Management of Anger, Aggression and Violence Exam Questions with Answers, Exams of Nursing

Download Management of Anger, Aggression and Violence Exam Questions with Answers and more Exams Nursing in PDF only on Docsity! 2023 NURS 320:MANAGEMENT OF ANGER,AGGRESSION AND VIOLENCE EXAM QUESTIONS WITH ANSWERS 1.The nurse is caring for an older adult patient who has no history of violence but is agitated and appears ready to strike out at a staff member. The nurse would assess the patient for which of the following? a. Panic disorder b. Epilepsy c. Bipolar disorder d. Sensory losses 2.A patient has been admitted to the detoxification unit after binge drinking. Even though the patient is not currently intoxicated, he is combative, and exhibits altered thought processes. Which nursing diagnosis would be the priority? a. Risk for Injury related to effects of alcohol abuse b. Risk for Self-Mutilation related to alcohol withdrawal and altered thought processes 3.The nurse is working with a potentially violent patient in a community clinic. Which of the following would the nurse implement to minimize personal risk? a. Using protective devices b. Staying close to a door c. Keeping the door closed to ensure privacy d. Wearing inexpensive jewelry to distract the patient 4.The nurse is assessing a group of patients on an inpatient psychiatric unit. The patients history for which of the following would the nurse identify as the strongest indicator of risk for violence? a. Panic disorder b. Problematic anxiety c. Somatoform disorder d. Violent behavior 5.A son brings his father to the clinic and tells the nurse that his father has begun to act strangely in the past few days and has unprovoked outbursts of anger. After the incidents, the father expresses remorse for his outburst. The son says, I’ve never seen him act this way. Which question would be most appropriate for the nurse to ask next? a. Does your father have a history of an anxiety disorder such as panic disorder? b. Has your father exhibited previous problems expressing anger appropriately? c. Has your father suffered any traumatic injury to his brain recently? d. Has your father injured the back of his head or next in the past week? 2023 NURS 320:MANAGEMENT OF ANGER,AGGRESSION AND VIOLENCE EXAM QUESTIONS WITH ANSWERS e. Risk for Other-Directed Violence related to alcohol withdrawal f. Risk for Delayed Development related to chronic effects of alcohol intoxication 6. The nurse is caring for an older patient in a residential care facility. The patient has been extremely irritable the entire day. When modifying the patients plan of care, which of the following would be an appropriate snack to offer the patient to decrease the irritability? a. Chocolate candy bar b. Handful of raisins c. Granola bar d. Glass of milk 7.The nurse is caring for a family whose older father with dementia is living in their home. The nurse has instructed the family about how to decrease the fathers agitation. The nurse determines that the son has understood the nurses instructions when he states which of the following? a. Restraints can help reduce my fathers agitation. b. I should place my father in the bedroom with me so I can watch him more closely. c. It’s important that he gets out shopping with me or my wife. d. If I simplify our home environment, my father may be less agitated. 8.A nursing instructor is teaching a class of nursing students about anger, aggression, and violence. Which statement by the instructor would be most appropriate to include? a. Anger, aggression, and violence are points along a continuum. b. The terms used to describe anger are very precise. c. Anger is a knee-jerk reaction to external events. d. Women experience anger as frequently as men do. 9.A group of nursing students is reviewing information about maladaptive anger. The students demonstrate a need for additional study when they identify which condition as being linked to suppressed anger? a. Coronary heart disease b. Arthritis c. Hypertension d. Breast cancer 10. While interviewing a patient, a nurse asks, what do you do when you get angry? Which patient response would indicate to the nurse that the patient engages in anger suppression? a. I’ve been known to fly off the handle when I’m angry. b. People say I withdraw and pout about the problem. 2023 NURS 320:MANAGEMENT OF ANGER,AGGRESSION AND VIOLENCE EXAM QUESTIONS WITH ANSWERS following would the nurses most likely address as the problem areas? Select all that apply. a. Inconsistent unit activities b. Medication power struggles c. Empathetic staff response d. Clear set boundaries e. Little patient participation in treatment plan 16. While talking with a patient who has been experiencing aggression and intense anger, the nurse identifies that the patient feels isolation and anxious. Which statement by the nurse would be most appropriate? a. This must be scary for you. b. Once you relax, things will improve. c. I really understand how you feel. d. If you calm down, I can help you. 17. After working with a patient who has a history of violent behavior to identify possible clues that suggest that his behavior is escalating, the nurse and patient develop a plan for prevention. Which strategy would they be least likely to include? a. Counting to 10 b. Taking slow deep breaths c. Turning up the music loud d. Taking a voluntary time out 18. An advanced practice psychiatric nurse is preparing to conduct a support group for psychiatricmental health nurses who have been assaulted by patients. Which of the following would the nurse need to keep in mind with this group? a. Nurses experience a conflict between the role of caregiver and victim. b. Nurses who are victims often go on to prosecute the patient attackers. c. Nurses actively express the feelings associated with patient assaults. d. Nurses as victims of patient assaults rarely experience guilt or shame. 2023 NURS 320:MANAGEMENT OF ANGER,AGGRESSION AND VIOLENCE EXAM QUESTIONS WITH ANSWERS Chapter 15 Crisis, Loss, Grief, Response, Bereavement, and Disaster Management 1. The nurse is assessing a 35-year-old woman who is seeking assistance at a local community counseling center. Which of the following statements made by the woman would indicate that she is experiencing a crisis? a. I’m so upset; my husband has never left me like this before. b. I’m confused and hurt; I have lost my best friend and my lover. c. I don’t understand; I can’t seem to function like I usually do. d. No matter what I do, I am still overcome by these sad feelings. 2.Apatients 5-year-old poodle ran in front of a car and was killed. The patient continues to be upset by her pets death, and she explains to a community counseling center nurse that she can’t stop crying because, My Precious meant the world to me, and now my world will never be the same! If the nurse were to determine that the patient was experiencing a crisis, which of the following types of crises would it most likely be? a. Maturational b. Situational c. Traumatic d. Developmental 3.A62-year-old man experienced the loss of his 87-yearold father a week ago. The hospice nurse is making a follow- up visit to determine how he is handling his father’s death. Which of the following statements made indicates to the hospice nurse that patient is in the acute mourning stage of bereavement? a. I keep thinking about my father; I have trouble believing he’s dead. I feel guilty because I didn’t go to the nursing home to visit him last week! b. I’ve been grieving my father; losing him is a tremendous loss, but I have to get on with my life. c. My father was a saint. I am so angry at God for taking him away! I’m crying all the time; I haven’t been able to work for days. d. I’m going to spend the weekend with my children; they understand what I’ve been going through, and I can e. relax around them. 4.A25-year-old legal secretary is seeking counseling because she recently lost her job unexpectedly. Which question would be most appropriate for the nurse to use in assessing the patients response to losing her job? a. What happened to cause you to lose your job? b. How did you feel immediately after being told you no longer had a job? c. How do you expect yourself to be able to handle this situation? d. How have you responded to previous stressful situations? 5.An individual is seeking employment as a nurse in a crisis center. The interviewer asks the person what he would ask someone who called the crisis hotline to determine whether the caller was experiencing a crisis. Which response 2023 NURS 320:MANAGEMENT OF ANGER,AGGRESSION AND VIOLENCE EXAM QUESTIONS WITH ANSWERS would be most appropriate? a. To what extent are you involved in a crisis situation? b. Tell me about what you are experiencing and what it means to you. c. How would you rate your level of functioning on a scale from 1 to 10? d. Why do you think you are in a crisis situation? 6.ARed Cross nurse is working with tornado victims. The nurse is interviewing a woman whose house was totally destroyed during the night by the tornado; the woman’s pet poodle died as a result of the tornado. Which of following would the nurse most likely expect to hear from the woman? a. I don’t know. I can’t feel anything right now. Nothing seems real. b. Devastated.......I just feel totally devastated. I don’t know how I can go on living. c. I just want my insurance man to get here so I can file a claim. Everything I had is gone. d. I always thought my dog would die peacefully in my arms. Now Ill never be able to hold her again. 7.Anurse is part of team working with hurricane victims. One of the hurricane victims is staying in a temporary shelter provided by the Red Cross. To determine the extent to which this victim can cognitively cope with his situation and how much support he needs, which question would be most appropriate for the nurse to ask? a. What kind of help do you need from us? b. What are your thoughts about what you will do during the next few days? c. How are you feeling about all that you have gone through? d. Are you feeling guilty because you survived and some of your neighbors did not? 8.Afamily has just lost their home in a fire. An on-call nurse from a community counseling center has been called in to the emergency department to help them with this traumatic event. Which of the following would the nurse identify as the priority for this family? a. Arranging for follow-up therapy to deal with the crisis b. Completing a family genogram to determine family patterns c. Assessing the impact of the loss on their lifestyle d. Arranging for emergency shelter and food supplies 9.A nursing instructor who is lecturing to students about how to respond to individuals who are in the midst of a disaster. Which statement would be most appropriate to include about initial nursing interventions for such individuals? a.You should ask them to give you a brief medical history so their physical needs can be met. b.Focus on safety needs and provide simple, clear instructions to help them function effectively. c. Help them determine what their long-term goals will be so they can maintain a sense of hope. d.Try to redirect their attention away from the problems at hand so you can decrease their anxiety. 2023 NURS 320:MANAGEMENT OF ANGER,AGGRESSION AND VIOLENCE EXAM QUESTIONS WITH ANSWERS 20. A group of nursing students is reviewing information about grief and bereavement. The students demonstrate understanding of the information when they identify which of the following? a. Grief and bereavement are used interchangeably as responses to loss. b. Bereavement is the process of mourning and grief is the emotional reaction. c. Grief involves confronting the stress, but bereavement helps avoid the stresses. d. Bereavement is influenced by culture, but grief is not 2023 NURS 320:MANAGEMENT OF ANGER,AGGRESSION AND VIOLENCE EXAM QUESTIONS WITH ANSWERS Chapter 17 Mental Health Care for Survivors of Violence 1. The nurse is talking to a female client who is a survivor of intimate partner violence. The woman relates that her husband has been told that he has the characteristics of an antisocial personality disorder. The woman also informs the nurse that her husband has an extensive criminal record. The nurse interprets this information and suspects that the woman’s husband would most likely demonstrate which behavior? a. A risk for moderate to severe violence with people both within and outside his family b. Intermittent remorse for the violence and abuse that he commits c. Symptoms of depression along with harboring feelings of inadequacy d. Purposefully remain socially isolated from people other than those in his family 2.The nurse is caring for a young adult in the mental health clinic. The client tells the nurse that he was physically neglected as a child. The nurse should assess the client for symptoms of which of the following? a. Major depression b. Schizophrenia c. Narcissistic personality disorder d. Panic disorder 3.The emergency department nurse is assessing a female client with traumatic injuries. To assess whether or not the clients injuries have resulted from abuse, which question would be most appropriate for the nurse to ask the client? a. Is your partner being mean to you? b. Why do you think your husband has beaten you? c. It looks like someone has hurt you. Tell me about it. d. Can you describe the person who did this to you? 4.Afemale client has been admitted to the inpatient psychiatric facility with a diagnosis of posttraumatic stress disorder after a history of violence by her boyfriend. During the initial assessment interview, which assessment would be the priority? a. Nutritional status b. Hydration status c. Sleep patterns d. Suicide risk 5.The nurse is caring for a family in which the elderly mother has been a victim of abuse and neglect by her 48- year- old son. Which of the following would be most important for the nurse to keep in mind before interviewing the family? a. A top nursing priority will be to legally remove the son from the home. 2023 NURS 320:MANAGEMENT OF ANGER,AGGRESSION AND VIOLENCE EXAM QUESTIONS WITH ANSWERS b. The main focus of the nurses actions should be on improving the elderly mothers self-esteem. c. The nurse must allow the elderly mother to decide if she wants to leave the situation or not. d. Placement for the elderly woman in a nursing home within the community is crucial. 6.Anurse is working with a female client who is anticipating the possibility of leaving an abusive relationship. In helping the client make the decision to leave or to stay in the abusive situation, which of the following would be most important for the nurse to do? a. Ensure that the client can effectively describe the behaviors inherent in each phase of the cycle of domestic violence. b. Inform the client that if she leaves the abusive situation, there is a possibility her partner will attempt to murder her. c. Assist the client in finding a new apartment and a new job so she will be safe after she leaves her current situation. d. Suggest that the client legally change her name and move out of state so she will be safe from future harm. 7.Anurse is conducting a public information seminar on the topic of rape and sexual assault at a local community center. Which of the following would the nurse include when describing power rapists? a. Committed by sadistic perpetrators who plan the rape before committing it to experience erotic enjoyment in response to the victims suffering b. Target very young or elderly victims, may involve extreme force, and often results in victim injury c. Are not planned ahead of time and result from the perpetrator being obsessed with uncontrollable sexual urges d. Target victims near the age of the perpetrators and involve minimal physical force and intimidation in controlling their victims 8.The school nurse is aware that a student has requested aspirin three times during the past week because his back hurts. The nurse has noticed that he often wears long sleeved sweaters and sweatshirts even in warm weather. The nurse suspects that the student may be the victim of physical abuse. The nurse is preparing to ask the child about his ongoing backache. Which of the following would the nurse anticipate being reported by the child if he was being abused? a. Explain that his father is beating him on a regular basis. b. Give a far-fetched explanation not logically connected to his injuries. c. Give the same reason his sister would give were she asked to explain his injuries. d. Carefully explain that his mother disciplines him because she loves him. 9.Anurse is presenting a program to a church group about domestic violence. During the presentation, a member of the audience asks the nurse to explain what intergenerational transmission of violence means because he has seen that phrase used in the media. Which of the following responses by the nurse would be most appropriate? a. People who are violent are that way because of the various neurochemical imbalances in their brains. 2023 NURS 320:MANAGEMENT OF ANGER,AGGRESSION AND VIOLENCE EXAM QUESTIONS WITH ANSWERS Chapter 19 Trauma- and Stressor-Related Disorders 1. A nurse is performing an assessment interview with a patient. The patient tells the nurse that he has a type A personality. Based on the nurses interpretation, the nurse would expect which behavior by the patient? a. Appearing relaxed and easygoing throughout the interview b. Wanting the interview to be over as quickly as possible c. Being pleased with the overall pace of the interview d. Speaking slowly, requiring time to consider his answers 2.Anurse is assessing a patient and the patients social networks. When evaluating this area, the nurse integrates knowledge that which of the following is an important component? a. Blood relationships b. Bonding with one another c. Reciprocity d. Emotional support 3.Apatient visits the clinic and tells the nurse about being under a great deal of stress on the job for the past month. Applying the factors that determine the stress response, which question would be most appropriate for the nurse to ask? a. What effect is the stress having on your job performance? b. How would you describe the social network within your family? c. What is the specific event that you find most stressful? d. When did you first become aware of experiencing this stress? 4.The nurse is caring for a patient with chronic stress for the past month because of job loss and financial difficulties. When evaluating the patients assessment findings, the nurse would anticipate finding an elevated antibody titer to which of the following? a. Herpes simplex viruses b. Herpes zoster viruses c. Acquired immune deficiency viruses d. Influenza viruses 5.The nurse is caring for a patient who has been under severe stress while caring for her elderly mother who is in the advanced stages of Alzheimers disease. The nurse explains that the patient is adapting to the stress is she is experiencing because of which of the following? a. Ability to survive in the midst of severe stress b. Acceptance of others help in caring for her mother c. Success at being able to solve problems 2023 NURS 320:MANAGEMENT OF ANGER,AGGRESSION AND VIOLENCE EXAM QUESTIONS WITH ANSWERS d. Capability in setting reasonable personal goals 6.The nurse is preparing to care for a patient under severe stress resulting from caring for her elderly aunt diagnosed with leukemia. When assessing the patients psychological domain, which question would the nurse ask first? a. Let’s talk about what you have been feeling. b. Tell me about your depressed moods. c. How long have you been caring for your aunt? d. Are you feeling overwhelmed by caring for your aunt? 7.Apatient has come to the clinic to discuss the stress she is experiencing because of failing two exams at school. Initially, she described her failures as the worst thing that has ever happened to me, and she stated, there is absolutely nothing I can do to pass this course now. In response to the nurses questions, the nurse finds out there are three more equally weighted exams scheduled for the course in question. The nurse and patient collaborate and decide to use interventions to facilitate emotion-focused coping. Which additional comment from the patient would the nurse identify as providing support for this decision? a. Youve got to figure out something for me to do to get me out of this situation! b. This is a waste of time because absolutely nothing you or I can do will make it any better. c. I overreacted; surely together we can figure out something for me to do. d. This is the worst thing that could ever happen to me. Im nothing but a failure. 8.Anurse is reviewing the assessment findings of several patients. Which patient would the nurse identify as having a type D personality? a. A man who threatens the receptionist in the emergency department with bodily harm if a doctor does not see him right away b. A woman who sits quietly reading in a waiting room before seeing her doctor for her annual physical examination c. A quiet teen who drinks a six pack of beer against his better judgment because of peer pressure d. A man who reacts negatively to almost everything but never discusses his feelings with anyone 9.Apatient is talking to the nurse about her friendship with another person. She comments that person is always there for me, and I am always there for her. We help each other out; sometimes she’s helping me, and sometimes I am helping her. The nurse interprets the patients statements about her social network as reflecting which of the following? a. Denseness b. Reciprocity c. Social support d. Constraints 2023 NURS 320:MANAGEMENT OF ANGER,AGGRESSION AND VIOLENCE EXAM QUESTIONS WITH ANSWERS 10. After interviewing a patient about social supports, the nurse determines that the patient is experiencing emotional support from these social supports based on which statement? a. I’m glad I have someone that I can talk to. b. The person who cut my lawn was great! c. I received a small community grant for groceries. d. The senior center gave me a booklet about my medications. 11. A nurse is assessing a patient and uses the Recent Life Changes Questionnaire as part of the assessment. The nurse determines that the patient has experienced major life crisis with which score on the questionnaire? a. 150 b. 250 c. 350 d. 450 12. A group of students are reviewing the events associated with the fight-or-flight response. They demonstrate understanding of the information when they identify which of the following results from sympathetic nervous stimulation? a. Hypoglycemia b. Tachycardia c. Hypotension d. Hypercoagulability 13. During an interview, a patient states, I feel so guilty, and Im so ashamed of what I did. The nurse interprets this as which of the following? a. Negative emotion b. Positive emotion c. Borderline emotion d. Nonemotion 14. A group of nursing students is reviewing information about emotional responses to stress and the themes associated with them. The students demonstrate understanding of the information when they identify which emotion as associated with being moved by another’s suffering and wanting to help? a. Relief b. Hope c. Compassion d. Love 2023 NURS 320:MANAGEMENT OF ANGER,AGGRESSION AND VIOLENCE EXAM QUESTIONS WITH ANSWERS Chapter 24 Personality and Impulse-Control Disorders 1.The nurse is preparing to assess a client with a paranoid personality trait. The nurse integrates knowledge of this condition, anticipating that the clients affect, and behavior will most likely be which of the following? a. Angry and hostile b. Flirtatious and seductive c. Fearful and anxious d. Friendly and open 2.The nurse is caring for a client with schizoid personality trait. When developing the plan of care for the client, which of the following would the nurse most likely include? a. Social skills training b. Anger management training c. Relaxation techniques d. Coping skills training 3.Anursing instructor is preparing a teaching plan for a class of nursing students about antisocial personality disorder. Which of the following would the nurse include as a term often used to describe the behaviors associated with this condition? Select all that apply. a. Psychopath b. Manipulator c. Criminality d. Sociopath e. Psychotic 4.Anurse is reading a journal article about the various theories associated with the development of antisocial personality disorder. The article mentions difficult temperament as a possible theory. The nurse demonstrates understanding of this concept when identifying which of the following as a key behavior associated with a difficult temperament? Select all that apply. a. Aggression b. Inattention c. Hyperactivity d. Impulsivity e. Depression f. Paranoia 5.Anurse is developing a plan of care for a client diagnosed with an antisocial personality disorder who has been admitted to the inpatient psychiatric unit. Which of the following would the nurse most likely include? Select all 2023 NURS 320:MANAGEMENT OF ANGER,AGGRESSION AND VIOLENCE EXAM QUESTIONS WITH ANSWERS that apply. a. Developing a therapeutic relationship b. Bargaining about the unit rules c. Holding the client responsible for behavior d. Discouraging client from discussing thoughts e. Using a firm, lecture-like approach for teaching 6.Anurse is working with the family of a client who has been diagnosed with antisocial personality disorder. Which of the following would be most important for the nurse to focus on when teaching the family about this disorder? a. Anger management b. Boundary setting c. Medication therapy d. Self-responsibility 7.Agroup of nursing students is reviewing information about antisocial personality disorder. The students demonstrate understanding of this disorder when they state which of the following? a. The disorder occurs more frequently in women. b. The individual must be at least 18 years of age. c. The disorder is found primarily in Asian individuals. d. Alcohol abuse disorder rarely accompanies this disorder. 8.Anurse is providing care to a client with antisocial personality disorder. As part of the plan of care, the client is to participate in a problem-solving group. The nurse understands that this intervention is effective based on which rationale? a. It requires the client to develop attachments. b. It sets up specific boundaries for the client. c. It helps reinforce self-responsibility. d. It avoids confrontation about dysfunctional patterns. 9.The nurse is reviewing the medical record of a client diagnosed with antisocial personality disorder. The nurse notes that the client has had numerous episodes involving irritability, aggressiveness, and impulsivity and has exhibited callousness toward others. Based on this information, which nursing diagnosis would the nurse most likely identify as a priority? a. Risk for Other-Directed Violence b. Risk for Self-Injury c. Risk for Suicide d. Risk for Self-Directed Violence 2023 NURS 320:MANAGEMENT OF ANGER,AGGRESSION AND VIOLENCE EXAM QUESTIONS WITH ANSWERS 10. A client is brought into the emergency department because of complaints from the neighbors that the client was acting strangely. The nurse assesses the client and suspects schizotypal personality disorder based on assessment of which of the following? Select all that apply. a. Magical beliefs b. Hallucinations c. Paranoia d. Avoidance of eye contact e. Meticulous dress 11. A nurse is assessing a client diagnosed with avoidant personality disorder. Which of the following would the nurse most likely expect to find? Select all that apply. a. Shyness b. Feelings of inadequacy c. Feelings of superiority d. Perfectionism e. Detail oriented 12. A group of nursing students is reviewing information about schizoid personality trait. The students demonstrate understanding of the information when they identify which disorder as the most common comorbid disorder? a. Depression b. Substance abuse c. Avoidant personality disorder d. Anxiety 13. A nurse is interviewing a client and suspects that the client may have narcissistic personality disorder. Which client statement would help support the nurses suspicions? a. I have a very important position in life; everyone I know wants to be like me. b. My wife is poisoning my food so she can get rid of me and marry her boss. c. I like to work alone because then I can let my thoughts wander. d. Im always the life of the party, making new friends all the time. 14. A nurse is developing a teaching plan for a client with an impulse-control disorder. The nurse is planning to explain the emotional aspects associated with the behavior as part of the plan. Which of the following would the nurse describe as occurring first before the individual commits the act? a. Remorse b. Tension 2023 NURS 320:MANAGEMENT OF ANGER,AGGRESSION AND VIOLENCE EXAM QUESTIONS WITH ANSWERS staff nurses. When the nurse asks her why she is wearing the stethoscope and where she got it, the client gives her a long and involved reply that basically describes how her nursing supervisor came to visit and gave it to her to wear so shed remember to get well. The nurse suspects that the client may be experiencing which of the following? a. Wernickes syndrome b. Delirium tremens c. Korsakoffs psychosis d. Malignant hyperthermia 6.Anurse is using motivational therapy with a female client with alcoholism. The client, who is unwilling to consider changing her drinking behavior, emphatically states, I am not an alcoholic; you can’t make me stop drinking. Which response by the nurse would be most appropriate? a. You have to stop drinking and driving; you could kill someone. b. You’re right; you’re not an alcoholic. c. You should consider what you are doing to your marital relationship. d. You’re the only one who can make yourself stop drinking. 7.A52-year-old male client who has a history of alcohol dependence is admitted to a detoxification unit. He has tremors, he is anxious, his pulse has risen from 98 to 110 beats/min, his blood pressure has risen from 140/88 to 152/100 mm Hg, and his temperature is six tenths of a degree above normal. He is slightly diaphoretic. Which nursing diagnosis would be the priority? a. Disturbed Thought Processes b. Risk for Injury c. Ineffective Coping d. Ineffective Denial 8.Anurse is working with a client who is addicted to heroin. The nurse engages in harm reduction by teaching the client about which of the following? a. Using bleach solution to disinfect dirty needles b. Problem solving c. Healthy coping skills d. Proper use of naltrexone (Trexan) 9.A20-year-old man arrives at the emergency department by ambulance. He is unconscious, with slow respirations and pinpoint pupils. There are tracks visible on his arms. The friend who came with him reports that the client had just shot up heroin when he became unconscious. Which medication would the nurse most likely expect to administer? a. Naloxone 2023 NURS 320:MANAGEMENT OF ANGER,AGGRESSION AND VIOLENCE EXAM QUESTIONS WITH ANSWERS b. Naltrexone c. Bupropion d. Varenicline 10. A nurse is obtaining a history from a client who drinks about 6 cups of coffee and several diet cola drinks per day. The client states, I just cut down my coffee and soda intake to one per day. Which of the following would the nurse most likely expect to assess? Select all that apply. a. Headache b. Fatigue c. Yawning d. Flushing e. Diuresis 11. A group of nursing students is reviewing information about substances that are abused. The students demonstrate understanding of the information when they identify which of the following as stimulants? Select all that apply. a. Alcohol b. Cocaine c. Heroin d. Nicotine e. Phencyclidine 12. A client is receiving methadone maintenance therapy. After teaching the client about this treatment, the nurse determines that the teaching was successful when the client states which of the following? a. I can have a glass of wine with dinner if I choose. b. I should eat small frequent meals if I get nauseated. c. I should take the drug on an empty stomach. d. I might experience diarrhea with this drug. 13. A client with a history of alcohol abuse is participating in a 12-step Alcoholics Anonymous (AA) program. The nurse determines that the client is at step two when he states which of the following? a. I’ve admitted to myself and others the wrongdoings I’ve done. b. I realize that there is a higher power that can help me. c. I know now that I am powerless over alcohol. d. I am making amends to all those that I’ve harmed. 14. A nurse is preparing an in-service program about substance abuse and its etiology. Which of the following would the nurse most likely include in the presentation when discussing possible psychologic etiologies? 2023 NURS 320:MANAGEMENT OF ANGER,AGGRESSION AND VIOLENCE EXAM QUESTIONS WITH ANSWERS a. Low self-esteem b. Genetic predisposition c. Dysfunctional family d. Peer influence 15. A client is brought into the emergency department because he was involved in an automobile accident. His blood alcohol level (BAL) is 0.10 mg %. Based on this finding, the nurse would expect to assess which of the following? a. Difficulty with coordination b. Stupor c. Emotional lability d. Ataxia 16. A client with a history of opioid abuse is exhibiting manifestations of moderate withdrawal. Which of the following would the nurse expect to assess? a. Rhinorrhea b. Lacrimation c. Dilated pupils d. Dysphoria 17. A nurse is implementing a brief intervention with a client who is abusing alcohol. The nurse most likely would be involved with which of the following? a. Asking the client questions about alcohol use b. Negotiating a conversation with the client to reduce use c. Pointing out the inconsistencies in thoughts, feelings, and action d. Helping the client change the way he thinks about a situation 18. A client with a history of substance abuse is involved in a skills training group. Which of the following would the client be involved with to enhance intrapersonal coping skills? Select all that apply. a. Substance refusal skills b. Problem solving c. Anger awareness d. Emergency planning e. Social support networking 19. A client is brought to the emergency department after having overdosed on cocaine. When assessing the client, which of the following would the nurse expect to find? Select all that apply. 2023 NURS 320:MANAGEMENT OF ANGER,AGGRESSION AND VIOLENCE EXAM QUESTIONS WITH ANSWERS 6.Aclient with bulimia nervosa is scheduled for a visit to the clinic. When assessing this client, which of the following would the nurse expect to find? a. Impulsivity b. Panic c. Hyperactivity d. Delusions 7.The nurse is planning to explain the purpose of the behavioral therapy technique of self-monitoring to a client with bulimia nervosa. The nurse would emphasize keeping a diary to record which of the following? a. Feelings of hunger b. Efforts at distraction c. Environmental stimuli d. Rigid rules about eating 8.Apsychiatricmental health nurse working in the community is planning an educational program for fifth and sixth grade teachers. Which of the following would the nurse include? a. Discussion of strategies the teachers can use to counteract the role media plays in encouraging eating disorders b. Emphasis on the need for teachers to focus their prevention efforts on female students c. Stressing of the need to allow students to eat without undue attention or supervision to prevent inadvertently influencing eating patterns d. Clarification that peer pressure is not typically problematic in children who are in the fifth and sixth grades 9.The nurse is initiating a group for adolescent girls diagnosed with anorexia nervosa. Many of the clients in the group are irritable and resent having to attend. One of them comments, This is a stupid waste of time! Which of the response by the nurse would be most appropriate? a. If you feel that way, then you can just leave. b. You sound irritated; tell me about what is bothering you. c. You were assigned to this group by your therapist, so you must participate. d. Sit down and be quiet; your peers would appreciate some peace and quiet. 10. An adolescent is brought to the emergency department by her parents because they were concerned about their daughters appearance. The client appears emaciated and pale. The parents tell the nurse that the client has been diagnosed with anorexia nervosa. A history and physical examination and laboratory testing are completed. Which of the following would lead the nurse to suspect that the client will be admitted to the hospital? Select all that apply. a. Blood pressure of 110/60 mm Hg 2023 NURS 320:MANAGEMENT OF ANGER,AGGRESSION AND VIOLENCE EXAM QUESTIONS WITH ANSWERS b. Elevated serum potassium level c. Decreased serum magnesium level d. Heart rate of 40 beats/min e. Statements of being hopeless 11. A group of nursing students is reviewing the similarities and differences between bulimia nervosa and binge eating disorder. The students demonstrate understanding when they identify which characteristics as specific to binge- eating disorder? Select all that apply. a. Clients typically are obese. b. Clients refrain from purging behaviors. c. Binge-eating periods are shorter. d. Clients engage in overexercising. e. Feelings of guilt do not occur after binging. 12. A nursing instructor is reviewing the various theories related to anorexia nervosa. Which of the following would the instructor include when describing theories related to the biologic domain? Select all that apply. a. Genetic vulnerability b. Separation individuation c. Role pressures d. Dieting leading to starvation e. Pursuit of thinness f. Decreased serotonin activity 13. A nurse is preparing a presentation for a local middle school health class about eating disorders as a means for prevention and early detection. Which of the following would the nurse incorporate into the presentation as being common to both anorexia nervosa and bulimia nervosa? Select all that apply. a. Body dissatisfaction b. Feelings of control c. Obsessiveness d. Boundary problems e. Sexuality fears f. Cognitive distortions 14. A nurse is reviewing the plan of care for a client with anorexia nervosa and notes a behavioral plan for increasing weight. The nurse correlates this intervention with which nursing diagnosis? a. Disturbed Body Image 2023 NURS 320:MANAGEMENT OF ANGER,AGGRESSION AND VIOLENCE EXAM QUESTIONS WITH ANSWERS b. Anxiety c. Imbalanced Nutrition: Less Than Body Requirements d. Ineffective Coping 15. A nurse is interviewing a client diagnosed with bulimia nervosa about her family and her relationship with her mother. Which statement by the client would the nurse least likely associate with bulimia nervosa? a. My mother is my confidante for everything. b. My mothers happiness depends on me. c. My family basically has very few rules. d. My mother and I are close but not joined at the hip. 16. A nurse is developing a plan of care for a client newly diagnosed with bulimia nervosa. Which of the following would the nurse expect to implement in conjunction with pharmacologic therapy? a. Behavioral therapy b. Cognitive behavioral therapy c. Interpersonal therapy d. Family therapy 17. While talking with a client with an eating disorder, the client states, Ive gained 2 pounds, so soon Ill be over 100 pounds. The nurse interprets this as which of the following? a. Magnification b. Selective abstraction c. Overgeneralization d. Dichotomous thinking 2023 NURS 320:MANAGEMENT OF ANGER,AGGRESSION AND VIOLENCE EXAM QUESTIONS WITH ANSWERS d. I felt loved and accepted when my father apologized for spanking me so hard. 11. A nursing instructor is describing complex somatic symptom disorder to a group of nursing students. The instructor determines that the teaching was successful when the students state which of the following? a. The disorder typically is diagnosed in men. b. The first symptom usually appears during adolescence. c. The disorder commonly occurs with substance abuse. d. Highly educated individuals often develop this disorder. 12. The husband of a client diagnosed with complex somatic symptom disorder asks the nurse, What causes this condition? Which response by the nurse would be most accurate? a. There is definitely an underlying genetic link for this disorder. b. Your wife is experiencing chronic stress that causes hypoarousal. c. The symptoms reflect an emotion that your wife cannot verbalize. d. The symptoms reflect an internal preoccupation with events. 13. A client with complex somatic symptom disorder is complaining of significant pain in the joints. When providing care to this client, which of the following would be most important for the nurse to keep in mind? a. Opioid analgesics are the primary mode of therapy. b. The clients experience of pain is real. c. Complementary therapies are usually of little benefit. d. Outcomes need to reflect the biologic aspects of the pain. 14. A client with complex somatic symptom disorder also has anxiety. Which of the following would the nurse expect to be prescribed? a. Monoamine oxidase inhibitor (MAOI) b. Selective serotonin reuptake inhibitor (SSRI) c. Tricyclic antidepressant (TCA) d. Atypical antipsychotic 15. A nurse is providing care for a client who has complex somatic symptom disorder and is exhibiting anxiety about having a severe illness. Which of the following would be appropriate for the nurse to do? Select all that apply. a. Listening closely to the clients report of symptoms b. Discouraging the client from talking about fears c. Acknowledging that what the client is saying may be real d. Encouraging the client to write down symptoms in a journal 2023 NURS 320:MANAGEMENT OF ANGER,AGGRESSION AND VIOLENCE EXAM QUESTIONS WITH ANSWERS e. Reviewing symptom pattern with the client 16. A nursing instructor is preparing a class about functional neurologic symptoms. Which of the following would the instructor most likely include as an assessment finding? Select all that apply. a. Difficulty swallowing b. Spasticity c. Urinary frequency d. Aphonia e. Blindness 17. A client with body dysmorphic disorder is admitted to the inpatient unit. Based on the nurses understanding about this disorder, the nurse would assess this client closely for which of the following? a. Suicidal ideation b. Escalating violence c. Anorexia d. Psychosis 18. A nurse is working with a client diagnosed with complex somatic symptom disorder. Which of the following would the nurse identify as the most difficult aspect of providing care to this client? a. Managing the clients pain. b. Relieving the clients anxiety. c. Developing the therapeutic relationship. d. Monitoring the clients treatment program. 19. A nurse is evaluating the outcomes for a client diagnosed with complex somatic symptom disorder. Which of the following would the nurse most likely identify as interfering with achievement? a. Outcomes were stated in realistic terms b. Outcomes addressed overall issues c. Outcomes indicated small successes d. Outcomes were identified for specific behaviors 20. A nurse is preparing a plan of care for a client diagnosed with body dysmorphic disorder. Which nursing diagnosis would the nurse most likely identify as the priority? a. Disturbed Body Image b. Ineffective Coping c. Low Self-Esteem 2023 NURS 320:MANAGEMENT OF ANGER,AGGRESSION AND VIOLENCE EXAM QUESTIONS WITH ANSWERS d. Risk for Other-Directed Violence