearing voices and seeing dead bodies

A nurse is meeting with a young woman who has recently lost her mother and her job and has moved with her husband to a new city. She is complaining of acute anxiety and depression. What does the nurse knows that would be helpful to this client?

Sometimes too many stressors disrupt homeostasis, and, if adaptation fails, the result is disease.

A nurse is reviewing the medical record of a middle-aged adult. Which marital status would the nurse identify as a protective factor?

Marriage

A nurse is preparing a presentation about the effects of marital status on mental health. Which describing the marital status of the population of the United States, which group would the nurse identify as accounting for the largest percentage?

Married

Which adult population is least likely to experience serious psychological distress?

Married

A nurse is assessing several families for parenting stress and their degree of socialization with others. Which family members would the nurse most likely identify as experiencing the greatest options for socialization?

Married middle-aged couple with two children in college

A nurse is developing an educational program for the patients at a local clinic that focuses on tackling the problem of overweight and obesity. Based on research data, the nurse would target this program to which population?

Middle-aged married men

When developing a therapeutic relationship with a client experiencing aggression, which of the following would be most important for the nurse to do first?

Use active listening

A nurse is working as a member of a team tasked with developing appropriate programs to address poverty in older adults. When deciding on the types of programs, which information would be most important for the team to integrate into the decision process?

Older adults living alone have the highest poverty rates.

When using psychotropic medications in older adults, which of the following is true?

Older adults need smaller doses of the same medication and become toxic more quickly than do younger adults.

Fewer than what percentage of individuals receive treatment for their mental health issues?

One-half

The nurse has been caring for a 77-year-old client who was admitted to the psychiatric unit for depression and imminent suicide risk. Despite varying levels of intervention, the client continues to voice suicidal ideation with a lethal plan. Which intervention should the care team employ?

Use electroconvulsive therapy

When establishing long-term treatment outcomes for a client experiencing a psychiatric crisis, the nurse references the fundamental goal of crisis interventions, which is to

Return the client to his pre-crisis level of function

A nurse is part of a team developing strategies to help reduce the risk of violence on the mental health unit. Which of the following would the team identify as contributing to the risk for violence?

Rigid unit rules

The psychiatric nursing student identifies characteristics that increase the likelihood of developing a psychiatric disorder as:

Risk factors

Which is one of the most common nursing diagnoses for clients experiencing intense anger and aggression?

Risk for Self-Directed Violence

A nurse is considering using restraint and seclusion for a client who is acting out. Which is the primary guideline for the use of restraint and seclusion?

Use should be limited to emergencies in which the risk of a client physically harming self, staff, or others is imminent.

Crisis intervention provided by a psychiatric clinician is necessary when an individual's

Usual problem-solving methods are ineffective

A 20-year-old college student has been admitted to the emergency department after taking an overdose of Acetaminophen (Tylenol). Which of the following nursing diagnoses should be prioritized in the care of this client after she is medically stabilized?

Risk for Violence, Self-Directed, related to recent suicide attempt

Many cognitive abilities are preserved or even enhanced during aging. What is impaired with normal aging?

reaction time

Which phase of disaster focuses on implementing strategies for healing sick and injured people?

recuperative effort

What is a characteristic of unit culture that predicts client violence?

rigid unit rules

The literature on children of parents with alcoholism has described several typical roles that children assume. Which role is described as problem children who divert attention away from the parent with alcoholism?

scapegoat

A nurse is conducting a review class about mental health disorders for a group of nurses working at the local community health center. The nurse determines that the teaching was successful when the group identifies which age group as having the highest rates of mental disorders?

young adults

The highest rates of mental disorder occur in which age group?

young adults

Which client population has the highest risk for suicide?

Elderly men

Which intervention would assist the client with the appropriate expression of anger?

Encourage verbalization

The nurse observes two clients in the day room arguing. One client runs into the corner and huddles while the other follows and continues with verbal abuse. Which is the best action by the nurse?

Engage the attention of the client who is still yelling and ask what is happening.

Which staff behaviors are most likely to trigger clients who are predisposed to aggressive or violent behavior?

Engaging in disputes over medication, supplies, or rules on the unit

A client has been successfully treated on the psychiatric mental health unit following a suicide attempt. In preparation for discharge, the nurse should prioritize what action?

Ensuring a plan is in place for the client's community-based care

Mr. Tan is an 81-year-old man who resides in a long-term care facility. The nurse recognizes that a primary developmental task for Mr. Tan is to resolve the potential conflict between integrity and despair. The nurse is referring to which theorist's psychological theory of aging?

Erikson

As the nurse is performing an assessment on the client, the client is yelling and is hitting the hand with a rolled up newspaper. Which stage of aggression does the nurse identify that the client is exhibiting?

Escalation

Following the failure of a woman's recent in vitro fertilization (IVF), the nurse recognizes that she may be at risk of depression. Which intervention is considered a primary suicide prevention measure?

Establishing a support system for the woman and teaching her some coping measures

Gerotransendence means a

connection with a higher power.

Crisis intervention differs from the typical therapeutic relationship in that

crisis intervention seeks to alleviate the immediate external threat.

A client is experiencing a "fight or flight" response. What is a physiological change related to activation of the parasympathetic nervous system?

decrease in digestion

Good health, a desire to remain sexually active, access to a partner, and a conducive environment contribute to positive sexual experiences. Which physiological change occurs in women related to their sexual functioning?

decreased estrogen levels

The stigma of mental illness can lead to the use of which defense mechanism?

denial

The nurse is planning to discuss sexuality issues with a group of older adults. The nurse should plan to instruct the group that, for women, physical changes of aging include

diminished lubrication.

A client who is in the process of divorce tells the nurse the client will require some time off from work due to the inability to concentrate. According to Bowlby's phases of grieving, which phase best reflects this client's current experience?

disorganization and despair

A nurse is facilitating a support group for family members of people who have committed suicide. One client states,"My kids and I are just not the same. It was so selfish of my husband to do this." The nurse can accurately identify this as which type of response to grief?

emotional

A nurse is reviewing the medical record of a young client to determine the client's risk for suicide. Which factor would alert the nurse to an increased risk for this client?

experiencing unemployment that has lasted a year

While assessing an older adult, the nurse observes that the client is slow in providing answers to the nurse's questions. The client apologizes for being slow to respond. The nurse should explain to the client that older adults often:

focus more on accuracy than speed in responding.

A patient is being treated for depression on the psychiatric mental health unit. The nurse can best promote the patient's development of an effective crisis management plan by:

helping the patient create a written outline of strategies that can be applied.

Various physiologic mechanisms within the body respond to internal changes to maintain relative constancy in the internal environment. The state that results is called

homeostasis

What comprises the largest source of long-term care services in the United States?

informal caregivers

According to recent studies, a person with a type D personality is more likely to experience which health issue?

insulin dependance

Which of the following is not a normal part of aging?

memory loss

A nurse is preparing a presentation for a local community center on elder abuse. Which environment would the nurse most likely include as the primary site where elder abuse occurs?

Older adult's home

A nursing student correctly identifies members of which age group to be at increased risk for the development or recurrence of mental health problems?

Older adults

A nurse is assessing several clients. Which factor would the nurse most likely identify as increasing a client's risk for committing suicide?

Social isolation

Which of the following is a primary risk factor for suicide?

Social isolation

A client has just been served divorce papers from a spouse. The client has no financial resources and little social support. The client states, "My spouse is not really leaving. My spouse will be back." The most appropriate response by the nurse would be what?

"How is this affecting you right now?"

The nurse is providing care for a client who deliberately overdosed on acetaminophen several days ago. The nurse should assess the current severity of the client's suicidal ideation by asking what question?

"How often are you having thoughts about suicide this morning?"

A nurse is working with a client who has frequent angry outbursts. Which statement is most helpful when working with this client?

"Anger is a normal feeling, and you can use it to solve problems."

A nurse has been present for the hospital death of a Muslim client who was surrounded by family members when the client passed. The nurse demonstrates appropriate cultural considerations when stating:

"Are there any rituals you will observe here for your loved one?"

The nurse is assessing a client in crisis. The client states, "I don't feel like I can go on anymore." Which of the following is the nurse's best response?

"Are you having thoughts of hurting yourself?"

The nurse is assessing a client who has been referred for disturbed sleep due to increased anxiety and low mood. In order to determine the role of emotions in the client's stress response, the nurse should ask which question?

"Can you tell me how you have been feeling most of the time for the past month?"

What question should nurses ask themselves to determine if the care they provide to the grieving client has been both therapeutic and client focused?

"Do I have the strength to be present and to facilitate the client who is grieving?"

The nurse is conducting an interview with an adult client who is being treated for major depression. What question should the nurse prioritize in an effort to determine the client's risk for suicide?

"Do you ever feel like your situation is hopeless?"

The mother of a 5-year-old child asks the nurse if the child should attend their grandfather's funeral. Which question should the nurse ask first to assist the mother in making this decision?

"Does the child have a basic understanding about death?"

A preschooler appears frightened after the death of his grandmother. Which of the following statements by the parent would be most helpful in reassuring the child at this time?

"Grandma has died and is not coming back, but we will always remember her."

The best way to assist a preschool-aged child to deal with death is to tell the child which of the following?

"Grandpa has died."

A psychiatric nurse is assessing a client with post-traumatic stress disorder (PTSD). During the psychosocial component of the assessment, what assessment question should the nurse include?

"How are your symptoms affecting your day-to-day routines?"

A 52-year-old woman comes to the clinic reporting hot flashes. Further assessment reveals night sweats and nausea. The nurse suspects that the client may be experiencing menopause. When addressing this topic with the client, which statement would be of concern to the nurse?

"I'll have to get used to not being a woman anymore."

The nurse is assessing a female client who discloses she is having thoughts of killing herself. The client tells the nurse she owns a gun. The client tells the nurse she is not ready for anyone to know she feels this way and would prefer that the information not be shared with anyone else. What is the nurse's best response?

"I'm going to keep you safe. In order to do that I need to share how you are feeling with the health care team."

The nurse is interviewing a client with a diagnosis of depression and the client states, "Honestly, I know my family would be a lot better off if I wasn't around to be a burden on them. That's just between you and me, though, okay?" What is the nurse's best response?

"I'm obliged to share what we talk about with the other people on your care team."

A male client with advanced heart failure was being cared for by his 15-year-old son and his family. The person recently died and the home health care nurse is making a home visit to the family to assess how the family is coping with the death. When interviewing the 15-year-old family member, which statement would the nurse most likely expect to hear?

"I've been getting support from my friends."

An elderly client who lives alone is beginning to have difficulty maintaining the household and performing daily tasks. The nurse asks the client to identify someone who can help. The client replies, "I don't need help. I've been managing for years." Which response helps the client shift from denial to consciously coping with the situation?

"If you were to need help with your house, who might you ask for help?"

The nurse is providing counseling to a client who has been experiencing anxiety and sleep disturbance. While providing education to the client, in which way can the nurse best describe allostatic load?

"It is the wear and tear on your body from having stress over a long period of time."

A nurse is working with the family of an older adult patient who no longer is able to live alone at home. The family is discussing options for residential care. When assisting the family with decision making, which aspect would be most important for the nurse to emphasize?

"Make sure that the facility you choose can provide the care that is needed based on the patient's current abilities."

A nursing instructor is lecturing about psychosocial risk factors. The instructor identifies a need for further teaching when a student makes which of the following statements?

"Men are more prone to anxiety and depression."

A nurse is conducting presentation at a local community health center about caregiving in the home. One of the participants asks the nurse, "Who is the typical caregiver?" Which response by the nurse would be most appropriate?

"Most often, it's the woman in the household that is the caregiver."

A nurse is conducting a class about informal caregivers for a group of nurses who work at several of the primary care offices in the local community. One of the group members says, "We have quite a few patients in our practice that are receiving care from a family member, like a spouse. And I know that this is a fairly common practice. But I'm wondering, about how long does this caregiving situation typically last?" Which response by the nurse would be most appropriate?

"On average, care lasts about 4 years."

A nursing instructor is teaching about mental health promotion for young and middle-aged adults. Which of the following statements by a student indicates a need for further instruction?

"Psychological changes in adulthood occur rapidly with age."

A psychiatric-mental health nurse is conducting an in-service education program about suicide for a group of nurses working at a community mental health center. The nurse determines that the teaching was successful based on which statement by the group?

"Suicide has profound effects on those connected to the individual."

Which statement by the nurse would be most appropriate to a colleague who very quietly and numbly tells the nurse that the colleague had arrived at the scene of an automobile-pedestrian accident and unsuccessfully performed CPR on a victim 3 days ago? The nurse and her colleague are sitting in the break room and no one else is present.

"Tell me what you saw."

A client with a diagnosis of depression tells the nurse that the client's mood was especially bad this morning but that the client pushed through it to attend a support group. How can the nurse best validate the client?

"That shows an admirable level of perseverance on your part. Well done!"

A nursing instructor lecturing about death and grief realizes a need for further instruction when a student states what?

"The grieving process is the same for children and adults."

When conducting a suicide risk assessment with a client, the nurse should identify the client as a high imminent risk if which statement is made?

"There are no solutions to my problems."

A group of nurses are attending a seminar on suicide and possible risk factors associated with it. Which statement by the leader would be most appropriate?

"There is no one risk factor associated with suicide."

A psychiatric-mental health nurse is conducting a presentation for a local adult community group on suicide and suicide prevention. One of the participants asks, "What puts a person at risk for suicide?" Which response by the nurse would be most appropriate?

"There is really no single factor that puts a person at risk."

The nurse is assessing a client with depression and a colleague suggests that the client be encouraged to sign a no-suicide contract. What is the nurse's best response to the colleague?

"There's no demonstrated benefit of no-suicide contracts, though they're not believed to be harmful."

A nurse is working with a young adult on ways to manage stress to reduce the client's risk for additional mental health problems. The nurse is describing protective factors. Which information would the nurse most likely include?

"They help to reduce the probability that you will develop a mental health disorder."

While participating in a group discussion about mental health promotion in the young and middle-aged adult populations, one of the group members asks, "Why the focus on these age groups. They are just part of every person's development, just like adolescence and being an older adult." Which information would be most important to include when responding to this member?

"Thinking has changed over recent years. These stages are not viewed as a plateau anymore."

After an angry outburst, a client quickly appears more calm and rational. The nurse approaches the client. Which is the most helpful response to the client at this time?

"What happened that got you so upset?"

The nurse is seeing a client who is the primary caregiver for a parent with dementia. The client reports having a low mood and anxiety. The client tells the nurse, "I think I am completely burnt out." Select the nurse's best response.

"What has helped you in the past when you have felt like this?"

A new nurse asks the nurse manager about the best intervention to use when trying to de-escalate a potentially violent client. Which response would be most appropriate?

"What works best is what fits the client and the situation."

A nurse is providing care to a woman who has just delivered a stillborn baby. Which would be the most appropriate nursing response to address the woman's grief?

"Would you like to hold your child?"

The nurse is conducting a mental health assessment of a client who has been experiencing low mood, anxiety and loss of pleasure for the past month. The client tells the nurse he comes from a "really big family." Despite this, the client tells the nurse he continues to feel alone. Select the nurse's best response.

"You can have lots of people in your social network and still feel isolated."

A nurse is assisting a middle-aged adult to adjust to the changes in bodily function and appearance that are occurring. When developing a teaching plan for this patient, which suggestion would be most appropriate for the nurse to include? Select all that apply.

-"Keep a regular routine for when you are getting ready to go to bed each night." -"Maintain regular visits to your health care provider for routine screenings." -"Ensure that you plan for times to relax and enjoy things you like to do."

A nurse is assessing several adult clients. Which client would the nurse classify as experiencing young adulthood? Select all that apply.

-22-year-old married female -35-year-old divorced male

A nurse working at the community clinic is assessing several clients. Which client would the nurse most likely identify as belonging to the middle-aged population? Select all that apply.

-47-year-old separated female. -64-year-old married female. -58-year-old widowed male

A nurse is working with a group of middle-aged clients to address the changes in body function occurring with aging. Which activity would be appropriate for the nurse to suggest? Select all that apply.

-Adhering to a nutritious diet -Maintaining regular health screenings -Using positive stress management strategies -Participating in a social support network

A nurse is developing a plan of care for an older adult with a chronic illness. Which intervention would be most appropriate for the nurse to include when communicating with the older adult? Select all that apply.

-Allowing the client enough time to answer the question -Keeping the discussion focused on one topic at a time

A nurse is conducting a class for a local community group about how to deal with anger in constructive ways. When discussing the benefits of managing anger constructively, which of the following points should the nurse include? Select all that apply. *

-An improvement in mood -Improved overall health -Improved blood pressure control

A nurse is reading a journal article about aging. Which quality would the nurse expect to find as contributing to successful aging? Select all that apply.

-Being able to adapt to change -Being involved in life -Achieving stability -Maintaining physical health

A psychiatric-mental health nurse is working with a team to implement community programs to promote the mental health of young and middle-aged adults. On which area would the team most likely focus their interventions? Select all that apply.

-Coping with the challenges of this stage of life -Preventing depression -Dealing with societal pressures -Preventing suicide -Accessing needed services AOTA

A psychiatric-mental health nurse is reading a journal article about anger and links to medical conditions. Which condition would the nurse most likely find as being associated with excessive outwardly directed anger? Select all that apply.

-Coronary heart disease -Metabolic syndrome

A psychiatric-mental health clinical nurse specialist is conducting an in-service program for a group of psychiatric-mental health nurses working at a community mental health center. The clinical nurse specialist is describing mental disorders common in men and women. Which disorder would the nurse most likely identify as being more common in women than men? Select all that apply.

-Depression -Anxiety

Assessment reveals that a client has faced numerous challenges and stresses over the past ten years and has implemented coping strategies to deal with these stresses. The client reports that relaxation and distraction have worked well, but music therapy, biofeedback, and confrontation were less effective. When assisting the client with implementing coping strategies for stresses that may arise presently and in the future, which strategy would the nurse most likely encourage? Select all that apply.

-Distraction -Relaxation

A nurse is assessing a young adult for risk factors for mental disorders. Which factor would the nurse identify as a psychosocial factor? Select all that apply.

-Gender: Female -Marital status: Single, never married -Age: 29 years

A psychiatric-mental health nurse is teaching a class on stress and uses the example of a caregiver to show the group how stress can affect people in numerous ways. Which result would the nurse most likely identify as being related to the stress of caregiving? Select all that apply.

-Higher levels of other mental health problems -Higher levels of loneliness -Higher levels of depressive symptoms -Higher levels of anxiety

A nurse is providing care to an older adult. On reviewing the client's history and physical examination, which factor would the nurse identify as placing the person at risk for mental illness? Select all that apply.

-History of alcohol abuse -Comorbid heart disease and arthritis

A psychiatric-mental health nurse is conducting a presentation for a local community group about aggression and violence. When describing aggression, the nurse would include which aspect as an intent of the behavior? Select all that apply.

-Hurt -Belittling -Revenge -Control

A nurse is providing care to a sedentary older adult patient with osteoarthritis. The nurse is planning a structured exercise program for this client based on the understanding that research about this type of intervention has been shown to lead to which outcome? Select all that apply.

-Improvement in physical functioning -Reduction in anxiety symptoms -Prevention of the onset of depression

A nurse is reading a journal article about aging and the physiological changes associated with it. Which change would the nurse most likely read about? Select all that apply.

-Increase in body fat -Decrease in muscle mass -Reduction in renal tubular secretion

The nurse is working with a client who going through the process of getting divorced. In order to ensure the client is using healthy coping mechanisms, which activities should the nurse suggest? Select all that apply.

-Joining a fitness community -Taking nutrition classes -Going to bed at the same time every night

A nurse is conducting a program for a local senior center about older adults, depression and suicide. When describing factors that are strongly linked to an increased rate of suicide in older adults, which factor would the nurse most likely identify? Select all that apply.

-Lack of social support -substance abuse

The nurse working with older adults in a psychiatric facility knows that many changes occur in vital biologic structures and processes over time, which can lead to compromised physiologic reserves. For this reason, older adults cannot always manage everyday stresses. Which physiologic change would the nurse identify as impacting the older adult? Select all that apply.

-Loss of neurons in the brain -Decreased blood flow to the liver -Decreased amount of total body water -Dulling of the sense of smell

When applying the general aggression model, which area would the nurse most likely identify as an affect component? Select all that apply.

-Mood -Emotion -Expressive motor response

A nurse is working in a racially and ethnically diverse community mental health center. When implementing interventions aimed at reducing the rates of suicide, the nurse would target which group? Select all that apply.

-Non-Hispanic whites -American Indians -Alaska Natives

A nurse is working as part of a team to promote safe drug therapy in older adults. Which consideration would be most appropriate for the team to address? Select all that apply.

-Number of drugs that a client uses -Half-life of drugs being administered -Starting dosages of drugs -Use of over-the-counter medications -Health promotion strategies

Which of the following are characteristics associated with resilience? Select all that apply.

-Optimism -Social engagement -Emotional well-being

A nurse is working at a community health center that serves a large adolescent population. When implementing activities to address the risk-taking behaviors of adolescents, which strategy would the nurse most likely employ? Select all that apply.

-Peer group social skills training -Discussion that encourages questions about risky behaviors -Teens role modeling positive behaviors

The nurse is observing a client who is grieving. The adequacy of which area would be most important for the nurse to assess? Select all that apply.

-Perception regarding the loss -Support while grieving for the loss -Adequate coping behaviors during the process

Which interventions are effective in managing the environment to reduce or eliminate aggressive behavior? Select all that apply.

-Planning group activities such as playing games -Scheduling one-to-one interactions with the client -Providing structure and consistency in the unit

A nurse is reviewing an older adult's history for possible factors that would increase the client's risk for maltreatment. Which factor would the nurse most likely identify as placing the client at risk? Select all that apply.

-Poor health -Inadequate social support -Lower income

Adequate nutrition is an important factor in maintaining mental health. Which are problems that can result from undernutrition? Select all that apply.

-Pressure sores -Mental problems -Fatigue

A nurse who works at a local center for senior citizens is assessing several older adults. Which change would the nurse most likely identify as affecting their social roles ? Select all that apply.

-Retirement -Loss of partner -Changes in residence

A nurse is providing psychological first aid to a victim of a disaster. The client is extremely agitated and excited. When assisting the client, on which areas would the nurse most likely focus? Select all that apply.

-Safety -Comfort -Consolation

Family education concerning the safe care of a client with a history of suicide attempts includes what? Select all that apply.

-Signs and symptoms that indicate a mood change that could indicate the client is suicidal -Information regarding the stressors that trigger the client's suicidal ideations -Techniques to help the client cope with known triggers -List of emergency service telephone numbers

A nurse is providing care to a group of young and middle-aged adults in the community. The group consists of members who are divorced, separated, and living with a partner. Based on the nurse's understanding of health risks for this population, the nurse would most likely implement teaching in which area for this group? Select all that apply.

-Smoking cessation -Moderate alcohol consumption -Exercise and activity

A nurse is developing a program to address the lack of health promotion behaviors noted in young and middle-aged adults with mental disorders. When developing this program, which area would the nurse need to address? Select all that apply.

-Stigma associated with mental health problems -Inadequate dietary intake -Lack of exercise

A nurse is part of a team working on developing programs to promote an increase in the willingness of older adults to seek treatment. Which area would the team need to address? Select all that apply.

-Stigma associated with mental illness -Ease of access to services

A psychiatric-mental health nurse is working as a part of group to improve the unit culture to reduce the risk of violence. Which factor would the nurse identify as contributing to violence? Select all that apply.

-Strict authority hierarchy -Patronizing staff behavior -Lack of client privacy

A nurse is reading a journal article about substance abuse, families, and the effect on children. After reading the article, the nurse demonstrates understanding of the topic by identifying that children of parents engaged in substance abuse are at greater risk for which condition? Select all that apply.

-Substance abuse -Behavior disorders

When working with the survivors of a major natural disaster, the psychiatric health care team integrates knowledge of which concepts? Select all that apply.

-The period of recovery may last for years -There will likely be a major increase of psychiatric emergencies -Crimes such as looting will be viewed by many as being acceptable

The bereaved client has worked through many processes of grief with the nurse. Which are eventual outcomes of the emotional dimension of grieving? Select all that apply.

-The survivor begins to reestablish a sense of personal identity, direction, and purpose for living. -The survivor begins to gain independence and confidence. -The survivor develops new ways of managing life and new relationships.

The nurse is providing individual support to a female client who attends a group for people who have experienced loss of a family member to suicide. The client's son committed suicide one month ago. The client was not aware that her son experienced depression. Which risk factors for complicated grief are most likely for this client? (Select all that apply.)

-death of a child -sudden, unexpected death -death by suicide

What are clients with a history of damage to the cerebral cortex more likely to exhibit? Select all that apply.

-increased impulsivity -decreased inhibition -decreased judgment

The nurse educator is teaching a class on the biologic theories underlying suicide. Teaching has been effective when students identify which factor as playing a biologic role in suicide? Select all that apply.

-low levels of dopamine -serotonin dysfunction -childhood trauma

A nurse is describing the concept of resilience to a group of older adults. Which characteristic would the nurse include in the discussion about this concept? Select all that apply.

-optimism -social engagement -emotional well-being -fewer cognitive problems

When assessing risk of suicide, which are important assessment components? Select all that apply.

-seriousness of suicidal ideation -degree of hopelessness -previous attempt -lethality of method

A nurse is offering a support session to a client who is grieving the death of a partner. The nurse is correct in telling the client that the client is more likely to achive positive outcomes if which conditions are present? Select all that apply.

-the client pays attention to self-care needs -the client understands why the partner died -the client is attending a support group

A nurse is assessing an older adult's crystalized intelligence. Which area would the nurse evaluate? Select all that apply.

-topical knowledge -language skills

A nurse is reviewing the history of an older adult who is experiencing memory problems. Which factor would the nurse identify as most likely playing a role? Select all that apply.

-use of multiple medications -recurrent infections -hearing deficit -history of lung disease

A nurse has determined that a client requires restraint. Based on guidelines, the nurse contacts the physician who must examine the client within which time frame?

1 hour

A nurse is reviewing a journal article about the marital status of the population of the United States. Place the marital status in the proper order from largest to smallest percentage of the adult population.

1Married 2Never married 3Divorced 4Widowed 5Separated

A nurse is reviewing a report from the Centers for Disease Control about older adults and mental disorders. The nurse would most likely find which percentage of older adults as experiencing a significant mental disorder?

25%

The nurse working with a child using instruction, feedback, support, and practice with learning behaviors that help children to interact more effectively with peers and adults refers to ...

Social skills training

During a program on aging, mental health and biologic risk factors, one of the participants asks the nurse, "I know that everyone ages at a different rate, but at about which age does the body begin to show changes in functioning that can affect a person's physical and mental health?" Which age would the nurse give in response?

30 years

A nurse is assessing several young adult clients. A client at which age would be considered as being in the optimal state of health?

30 years ***

Which type of intervention may be helpful for children who are bullies?

Social skills training

Assesssent of a client reveals a Level I social support network. The nurse interprets this as consisting of

6 to 12 people

At approximately what age do children understand the permanence of death?

7

A nursing instructor is teaching about how death affects children at different ages. At what age does the teacher tell students that most children can understand the permanence of death?

7 years

A nurse is assessing several older adult patients. When reviewing each patient's medical record, which patient would the nurse most likely identify as being at greatest risk for functional decline?

78-year-old with cognitive impairment

The nurse is facilitating a wellness group which includes a client who was suspended from work for an angry outburst. The client most likely has the characteristics of which personality type?

A

A nurse is assessing several clients. Which client would the nurse identify as being at highest risk for carrying out a suicide plan? *

A client who says, "I'm going to jump off the next bridge I see."

The nurse is preparing a community education session on suicide awareness. Which point should the nurse include in the presentation?

A firearm in the home increases the risk that a person will complete suicide.

Mary is a 71-year-old woman whose husband just died from cancer. The nurse is concerned for Mary due to the following relationship between loss and health:

A lack of social support tends to affect health and may lead to increased mortality.

Which assessment findings can most accurately be described as complicated grieving?

A person is unable to return to work after a sister's death 18 months ago

Which of the following clients exhibits the most realistic perception of his or her present crisis?

A woman newly diagnosed with lung cancer laments the fact that she has never made a sincere effort to quit smoking.

When working with young and middle-aged adults to promote mental health, which outcome would be the priority?

Achieving self-actualization

After being diagnosed with a chronic disease, a client has been feeling depressed. Which diagnosis has the strongest association with an increased suicide risk?

Acquired immunodeficiency syndrome

While working in a psychiatric-mental health facility, a nurse notices a client pacing back and forth and sees that he is becoming increasingly agitated. Which of the following would be an important step in communicating with the client to prevent the escalation of aggressive behavior?

Attempt to discover the source of distress

The nurse is told by a client that the client is having suicidal thoughts. Which intervention has lowest priority?

Administering a mental status exam to assess for psychosis

A nurse is reading a journal article about out-of-home placement. Which age group would the nurse most likely find as accounting for about half of this population of children?

Adolescents

In which age group would a nursing student expect to see a person fascinated with death and enjoying morbid books and movies?

Adolescents

The frequency of grandparents raising grandchildren in co-parenting and custodial households occurs most frequently in which family?

African American

A nurse is giving a talk at the local Chamber of Commerce and discusses how steady employment is beneficial to mental health. Which group of people does the nurse tell the audience has been reported in 2010 to have the highest unemployment rate in the United States?

African Americans

A nurse is reading a research article about the prevalence of suicide in different age groups. Which age group would the nurse most likely find as having the highest prevalence?

Ages 18 to 25 years

According to Selye (1956, 1974), which stage of reaction to stress stimulates the body to send messages from the hypothalamus to the glands and organs to prepare for potential defense needs?

Alarm reaction

The nurse is seeing a client who experienced a traumatic event. The client describes being held at gunpoint while working at a convenience store. The client tells the nurse, "it's like my heart was going to beat through my chest." The nurse recognizes the client is describing which stage of general adaptation syndrome?

Alarm reaction

Men are more prone to show problems in which area of mental health?

Alcohol abuse

While studying older adults and challenges they face with age, the nursing student learns that all five senses decline in acuity. Which of the following is correct in regards to the decline in senses?

All five senses decline with age, usually beginning in the fourth and fifth decades of life.

After teaching a class about aggression and violence, the instructor determines that the education was successful when the class states which of the following?

All violence is aggressive.

A nurse is reviewing a research study about suicide rates and recent increases. Which racial/ethnic group would the nurse find as having the greatest recent increase in suicide rate?

American Indians

Which of the following statements best defines crisis intervention?

An active but temporary entry into the life situation of an individual, a family, or a group during a period of stress

A possible outcome of surveying a disaster is that the surveyor often experiences

An exaggerated fear for his or her safety

The parent of a suicidal adolescent is concerned that "only crazy people commit suicide." When helping the parent understand a daughter's suicidal behavior, the nurse would explain what?

Analysis of suicide notes reveals that most people who commit suicide are extremely unhappy.

Which describes a strong emotional response to a real or perceived provocation?

Anger

The nurse is seeing a 43-year-old client whose spouse just died by suicide. Which is a common emotional response that the nurse should anticipate from this client?

Anger toward the loved one who committed suicide

A middle-aged man comes to the clinic for an evaluation. During the visit, the client says, "When I was younger, I was quite a lady's man. But now, it's a different story. My body doesn't work like it used to." Further discussion reveals that the patient is experiencing a lower sex drive and requires more time to achieve an erection. Based on these findings, the nurse would be alert for signs and symptoms related to which condition?

Anxiety

The nurse caring for a client who is high risk for suicide on a psychiatric inpatient unit can help the client re-establish a sense of control by including what in the client's care?

Asking the client about diet preferences for meals

A psychiatric-mental health nurse can best prevent suicide by performing what action?

Assess clients carefully for the warning signs of suicide

The policies and procedures at a community psychiatric-mental health center include an emphasis on case finding. How can a nurse at the center best perform case finding?

Assessing all clients carefully to identify those at risk for suicide

A client who lost a child as a result of an automobile accident by an impaired driver is seen by the nurse in an outpatient mental health clinic. He is exhibiting signs of depression in the context of complicated grief. During the session, the nurse should recognize which of the following as a priority?

Assessing the client for suicidal ideations

The psychiatric mental health nurse is working with a client who has been diagnosed with posttraumatic stress disorder (PTSD). Assessment reveals that the client is experiencing frequent episodes of intrusion. The nurse should consequently prioritize what assessment?

Assessing the quantity and quality of the client's sleep

A nurse is working as part of a disaster response team in a local community. Which activity would the nurse most likely be involved with during the recuperative phase of the disaster?

Assisting with reconstructing the community

A nurse is assessing a 42-year-old at the clinic. During the assessment, the client states, "I've noticed that I've been gaining weight even though I'm eating the same as I used to eat when I was a bit younger. What's going on?" When responding to the patient's concern, which information would be most important for the nurse to keep in mind?

Basal metabolic rate is at maximum functional capacity at age 30 years

A family of four children recently lost their father and require intervention because they are not handling the stress related to his death well. The nurse has instructed the children and mother to read several books about the death of a parent and how the family responded to the crisis. This is an example of which of the following?

Bibliotherapy

A nurse is working with a couple who are planning to start a family. The nurse is providing anticipatory guidance and discussing changes that can occur in the couple's social relationships as their family changes. The nurse would most likely identify which time as playing a role in limiting the couple's social network?

Birth of the second child

Significant biologic changes occur in later adulthood. The physiological changes refer to

Blood flow in the liver decreases

A nurse is working with a couple who is in the process of divorcing. After discussing the effect of divorce on children's mental health, the nurse determines that additional teaching is needed when the couple identify which factor as protecting the children's mental health?

Boundary-free home setting

While interviewing an older adult client, the client states, "Even though I'm getting a small pension, I'm still working four days a week." The nurse interprets this statement as reflecting which concept?

Bridge employment

An angry client has just thrown a chair across the room and is racing to pick up another chair to throw. The most appropriate action by the nurse would be what?

Call for an emergency response from trained personnel.

A nurse is discussing the process of aging with a group of community health nurses. When describing the concept of positive mental aging, which concept would the nurse most likely emphasize as crucial?

Capacity to be resilient

The nurse is caring for a client that has a history of being neglected. Which role of the nurse is most likely to create difficulty for the nurse-client relationship if the client confuses physical care with intimacy and sexual interest?

Caregiver

An informal caregiver comes to the clinic for a follow-up visit. When assessing the caregiver, the nurse determines that the caregiver exhibits the typical characteristics associated with an informal caregiver as described in the literature. Which finding would support the nurse's determination?

Caregiver is 69 years old

Some people try to express their angry feelings by engaging in aggressive but safe activities, such as hitting a punching bag or yelling. Which of the following terms is used to describe an activity used to release anger?

Catharsis

Which term is used to describe an activity used to release anger?

Catharsis

A psychiatric-mental health nurse is reviewing information about biologic theories associated with aggression. The nurse identifies which structure as being primarily involved?

Cerebral cortex

A client is learning to cope with anxiety and stress. The expected outcome is that the client will

Change reactions to stressors

A nurse is assessing a client's bereavement process. Which behavior would the nurse interpret as indicating that the client has achieved the healing phase?

Client verbalizes acceptance of the loss emotionally.

A client has just been admitted to the inpatient psychiatry unit following a suicide attempt. During the client's first 24 hours of care, what outcome should be identified?

Client will express that the client feels safe on the unit

The nurse decides to place an aggressive and violent client in mechanical restraints. The nurse bases this decision on what?

Client's safety

The nurse decides to place an aggressive and violent client in mechanical restraints. The nurse bases this decision on which of the following?

Client's safety

Which psychiatric medication is most protective against suicidal thinking and behavior for clients with schizophrenia?

Clozapine

Which of the following terms, according to Lazarus, refers to the process through which an event is evaluated, with respect to what is at stake and what might/can be done?

Cognitive appraisal

The school health nurse is offering community education to adolescents regarding the impact of stress on the body. When providing information about the body's physiological response to stress, the nurse should include which point?

Dysregulation of the body's autonomic responses is the result of prolonged exposure to cortisol.

The child's response to divorce is similar to which of the following?

Death

In middle-aged men, a decrease in testosterone results in which of the following?

Decreased sex drive

Physiological changes related to sexuality in older men include which of the following?

Decreased urgency for ejaculation

A client visits the clinic and tells the nurse that no matter how difficult the client's child acts, the client simply cannot express any anger. The nurse should plan to assess the client for symptoms of which mental health condition?

Depression

Studies of attachment show that the quality of the emotional bond between the child and parental figure is a ...

Determinant of the success of later relationships

A nurse is beginning the process of providing therapy to a client with anger management problems. When implementing this therapy, which should occur first to promote optimal effectiveness?

Development of a therapeutic relationship

The nurse working with pediatric clients knows the importance of checking for developmental delays, which not only slow the child's progress but also are often associated with what?

Development of poor self-esteem

A nurse is providing care to a 48-year-old client. Which change would the nurse identify as common in this age group?

Difficulty hearing high-pitched tones

A nurse is reviewing the results of the Behavioral Risk Factor Surveillance System. Which factor would the nurse most likely expect to find as contributing to low well-being?

Disabilty

The nurse is having feelings of judgement regarding a client's contributory behavior to an automobile accident that resulted in deaths. Which action would the nurse take?

Discussing the nurse's personal feelings with a peer or a counselor

A helpful approach used by nurses working with adolescents is

Discussion

Which of the following conditions triggers the general adaptation syndrome?

Distress

An example of a situational crisis is

Divorce

A nurse is assessing a client for biologic risk factors for mental illness with aging. Which finding would the nurse identify as being the most obvious?

Dry, loose skin

Children whose parents divorce often blame themselves and think that they are the root of the problem. Which type of thinking may cause these thoughts?

Egocentric thinking

A client being evaluated in the emergency room can not speak logically or follow directions. The client's family states she has been under a great deal of stress for about six months. Which of the following stages of Selye's stress adaptation stages is the client experiencing?

Exhaustion

Which stage of Hans Seyle's general adaptation syndrome (GAS) occurs if homeostasis is not achieved during stress?

Exhaustion

Which characteristic would best describe the young and middle-aged adult population of the present time?

Expanded chronological lifespan

Which of the following techniques utilized during crisis intervention would be detrimental to the client if utilized by the mental health nurse?

Explaining that the client is exhibiting an abnormal reaction

A nurse is leading an anger management group in the inpatient program. A client says, "I'm feeling really tense, and I'm fidgety today." What is the nurse's most appropriate response to the client's comment?

Explore what is underlying the client's physical and emotional state

When lecturing about dissociative disorders to a group of nursing students, a nurse states that an essential feature of these disorders involves what?

Failure to integrate identity, memory, and consciousness

During an interview, a child whose parent abuses alcohol tells the nurse, "When I get home from school every day, I pick up my younger brother and sister from the bus stop and get them a snack before I start making dinner for everyone. I also make sure that my parents eat." The nurse interprets this behavior as the child fulfilling which role?

Hero

The tendency for suicide to have a "contagious" effect is most likely to occur among what age group?

High school students

A nurse is helping a male client recognize the impact of stressful events on his health. Using the Recent Life Changes Questionnaire, the client learns that the most stressful life change is which type?

His mother was just diagnosed with cancer

The nurse is working with a client who lost the client's youngest child 2 months ago. When the nurse approaches, the client yells, "I don't want to talk to you. You have no idea what it's like to lose a child!" The nurse bases a response to the client on the understanding of what?

Hostility is a common behavioral response to grief.

Which is a true statement regarding anger?

Humans can choose to slow their reactions and to think and behave differently in response to various events.

Which personality trait is associated with aggressive behavior?

Impulsivity

A nurse is preparing a client for discharge. As part of the discharge process, the nurse provides education to the client regarding safety from self-harm. Which intervention should the nurse employ?

Include family members to provide a better understanding of symptoms of the illness

A client who has been awaiting the results of a bone marrow biopsy for several days is experiencing stress as a result of uncertainty and the possibility that abnormal cell growth may be detected. A physical examination and blood work would most likely yield which of the following results?

Increased blood pressure and heart rate; increased antidiuretic hormone (ADH)

In the stress response, what is consistent with activation of the sympathetic nervous system?

Increased blood sugar

Which of the following is a sympathetic-adrenal medullary response to stress?

Increased heart rate

A 35-year-old women comes to the local health center with a large mass in her right breast. She has felt the lump for about a year but was afraid to come to the clinic because she was sure it was cancer. What is the most appropriate nursing diagnosis for this client?

Ineffective coping

To care for an acutely suicidal client, which is the most effective initial mode of treatment?

Inpatient care

The nurse is conducting a history and physical exam on a client who is grieving the unwanted loss of a marriage by divorce. Which physical symptom of grief would the nurse most likely expect to detect in the history?

Insomnia

Nurses working with older adults may use Erikson's eight stages to assess level of development. Which of the following developmental tasks is specific for late adulthood?

Integrity versus despair

The nurse is working in a long-term care facility providing care to a group of older adults. When assessing the clients' personalities and intelligence, which information would be most important for the nurse to keep in mind?

Intelligence and personalities are stable across the lifespan in the absence of disease.

A psychiatric-mental health nurse is conducting a presentation about grief responses and bereavement processes. The nurse determines that the teaching was successful when the group uses which information to describe grief responses?

Intense reactions to the loss of a loved one

A group of nurses are reviewing information about anxiety the body's response to stress. The nurses demonstrate understanding of the information when they identify the parasympathetic nervous system as being involved with which activity?

It is activated at the end of the resistance stage.

An elderly man tells the nurse that his wife died 1 year ago and that he cannot stop grieving her loss. Social assessment reveals that the loss of his wife has left the client without a key supportive member of his social network. The nurse should encourage the client to consider which action?

Join a lawn bowling league

Several of the inpatients on a hospital's psychiatric-mental health unit are at risk for suicide. When implementing best practice for these patients, which action woudl be appropriate?

Keeping restriction s to a minimum while still ensuring the patients' safety.

A nurse is providing spiritual support to an older adult. Which area would the nurse most likely address? Select all that apply.

Living in the present

A nurse is reviewing the statistics about children and families and current family structure. Applying the data about children living in the U.S. and under the age of 18 years, which living situation would the nurse identify as most common?

Living with both parents

A child who has witnessed the murder of a classmate while at school would experience which kind of loss?

Loss of safety

A nurse must assess for characteristics that are predictive of violent behavior. Research suggests violent behavior is influenced by possession of which attribute? *

Low self-esteem

A nurse is preparing a presentation for a community group about mental health and mental illness in young and middle-aged adults. Which information would be most important for the nurse to include?

Most individuals with mental disorders do not come to the attention of mental health professionals.

The nurse recognizes the importance of transcultural considerations in the assessment and care of clients at risk for suicide. Which of the following statements most accurately describes an aspect of these considerations?

Most suicide victims in the United States are white males.

A nurse is conducting a psychoeducational program for a family. When conducting this program, the nurse would focus on which concept?

Normalization

What is accurate regarding a crisis?

Occurs when an individual is at a breaking point

With regard to developmental stages, which of the following is true about older age?

Old age is a period of continued growth and development with its own tasks.

A nurse's response to aggressive behavior on the unit is influenced by the which ability of the nurse?

Own awareness and reaction to aggression

A psychiatric-mental health clinical nurse specialist is conducting a program about siblings and sibling rivalry at the community center. The audience is parents who are expecting their second child. When information would the nurse most likely include in the program? Select all that apply.

Parents play a major role in helping each child develop a separate identity.

Which of the following is the best predictor of future behavior?

Past behavior

Which of the following would not be essential to assess when working with a person in crisis?

Past history of mental health care

A nurse is preparing a program for adolescents to promote mental health. When developing the program, which intervention would the nurse address first?

Peer group education

A nurse is conducting a class for a group of colleagues about crisis. Which information would the nurse most likely include as being most influential on the outcome for a person experiencing a crisis?

Perception of the precipitating event

Which of the following terms is used to describe behavior in which a person attacks or injures another person, or behavior that involves destruction of property?

Physical aggression

The nurse visits with a client who was recently in a motor vehicle accident. Which is most likely to prevent the client from experiencing complicated grief?

Places trust in people who are familiar to him or her

Risk factors for suicide in older adults include

Poor health

An elderly client comes to the clinic and reports poor sexual performance. After a thorough examination and laboratory tests, the physician diagnoses erectile dysfunction. Which of the following should the nurse anticipate in this client?

Poor self-esteem

The primary nursing goal for a client who is admitted for suicidal ideation or attempt would be what?

Prevent self-destructive behavior.

The nurse is assessing a group of clients on an inpatient psychiatric unit. The nurse determines that a client most likely to be violent has what?

Previous episodes of rage

For a client with dissociative identity disorder, the nurse understands that the disturbed personal identity is most likely related to which characteristic?

Unresolved childhood abuse issues

A nurse has been caring for a gunshot victim who has just died. Various family and friends are present. One of the visitors privately discloses to the nurse that the visitor and the client were having an illicit affair. Which is the best action by the nurse after learning of this relationship?

Privately offer support to the visitor who was having the affair with the client

The nurse is seeing a female client who has been experiencing stress due to financial pressure. The client tells the nurse she found a second job so that she earn additional income. The nurse recognizes the client is using which coping style?

Problem focused

The client with a history of explosive outbursts becomes angry and states, "I am really getting angry." The nurse sees this as

Progress

A client has admitted to the nurse that the client is "tempted to end it all." How can the nurse prevent a future malpractice lawsuit if the client makes a suicide attempt?

Promptly act on, and document, the client's statement.

A nursing instructor is teaching students about factors associated with mental disorders. Which of the following does the instructor tell the class are characteristics that reduce the probability of developing a mental disorder?

Protective factors

A 38-year-old man has just received word that his latest computed tomography (CT) scan of his head indicates an inoperable brain tumor that is associated with an exceptionally poor prognosis. The man has confided to the nurse, "I think that this is punishment for being unfaithful to my wife, and she doesn't even know that." The nurse would recognize a possible deficit in which of the balancing factors affecting the client's crisis response?

Realistic perception of the event

To integrate feedback about the effects of coping, and to allow for continual processing of new information refers to

Reappraisal

A nurse is conducting a program about mental illness. During the program, the nurse is encouraging the group to view mental illness in the same manner as any physical disorder. The nurse is working to achieve which goal by this action?

Reducing the stigma of mental illness

One of the first steps that a nurse should take to deal effectively with aggressive clients is what?

Reflect on abilities to handle own feelings of anger

Girls who bully are more likely to use which of the following?

Relational aggression

A nurse is describing a client having a Type B personality. The nurse is describing the client as

Relaxed

A mother tells a nurse that she is very stressed at home. She informs the nurse that she has not only her elderly parents to look after but also her son, who recently graduated from college, is married with a baby, and has moved with his family into her home. What term best describes this scenario?

Sandwich generation

A nurse is reviewing the history of a family in which a parent has a history of alcoholism. One of the children has been exhibiting behavior problems requiring a focus on interventions to address the child's problems. The nurse identifies this child as assuming which role in the family?

Scapegoat

Which of the following describes a child of a parent diagnosed with alcoholism who diverts attention away from the parent with alcoholism?

Scapegoat

A client is diagnosed with intermittent explosive disorder. A nurse would expect to administer what as part of the treatment plan?

Selective serotonin reuptake inhibitors

A client is diagnosed with intermittent explosive disorder. The nurse understands that this disorder is associated with which neurotransmitter?

Serotonin

Low levels of which neurotransmitter may lead to aggressive behavior?

Serotonin

The nurse is caring for a client hospitalized in an inpatient psychiatric setting for a history of violent behaviors and delusions. The nurse should instruct the client's family that aggression has been linked to low levels of which bodily chemical?

Serotonin

A 15-year-old client comes to the clinic in a state of crisis because her boyfriend has ended their relationship. Which type of crisis would the nurse describe this as?

Situational

While assessing a client, the client states, "I just graduated from college and got a job in a town that is nowhere near here. I'll have no family or friends close by. I've lived on my own before, but now I'm going to be all alone." The nurse interprets this information as supporting which type of crisis?

Situational

It is believed that for every death by suicide, how many additional people are affected?

Six

Physiologic symptoms and problems associated with grief responses are often a source of anxiety and concern for the grieving person as well as for friends or caregivers. Which of the following is the most frequent and persistent bereavement-associated symptom(s)?

Sleep disturbances

A nurse is assessing a client experiencing grief reaction. Which finding would the nurse expect to note as an emotional grief response? Select all that apply.

Sobbing

The nurse is seeing a male client who has experienced difficulty initiating sleep three months after his mother's funeral. The client states he has begun drinking one glass of wine each evening and finds this helpful with his sleep. The nurse recognizes the client is in which stage of general adaptation syndrome?

Stage of resistance

Pre-existing genetic, biologic, and psychological vulnerabilities interact with negative or stressful life events to cause illness. This describes the

Stress-diathesis model

Trying to kill oneself and surviving the ordeal is identified as what?

Suicide attempt

A nurse is working with an older adult client and teaching the client about their condition. When implementing the teaching plan with the client, which strategy would be most appropriate to use?

Summarize important points periodically.

A client tells the nurse, "I'm taking care of a friend who is ill." The nurse interprets thist statement as reflecting which function of social support?

Tangible

The nurse is counseling a client couple who are trying to reconcile and hold their marriage together. During therapy the wife states, "He makes me so mad when he spends all his weekend time with his friends instead of us. He makes me want to hurt him back." Using concepts from assertiveness training and effective communication techniques, the nurse implements which intervention after hearing the wife's remarks?

Teach the client to make "I" statements.

A nursing instructor is discussing biologic changes with aging. When discussing such changes in middle-aged men, decreases in which hormone would the nurse identify as responsible for a lower sex drive, more time needed for erection, and production of fewer sperm cells?

Testosterone

A nurse is discussing the differences that occur in cognition with aging and that the variability can be partially explained by the concept of cognitive reserve. Which information would the nurse most likely include?

The body's resistance to declining brain functioning

A nurse is talking with a group of seniors at a senior center about living longer. One of the seniors asks the nurse, "I've heard that being positive helps you to live a longer life, but why?" Which information would the nurse most likely integrate into the response?

The cause is not known.

A client with a diagnosis of schizophrenia has been admitted to the psychiatric mental health unit following a suicide attempt. Shortly after admission, the client has agreed to a commitment to treatment statement (CTS). What effect will the CTS have on the client's inpatient care?

The client explicitly agrees to participate in all aspects of treatment

The nurse has been contacted by the parent of an adolescent who has posted a note on social media about the desire to kill oneself. Which additional sign is a warning that there is an acute risk of suicide for the client?

The client has been stealing prescription medication from home.

The nurse is working with an inpatient who has a history of suicide attempts. What action by the client should the nurse follow up on because it may constitute a suicide planning behavior?

The client has requested extra bedding despite the warm weather

The nurse is evaluating the effectiveness of the crisis intervention. Which of the following indicators suggests that the intervention has been effective?

The client has resumed his usual level of functioning.

The nurse is interviewing a client who has been diagnosed with posttraumatic stress disorder (PTSD) after being randomly attacked with a gun. The client describes a recent event where the client panicked and jumped for cover when a car backfired on the street. How should the nurse best interpret this event?

The client is experiencing hyperarousal

A client who has been admitted for an appendectomy states, "I'm really afraid of the surgery because my mother died when she was admitted for an emergency surgery." When preparing to work with the client concerning this anxiety about the surgery, the nurse recognizes what?

The client is expressing fear about the surgery. The client's fear is the body's physiologic and emotional response to a known danger.

A client with a diagnosis of posttraumatic stress disorder (PTSD) tells the nurse, "When things get really bad, it sometimes feels like I'm not even in my body, like I'm floating around and watching myself." How should the nurse best interpret this client's statement?

The client is likely experiencing derealization as a result of PTSD

A client has been treated following a suicide attempt. When providing anticipatory guidance during the client's discharge education, the nurse should teach the client that:

The client is likely to experience stigma around the suicide attempt from some people.

What assessment finding would suggest to the nurse that the client with posttraumatic stress disorder (PTSD) is experiencing dissociation?

The client is often "staring into space" and has no idea how much time has passed

The nurse is assessing a client who has presented to the emergency department in emotional distress. What client data represents the greatest risk for suicide? *

The client overdosed on pills 2 years earlier

The nurse is working with an outpatient who has a history of depression and suicide attempts. What assessment finding should the nurse interpret as indicating a high degree of planning for a future attempt?

The client recently purchased a large bottle of over-the-counter analgesics

The psychiatric mental health nurse is assessing a client who was diagnosed with posttraumatic stress disorder (PTSD) after the death of the client's child from a medical error. What assessment finding would most warrant interventions aimed at addressing the client's dissociation?

The client reports large gaps in memory of the traumatic event

The nurse is dialoguing with a client who has been referred after witnessing a workplace accident several weeks ago that resulted in a coworker's death. What assessment finding would support a diagnosis of posttraumatic stress disorder (PTSD)?

The client states that the client is often "awake for hours and hours each night."

The psychiatric-mental health nurse is working with a young adult client who has complex mental health and psychosocial needs. The nurse should identify what characteristic as constituting a risk factor for suicide?

The client was abused as a child by her stepfather

The nurse is establishing outcomes for a grieving client. Which is an appropriate outcome?

The client will develop a plan for coping with the loss.

For which client would the nurse be obligated to take immediate and focused action to prevent imminent death?

The client with depression who has been using alcohol and owns a gun

A client has experienced the death of a spouse. They were married for 50 years; the client depended on the spouse for simple activities of daily living. While assessing the client for depression, of what should the nurse be most aware?

The client's risk for physical illness is relatively high.

You are caring for a 4-day-old set of conjoined twins and their parents. The infants are doing well at this point, but the parents are each in a heightened anxiety state after being told that when the babies are separated one of them may become permanently disabled. By the statements the parents are making, the nurse knows they are cognitively appraising the situation their family is in. While talking with the parents, you note that the father of the babies has an aggressive stance, is speaking in a loud voice, and makes several hostile statements such as, "I'd like to strangle that doctor who told us our babies would be okay." You know that this father's cognitive appraisal has led to what?

The development of negative emotions

An electrician who has been working 14 to 16 hour days for several weeks presents to his family physician reporting persistent headaches and insomnia. The electrician experienced these symptoms last year when his business experienced financial difficulty. The family physician attributes the physical symptoms to ongoing stress. Which factor most likely contributed to the man's response to this stressful period of his life?

The fact that he has previously had difficulty coping with stress.

A client is scheduled for a mastectomy for breast cancer. She is quiet, shows little emotion, and states that she has no questions. The nurse's assessment would need to focus on

The meaning of the mastectomy to the client

A client who is a lawyer is meeting with a nurse therapist for the first time. The client has been highly anxious and increasingly consumed with thoughts about how he may have mismanaged a case and possibly committed malpractice. He relates that he has been pacing in his office and at home and cannot think clearly about what to do next. Which of the following interventions is appropriate at this time?

The nurse asks the client to relate the events that immediately preceded his feelings of anxiety.

Which nursing action would be a protective factor in the prevention of suicide for a client who has been identified at risk?

The nurse facilitates a referral to a drug and alcohol recovery program.

A nurse cared for a terminally ill client over a period of a month. The nurse found that spending time with the client was a pleasure. When the client died, the nurse experienced feelings of sadness, sleeping poorly, lacking energy, and feeling mildly depressed. Eventually the nurse explained the feelings to the nurse supervisor. The nurse supervisor is aware of what?

The nurse is experiencing disenfranchised grief.

In order to engage in therapeutic communication with an older adult, which of the following should the nurse consider?

The nurse should assess for hearing and visual deficits.

A client has developed posttraumatic stress disorder (PTSD) after a violent sexual assault committed by a close family member. When planning this client's care, the nurse should follow what guideline?

The nurse should avoid touching the client during interactions unless necessary

Which personality type is characterized by competitive and aggressive behavior?

Type A

The nurse understands that crises are self-limiting. This implies that upon evaluation of crisis intervention, the nurse should assess for which outcome?

The patient will resume the precrisis level of functioning.

A nurse is assessing a 42-year-old at the clinic. During the assessment, the client states, "I've noticed that I've been gaining weight even though I'm eating the same as I used to eat when I was a bit younger. What's going on?" When responding to the patient's concern, which information would be most important for the nurse to keep in mind?

The ratio of fat tissue to lean body mass increases with age. *

A situational crisis refers to

The result of an external source of severe stress the individual is not prepared to cope with effectively

Which is an accurate statement regarding women and suicide?

They are less likely to complete suicide than men.

Which of the following is accurate regarding risk factors?

They influence the likelihood that symptoms will appear

Violent television programs and video games expose children to aggressive models. What part, if any, are these forms of entertainment thought to play in the development of aggressive behavior in children?

They teach that aggressive behavior results in social recognition and defeat of enemies.

When viewing grief in various age groups, how do 5-year-old children view death?

They view death as reversible.

Women make how many suicide attempts for every attempt by their male counterparts?

Three

Which intervention would be most effective for friends and family members to implement in order to boost the self-esteem of a person who has just experienced trauma or abuse?

To help them to refocus their view of themselves from being victims to being survivors

A child has been hospitalized numerous times for problems related to recurrent and severe asthma attacks. As a result of the child's chronic illness, the child has had to limit his physical activity level, engaging in sedentary activities. While interviewing the parents, the child's mother says, "He's been so sick and so often, that we don't let him do anything for fear that his asthma might flare up again." The nurse interprets this statement as:

Vulnerable child syndrome.

A client who has been grieving the loss of the client's spouse 2 weeks ago says to the nurse, "The best part of my day is when I am back at work. Is that wrong?" The nurse states to the client that work and other daily activities serve which purpose?

Working is letting you take an emotional break from grieving. There's nothing wrong with that."

Most mental disorders occur among which age group?

Young adults

Nursing students are learning about psychosocial risk factors and correctly identify which of the following age groups as experiencing most mental disorders?

Young adults

Which client on the mental health unit should be assessed as being at highest risk for directing violent behavior toward others?

a client who has paranoid delusions and believes is being followed by members of the mafia

an internal crisis is

a disease process, or any number of external threats

A situational crisis occurs whenever

a specific stressful event threatens a person's physical and psychosocial integrity and results in some degree of psychological disequilibrium

The nurse is counseling a couple who have just gotten divorced. The wife has custody of the two children, ages 7 and 9 years. The nurse should instruct the couple that divorce can affect the children and that

a structured home and school environment can lessen the emotional problems.

According to the stage theories of grief, during which stage of grief and bereavement does social withdrawal occur?

acute mourning

A 3-year-old child has been admitted to the hospital after an automobile accident. The nurse can anticipate that the child will exhibit

anxiety around strangers.

A client who has been in recovery from alcohol abuse for over one year tells the nurse he is drinking 5 to 6 beers per night since the client's mother's death. Which is the nurse's most accurate explanation for the client's grief response?

behavioral

A client tells the nurse that he or she has a Type A personality. The nurse can anticipate that the client will be

competitive

Which type of grief occurs when a person is stuck in a state of chronic grieving?

complicated grief

developmental crisis continues to be used today to describe

significant maturational events, such as leaving home for the first time, completing school, and accepting the responsibility of adulthood

Which behavior is considered inconsistent with the clinical picture of a client who is becoming increasingly aggressive?

sobbing inconsolably

Which term describes a nonfatal, self-inflicted destructive act with an explicit or implicit intent to die?

suicide attempt

The nurse is caring for an adolescent client with a history of violence. Based on the nurse's understanding of psychoanalytic theories associated with anger, the nurse would most likely anticipate interventions focusing on which area?

suppressed drives

According to Johnson's systematic review of the literature about violence on inpatient psychiatric units, what is a predictor of violence?

suspiciousness

When working with a client with post traumatic stress disorder (PTSD), who has frequent flashbacks, the nurse should include which intervention?

teaching various relaxation techniques

The nurse is working with a client who has the tendency to "tend and befriend." The nurse identifies this is characteristic of:

the female response to stress.

A client is scheduled for a mastectomy for breast cancer. The client is quiet, shows little emotion, and states that she has no questions. The nurse's assessment would need to focus on:

the meaning of the mastectomy to the client.

A nurse in charge on a unit with a client who is receiving postoperative care for a below the knee amputation is deciding which nurse to assign to this client. Which nurse would be most beneficial for the client?

the nurse who has worked with the client before and after the amputation

A traumatic crisis is initiated by

unexpected, unusual events that can affect an individual or a multitude of people. In such situations, people face overwhelmingly hazardous events that entail injury, trauma, destruction, or sacrifice.

The psychiatric-mental health nurse is conducting an assessment of a client who has been under a large amount of interpersonal stress. In order to best assess the client's psychological domain, the nurse should:

use a broad introduction, such as "Let's talk about what you're feeling today."

A psychiatric-mental health nurse is working with a couple who are getting a divorce. The couple has 2 children, ages 5 and 7 years. When discussing the effects of divorce on the children, which information would the nurse most likely include?

The most difficult time for the children is usually the first 2 to 3 years after the couple's breakup.

A nurse is working as part of a team in developing appropriate programs for young adults to promote mental health. Which information would be most important for the team to consider when developing appropriate programs?

Roles defined by an individual's age are becoming less common.

Assessment of a young adult client reveals the presence of several risk factors for a mental illness. The nurse explains what the risk factors are and what the client needs to do. The nurse determines that the client has understood the information based on which statement?

"I need to address these factors to reduce my chances of getting the disorder."

A nurse is conducting a mental health promotion presentation for a local adult community group. As part of the presentation, the nurse is describing how life events can affect family structure. The nurse determines that the teaching was successful when the group identifies which stage as characterized by changes that include children leaving and returning home, marriage, and divorce? Select all that apply.

-Middle-age -Young adulthood

A psychiatric-mental health nurse is engaged in activities to promote the mental health of children. Place the activities listed below in the proper sequence from least restrictive to more restrictive.

1Smoking prevention programs 2Specialized community programs 3Outpatient family therapy 4Intensive home-based treatment 5Temporary foster care

The nurse is planning to make a presentation about loss and grief to a group of parents. The nurse should plan to instruct the group that children begin to perceive death as permanent by the age of

7 years.

A nurse is providing care to several children with chronic physical illnesses. Which child would the nurse most likely identify as being at greatest risk for mental health problems?

A child with spinal cord trauma

A nurse is assessing a family in which a parent has a problem with alcohol abuse. When interviewing the family, one of the children demonstrates behavior that the nurse suspects as fulfilling the role of the family mascot. Which behavior would support the nurse's suspicion?

Child makes jokes and clowns around to relieve the tension.

The expression of grief through regression, or somatic complaints or withdrawal, describes the grief of

Children

A psychiatric-mental health nurse is working with a couple who are divorcing. The couple has three children. Which aspect would the nurse likely emphasize to the couple as being most important to promote the children's adjustment to the divorce?

Encouraging positive statements about the other parent

What is the largest source of long-term care services in the United States?

Informal caregivers

A nurse is reviewing the medical records of several clients at the health center. Which client would the nurse identify as most likely to have the best physical and mental health?

Married 35-year-old man

A child's parents are getting a divorce. Which type of thinking may cause the child to believe that he or she is the root of the parents' problems?

egocentric

The nurse is assessing a client who comes to the clinic for a follow-up visit. During the visit, the client tells the nurse, "My husband and I are empty-nesters now." The nurse interprets this statement as the couple:

has no children living at home that need care.

The nurse is counseling a family with two parents and two children, ages 8 and 10 years. The mother reports that the children are constantly fighting and have an intense sibling rivalry. The nurse should instruct the parents to

help each child to develop a separate identity based on unique talents.

The adjustment to an out-of-home placement can be viewed through the conceptual framework of Bowlby's stages of coping with parental separation. According to Bowlby (1960), the child initially responds to separation from parents with:

protest

A nurse is providing care to the parents of a newborn and is working with them to promote attachment between themselves and their child. The nurse encourages actions that promote attachment to help achieve which outcome for their child?

to test the world without fear of rejection

A nursing instructor is teaching a class on psychosocial risk factors and identifies a need for further instruction when overhearing a student state:

"Mental illness in children usually does not manifest itself later in life."

A psychiatric-mental health nurse is interviewing an adolescent at the community mental health center. The adolescent was referred to the center because of behavioral problems. The adolescent is the older of two children. Which statement by the adolescent would the nurse interpret as a possible contributing factor?

"My brother can do no wrong in my parents' eyes, but me, that's another story."

A group of nurses working at a community clinic are attending a program about mental health promotion for young and middle-aged adults that includes an overview of the current status of this population. The nurses demonstrate understanding of this information based on which statement about this population?

"No longer do major life events occur at specific times for this group."

A nurse is teaching a group of parents about how children respond to loss and death. Which statement by the nurse would be most appropriate when describing how to address the topic of death with preschoolers? *

"Tell them honestly that the person has died and won't be coming back."

A nurse is working to determine those at highest risk for mental health problems related to the stress of unemployment. Which group would the nurse most likely identify as being impacted? Select all that apply. *

-African Americans -Single mothers -Those with mental illness -Hispanics

A nurse is reading a journal article about bullying. Which characteristic would the nurse most likely find a contributing factor for becoming a bully? Select all that apply.

-Authoritarian-style parents -History of abuse

A 10-year-old girl is brought to the emergency department. After conducting the assessment, the nurse suspects that the child may have been sexually abused. Which finding would support the nurse's suspicion? Select all that apply.

-Bruising on the genitals -Positive test for gonorrhea -Hyperalertness

Caregivers report higher levels of which of the following as compared to their noncaregiving peers? Select all that apply.

-Depression -Anxiety -Loneliness

A nurse is reviewing the history of a child who has experienced abuse. The nurse would be alert for the development of which problem? Select all that apply.

-Eating disorder -Substance abuse -Self-destructive behavior

Abuse can have lifelong effects on development. What have children who have been maltreated more prone to do? Select all that apply.

-Enter aggressive relationships -Abuse drugs -Develop eating disorders -Become depressed

A nurse is assessing a child for possible child abuse and neglect. When reviewing the child's history, which factor would the nurse identify as increasing the child's risk? Select all that apply.

-Family substance abuse -Child history of medical problems -Lack of social support for parents

A psychiatric-mental health nurse is working as part of a team to establish programs to address specific factors placing children at risk for mental health problems. The team would develop programs to address which factor? Select all that apply. *

-Homelessness -Poverty -Child neglect

A nurse is assessing a 38-year-old client's cardiopulmonary status. Which change would the nurse identify as a possible risk factor for future problems? Select all that apply.

-Increased blood pressure -Reduced cardiac output -Increased cholesterol levels -Reduced respiratory efficiency

Assessment of a young adult reveals the presence of several risk factors for depression. When describing the risk factors to the client, which information would be most appropriate for the nurse to include? Select all that apply.

-Risk factors can reflect general problems. -Risk factors can be specific yet common to the development of any mental disorder. -Risk factors often occur in groups or clusters -Risk factors commonly influence another risk factor.

A nurse in the community is working to promote the health of homeless families who are living in local shelters. When working with these families, which information would be most important for the nurse to keep in mind? Select all that apply.

-The children of homeless families have a limited ability to speak for themselves. -The living conditions can negatively affect the children's physical and mental health.

A nurse is conducting an in-service presentation on child abuse for a group of nurses working in the emergency department of a local acute care facility. The nurse determines that the teaching was successful when the group identifies which person as the victim?

Family ***

A nurse is conducting an in-service program for a group of nurses working in a community mental health center which serves a large population of young and middle-aged adults. The topic of the program is suicide. The nurse determines that the teaching was successful when the group identifies which method as being used most often by middle-aged women?

Firearms

A nurse is working on developing a program for suicide prevention for middle-aged adults. Which mechanism would the nurse address because it is most common for both men and women in this age group?

Firearms

Following the death of a parent, which of the following levels of the surviving parent is the best predictor of a child's adjustment to the loss?

Functional

A nursing instructor teaching a class on mental health informs students that certain risk factors increase the likelihood of a disorder. The instructor states that there are many different types of risk factors and gives the example that more women experience depression than men. What risk factor is in play?

Gender

A nurse is conducting a program for community health leaders about out-of-home placement and factors contributing to this situation. The nurse determines that the program was successful when the group identifies which factor as contributing to out-of-home placement?

Growing population of families living in poverty

The most obvious change in physical appearance in adults starts in which body system?

Integumentary

The finality of death is understood by early adolescents, but adolescents sometimes flirt with death by driving dangerously or engaging in other risky behaviors, as they believe that they are immune to death. This refers to ...

Invincibility fable

A pediatric nurse realizes that even though some children have an experience that predisposes them to a disorder, they have characteristics that can reduce the probability of it developing. These characteristics are referred to as which of the following?

Protective factors

Which of the following is a change that occurs in the neurologic system during middle age?

Slowed reflexes

A nurse is assessing a 34-year-old client who has come to the clinic for an evaluation. During the assessment, the client states, "Now that I'm over 30, my body is changing and I'm not as young as I used to be." The nurse interprets the client's statement as reflecting a potential threat to which area?

self-esteem