Complete Practice Test & Study Guide
1. A: a nurse working at a community outreach center is speaking with a resident who reports, "I'm not sure where my child has
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gone. They come by daily to bring me meals and help me with my medications. It's been over 2 weeks andI can't reach them." the
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nurseshouldidentifythattheclientisexperiencingwhichofthefollowingtypesofabuse?
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A. abandonment
B. exploitation
C. physical
D. emotional
2. A, C, D, E, F: a nurse is teaching a newly licensed nurse who is caring for a client who has previously demonstrated
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aggressive and violent behavior. which of the following statements should the nurse make? select all thatapply
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A. "the client's aggression might be linked to their history of schizophrenia."
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B. "aclientwhohasheartfailuretendstobeaggressive."
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C. "aclient whohasatraumaticbraininjurymaydemonstrateviolentbehavior."
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D. "aclientwhohasbipolarIdisordercouldbeathigherriskfordangertoothers."
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E. "aclientwhohasbeensexuallyabusedmightexperienceaggressiveepisodes."
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F. "a child who has autism might experienceepisodesofaggression."
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3. A, B, C, E, F: a nurse in the emergency department is caring for a client who states they fell down the stairs this
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morning. which of the following assessment findings indicates the client might be experiencing physical abuse? select all
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that apply
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A. the client has bruises in various stages of healing on their back
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B. the client's eyeglasses are cracked
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C. theclientisvisiblyuneasywhentheirpartnerentersthearea
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D. theclienthasascarontheirupperarm
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E. the client has ligature marks around both wrists
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F. the client has an open, discolored wound on their shoulder
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4. B: a nurse is providing teaching to a newly licensed nurse who is caring for a client experiencing aggression related to
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posttraumatic stress disorder (PTSD). which of the following statements made by the newly licensed nurse indicates an
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understanding of the teaching?
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A. "theclienthasanincreaseindopaminewhichresultsinaggressivebehavior."
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B. "the client has an excess of serotonin which results in aggressive behavior."
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C. "the client has a decrease in histamine which results in aggressive behavior."
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D. "the client has an increase in y-aminobutyric acid which results in aggressive behavior."
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,5. C:anurseiscaringforaclientwhoexperiencesaggressionwhichofthefollowingstatementsmadebytheclient indicates
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the client experiences hostile aggression?
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A. "Iletottsteambyyellingoutloud."
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B. "Ishattered a platebecause Istubbedmy toein the kitchen."
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C. "they made me mad so I hit them." k k k k k k k
D. "IclenchmyfistswhenIhavetowaitintraflc."
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6. A, B, C, E, F: a nurse is caring for a client who is experiencing extreme anger. which of the following client statements
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should the nurse identify as being consistent with adverse childhood experiences (ACEs)? select all that apply
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A. "my parents separated when I was 9 years old."
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B. "my sibling andI would stay alone for days ata time whilemy parentswas gone."
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C. "my older sibling died of a heroin toxicity when I was 12 years old."
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D. "my parent remarried and just celebrated their fifth wedding anniversary."
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E. "my parent usedtohitmysiblingandIwithabeltwhenwewere younger."
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F. "whenI wasyounger,I experienceddrive-byshootingsin myneighborhood."
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7. B, D, E, F: a nurse is caring for a client who has been physically abusive to others and was admitted to an inpatient mental
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health unit. which of the following client behaviors should the nurse identify as early signs of potential aggression? select all that
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apply
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A. socializingwithselectedindividuals k k k
B. refusingtoeat k k
C. speaking in a soft voice k k k k
D. pacingthe floor k k
E. destroying items k
F. attemptingtoleavebeforedischarge k k k k
8. A: achargenurseispreparinganin-serviceforstattmembersaboutnon-suicidalself-harm(NSSH).whichofthe following
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information should the nurse include?
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A. NSSHisoftenusedasawaytoreleasepainfulemotions
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B. NSSH indicates a client has developed a plan for suicide
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C. NSSH occurs more often in males than females
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D. NSSHisgenerally not dangerousto a client's physical health
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9. D: a nurse is presenting an in-service on the cycle of violence to nursing statt. the nurse should include that the perpetrator
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becomes attectionate at which of the following phases?
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, A. acute battering k
B. build-up
C. displacement
D. respite
10. D:a charge nurse is providingan in-service to a groupofstatt nurses about the role ofa forensic nurse. which of the
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following information should the nurse include?
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A. counseltheclientabouttheincident k k k k k
B. request thepolice gather evidence of the incident
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C. encourage the client to seek legal charges against the perpetrator
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D. provide legal testimony as requested by the client k k k k k k k
11. D: a nurse manager is discussing sexual assault nurse examiners (SANEs) and the interventions they use when caring
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forclientswhohavebeensexuallyassaulted.whichofthefollowinginterventionsshouldthenurseinclude?
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A. aSANEinformstheclientoftherequirementtofileapolicereport
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B. aSANEinstructstheclienttofollow-upwiththeirproviderin2months
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C. a SANErequests the police collect thephysical evidence fromtheclient's body following the assault
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D. a SANE otters clients some options about their care
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12. B: a nurse is caring for a client who was recently placed in seclusion due to their aggressive behavior. which of the following
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statements made by the nurse indicates an understanding of the role the neurological system plays in relation to aggression?
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A. "excessive hypothalamus reaction and inadequate regulation of the prefrontal area will increase the likelihood on
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aggressionintheclient."
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B. "excessive amygdala reaction and inadequate regulation of the prefrontal area will increase the likelihood on
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aggressionintheclient."
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C. "excessive hippocampus reaction and inadequate regulation of the prefrontal area will increase the likelihood of
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aggressionintheclient."
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D. "excessive pituitary gland reaction and inadequate regulation of the prefrontal area will increase the likelihood of
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aggressionintheclient."
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13. C: anurseiscaringforaclientwhoreportsthattheirpartnerthreatensthemwhentheydisagreeaboutfinances.
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thenurse should identify thattheclientisexperiencingwhichof thefollowing typesofabuse?
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A. economic
B. physical
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