Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse in a mental health facility is caring for a client who has antisocial personality disorder and alcohol dependency.
The nurse should encourage the client to participate in which of the following groups? .
A. Psychodrama
A rationale: Psychodrama is a therapeutic approach that uses dramatic role play to help clients gain insight into their feelings and behaviors. However, it may not be the most effective for a client with antisocial personality disorder and alcohol dependency.
B. Crisis intervention.
B rationale: Crisis intervention is a short-term therapy to stabilize a client during an acute crisis. It may not address the long-term needs of a client with antisocial personality disorder and alcohol dependency.
C. Dual diagnosis treatment.
C rationale: Dual diagnosis treatment is designed for clients who have a mental health disorder and a substance use disorder. This would be the most appropriate for a client with antisocial personality disorder and alcohol dependency.
D. Codependency support.
D rationale: Codependency support groups are typically for family members and friends of individuals with substance use disorders. They may not be the most beneficial for the client themselves.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Mental health DEC 2023 Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
Psychodrama is a therapeutic approach that uses dramatic role play to help clients gain insight into their feelings and behaviors. However, it may not be the most effective for a client with antisocial personality disorder and alcohol dependency.
Choice B rationale:
Crisis intervention is a short-term therapy to stabilize a client during an acute crisis. It may not address the long-term needs of a client with antisocial personality disorder and alcohol dependency.
Choice C rationale:
Dual diagnosis treatment is designed for clients who have a mental health disorder and a substance use disorder. This would be the most appropriate for a client with antisocial personality disorder and alcohol dependency.
Choice D rationale:
Codependency support groups are typically for family members and friends of individuals with substance use disorders. They may not be the most beneficial for the client themselves.
Similar Questions
A nurse is collecting data from a client who has antisocial personality disorder.
Which of the following findings should the nurse expect? (Select all that apply.) .
A. Preoccupation with details.
A rationale: Preoccupation with details is more commonly associated with obsessive-compulsive personality disorder, not antisocial personality disorder.
B. Manipulative behaviors.
B rationale: Manipulative behaviors are a common characteristic of antisocial personality disorder. Individuals with this disorder often manipulate others for personal gain.
C. Splitting.
C rationale: Splitting, or viewing others as all good or all bad, is a defense mechanism often used by individuals with antisocial personality disorder.
D. Impulsiveness.
D rationale: Impulsiveness is a common characteristic of antisocial personality disorder. Individuals with this disorder often act without considering the consequences.
E. Lack of empathy.
E rationale: Lack of empathy is a common characteristic of antisocial personality disorder. Individuals with this disorder often have difficulty understanding or sharing the feelings of others.
Full Explanation
Choice A rationale:
Preoccupation with details is more commonly associated with obsessive-compulsive personality disorder, not antisocial personality disorder.
Choice B rationale:
Manipulative behaviors are a common characteristic of antisocial personality disorder. Individuals with this disorder often manipulate others for personal gain.
Choice C rationale:
Splitting, or viewing others as all good or all bad, is a defense mechanism often used by individuals with antisocial personality disorder.
Choice D rationale:
Impulsiveness is a common characteristic of antisocial personality disorder. Individuals with this disorder often act without considering the consequences.
Choice E rationale:
Lack of empathy is a common characteristic of antisocial personality disorder. Individuals with this disorder often have difficulty understanding or sharing the feelings of others.
A nurse in a mental health clinic is collecting data from a client to determine the client's risk for suicide.
Which of the following findings should the nurse identify as a risk factor for suicide? (Select all that apply.) .
A. Alcohol use disorder
A rationale: Alcohol use disorder is a risk factor for suicide. Alcohol can increase impulsivity and decrease inhibitions, which can lead to suicidal behaviors.
B. Currently married.
B rationale: Being currently married is generally considered a protective factor against suicide, not a risk factor.
C. Access to guns in the home.
C rationale: Access to lethal means, such as guns in the home, is a significant risk factor for suicide.
D. Sibling history of suicide.
D rationale: A family history of suicide, including a sibling history of suicide, is a risk factor for suicide.
E. Terminal liver cancer.
E rationale: Terminal illnesses, such as liver cancer, can increase feelings of hopelessness and despair, which are risk factors for suicide.
Full Explanation
Choice A rationale:
Alcohol use disorder is a risk factor for suicide. Alcohol can increase impulsivity and decrease inhibitions, which can lead to suicidal behaviors.
Choice B rationale:
Being currently married is generally considered a protective factor against suicide, not a risk factor.
Choice C rationale:
Access to lethal means, such as guns in the home, is a significant risk factor for suicide.
Choice D rationale:
A family history of suicide, including a sibling history of suicide, is a risk factor for suicide.
Choice E rationale:
Terminal illnesses, such as liver cancer, can increase feelings of hopelessness and despair, which are risk factors for suicide.
A nurse is collecting data from a client who has anorexia nervosa.
Which of the following findings should the nurse expect? (Select all that apply.) .
A. Diarrhea
A rationale: Diarrhea is not typically associated with anorexia nervosa. Constipation is more common due to reduced food intake.
B. Hypotension.
B rationale: Hypotension can occur in anorexia nervosa due to decreased circulating blood volume from inadequate fluid and food intake.
C. Cold extremities.
C rationale: Cold extremities can be a sign of anorexia nervosa due to the body’s attempt to conserve heat in response to inadequate caloric intake.
D. Tooth erosion.
D rationale: Tooth erosion can occur in anorexia nervosa due to frequent vomiting, which exposes the teeth to stomach acid.
E. Lanugo.
E rationale: Lanugo, or fine body hair, can develop in anorexia nervosa as the body’s attempt to insulate itself due to loss of body fat.
Full Explanation
Choice A rationale:
Diarrhea is not typically associated with anorexia nervosa. Constipation is more common due to reduced food intake.
Choice B rationale:
Hypotension can occur in anorexia nervosa due to decreased circulating blood volume from inadequate fluid and food intake.
Choice C rationale:
Cold extremities can be a sign of anorexia nervosa due to the body’s attempt to conserve heat in response to inadequate caloric intake.
Choice D rationale:
Tooth erosion can occur in anorexia nervosa due to frequent vomiting, which exposes the teeth to stomach acid.
Choice E rationale:
Lanugo, or fine body hair, can develop in anorexia nervosa as the body’s attempt to insulate itself due to loss of body fat.