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NurseDive Free Nursing Practice Question
A patient sits in silence for 20 minutes after a therapy appointment, appearing tense and vigilant. The patient abruptly stands and paces back and forth, clenching and unclenching fists, and then stops and stares in the face of a staff member. What is the likely conclusion regarding the patient's behavior?
A. Patient is attempting to use relaxation strategies.
Relaxation strategies involve deliberate and often structured activities aimed at reducing tension and stress, which isn't depicted in the described behavior.
B. Patient is demonstrating withdrawal behaviors.
Withdrawal behaviors typically involve avoiding social interaction or retreating, which doesn't align with the observed actions.
C. Patient is exhibiting clues to potential aggression.
The described behavior, including pacing, clenching fists, and staring at a staff member, indicates potential signs of aggression or agitation.
D. Patient is trying to work through angry feelings.
Working through angry feelings might involve communication or expression of emotions, but the described behavior leans more towards agitation and potential aggression.
This question is an excerpt from Nurse Dive's nursing test bank - Ati RN Psychtriac Nursing Proctored Exam. Take the full exam now
Full Explanation
A. Relaxation strategies involve deliberate and often structured activities aimed at reducing tension and stress, which isn't depicted in the described behavior.
B. Withdrawal behaviors typically involve avoiding social interaction or retreating, which doesn't align with the observed actions.
C. The described behavior, including pacing, clenching fists, and staring at a staff member, indicates potential signs of aggression or agitation.
D. Working through angry feelings might involve communication or expression of emotions, but the described behavior leans more towards agitation and potential aggression.
Similar Questions
A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. Priority information given to the patient and family should include a directive to do what?
A. Avoid exposure to bright sunlight
Avoiding exposure to bright sunlight is not specifically related to SSRIs; it may be aconsideration with certain medications due to photosensitivity but isn't a primary concern with SSRIs.
B. Restrict sodium intake to 1g daily.
Restricting sodium intake isn't a directive associated with SSRI antidepressant therapy.
C. Maintain a tyramine-free diet.
Maintaining a tyramine-free diet is a concern with certain antidepressants like MAOIs (Monoamine Oxidase Inhibitors) but not typically with SSRIs.
D. Report increased suicidal thoughts
Reporting increased suicidal thoughts is a crucial directive because SSRIs may initially increase the risk of suicidal ideation, especially in the early stages of treatment.
Full Explanation
A. Avoiding exposure to bright sunlight is not specifically related to SSRIs; it may be a
consideration with certain medications due to photosensitivity but isn't a primary concern with SSRIs.
B. Restricting sodium intake isn't a directive associated with SSRI antidepressant therapy.
C. Maintaining a tyramine-free diet is a concern with certain antidepressants like MAOIs (Monoamine Oxidase Inhibitors) but not typically with SSRIs.
D. Reporting increased suicidal thoughts is a crucial directive because SSRIs may initially increase the risk of suicidal ideation, especially in the early stages of treatment.
A nurse manager on a mental health unit is discussing involuntary admissions during a staff meeting. Which of the following statements should the manager include in the discussion?
A. "Clients should be given medications even if they refuse them."
Providing medications against a patient's will generally requires a legal process or evaluation of capacity rather than a blanket statement of administration.
B. "Clients who are involuntarily admitted have the right to informed consent."
Clients who are involuntarily admitted might not have the right to refuse treatment initially based on the nature of the admission.
C. "Clients who are admitted involuntarily can be hospitalized for as long as the provider deems necessary."
Involuntary admissions often allow for extended hospitalization based on the judgment of the treatment team.
D. "The laws regarding restraints are different for clients who are admitted involuntarily."
Laws regarding restraints are generally consistent regardless of the mode of admission, focusing on safety and necessity rather than the mode of admission.
Full Explanation
A. Providing medications against a patient's will generally requires a legal process or evaluation of capacity rather than a blanket statement of administration.
B. Clients who are involuntarily admitted might not have the right to refuse treatment initially based on the nature of the admission.
C. Involuntary admissions often allow for extended hospitalization based on the judgment of the treatment team.
D. Laws regarding restraints are generally consistent regardless of the mode of admission, focusing on safety and necessity rather than the mode of admission.
A patient states, "I'm starting cognitive behavioral therapy. What can I expect from the sessions? Which responses by the nurse are appropriate? (Select all that apply.)
A. The goal is to increase your subjectivity about thoughts that govern your behavior."
The term "subjectivity" might not be the most suitable word here and might not accurately represent cognitive-behavioral therapy's goals.
B. "The therapist will help you look at ideas and beliefs you have about yourself."
Cognitive-behavioral therapy involves exploring and challenging beliefs and perceptions about oneself, making this an appropriate response.
C. "You may be given homework assignments."
Homework assignments are often part of cognitive-behavioral therapy to practice skills or implement strategies outside of therapy sessions.
D. The therapist will be active and questioning."
The statement is true regarding the therapist's active role but might not encompass the entire essence of cognitive-behavioral therapy.
Full Explanation
A. The term "subjectivity" might not be the most suitable word here and might not accurately represent cognitive-behavioral therapy's goals.
B. Cognitive-behavioral therapy involves exploring and challenging beliefs and perceptions about oneself, making this an appropriate response.
C. Homework assignments are often part of cognitive-behavioral therapy to practice skills or implement strategies outside of therapy sessions.
D. The statement is true regarding the therapist's active role but might not encompass the entire essence of cognitive-behavioral therapy.