N322 Final Exam Practice Questions| 25 Answers| Verified 100%(GRADED A+)

The nurse is told he/she will be assigned to an anxious client who is being admitted via ED. The initial action of the nurse should be to - assess the client's use of defense mechanisms. - assess the client's level of anxiety. - limit environmental stimuli. - provide anti-anxiety medication. - ANSWERS- assess the client's level of anxiety. A 20-year-old was sexually molested at age10 by an older man, but can no longer remember the incident. The ego defense mechanism in use is - projection. - repression. - displacement. - reaction-formation. - ANSWERS- repression. A man keeps his wife's clothing in the closet and bureau of his bedroom although she has been dead for three years. This behavior suggests the use of - altruism. - denial. - undoing. - suppression. - ANSWERS- denial. Which of the following represents a protective factor against the risk of suicide? - family and community support - financial loss - cultural belief that suicide is a noble resolution for a dilemma - previous sucide attempt (s) - ANSWERS- family and community support An assessment tool that is useful to nurses to rate suicide risk is the - AIMS scale. - Sad Persons Scale. - CAGE Questionnaire. - Mini-mental status examination. - ANSWERS- Sad Persons Scale. A suicidal individual calls a suicide hot line. This represents the level of intervention classified