A nurse is assessing a survivor of intimate partner violence. During the interview, the nurse determines that the survivor's partner is using power and control over the client through coercion and threats. Which client statement would lead the nurse to suspect this?

Questions 20

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ATI Mental Health Practice A 2023 Questions

Question 1 of 5

A nurse is assessing a survivor of intimate partner violence. During the interview, the nurse determines that the survivor's partner is using power and control over the client through coercion and threats. Which client statement would lead the nurse to suspect this?

Correct Answer: C

Rationale: The correct answer is C because the statement indicates that the partner is using coercion and threats to control the survivor by threatening to report her to child services, which demonstrates an abuse of power and control. This behavior is a clear indication of domestic violence dynamics, where the abuser exerts authority over the survivor through manipulation and intimidation. Choice A is incorrect because denying the abuse is not necessarily an indicator of power and control. Choice B, while concerning, does not specifically demonstrate coercion or threats. Choice D, while also indicating a power dynamic, does not involve explicit threats or coercion like choice C. Thus, choice C is the most indicative of power and control tactics commonly seen in intimate partner violence situations.

Question 2 of 5

Which drug group calls for nursing assessment for development of abnormal movement disorders among individuals who take therapeutic dosages?

Correct Answer: B

Rationale: The correct answer is B: Antipsychotics. Nursing assessment for abnormal movement disorders is crucial for individuals taking antipsychotics due to the risk of developing extrapyramidal symptoms such as dystonia, akathisia, parkinsonism, and tardive dyskinesia. These movement disorders can significantly impact the individual's quality of life and require close monitoring by healthcare providers. Summary: A: SSRIs - SSRIs are not typically associated with abnormal movement disorders; they are more commonly linked to serotonin-related side effects like sexual dysfunction or gastrointestinal disturbances. C: Benzodiazepines - Benzodiazepines are not known to cause abnormal movement disorders at therapeutic dosages; they are more likely to cause sedation, dizziness, and cognitive impairment. D: Tricyclic antidepressants - While tricyclic antidepressants can cause side effects like dizziness and sedation, they are not primarily associated with abnormal movement disorders like antipsychotics.

Question 3 of 5

Connor is a 28-year-old student, referred by his university for a psychiatric evaluation. He reports that he has no friends at the university and people call him a loner. Recently, Connor has been giving lectures to pigeons at the university fountains. Connor is diagnosed as schizotypal, which differs from schizophrenia in that persons diagnosed as schizotypal:

Correct Answer: A

Rationale: The correct answer is A: Can be made aware of their delusions. Schizotypal personality disorder is characterized by odd behaviors and beliefs, but individuals with this disorder can maintain some awareness of their unusual thoughts. This is in contrast to schizophrenia, where individuals may have difficulty recognizing their delusions as false. Therefore, the ability to be made aware of their delusions sets schizotypal individuals apart from those with schizophrenia. Choices B, C, and D are incorrect: B: Are far more delusional than schizophrenics - This is incorrect as the severity of delusions can vary among individuals with different mental health disorders. C: Have a greater need for socialization - This is incorrect as schizotypal individuals often struggle with social interactions and may prefer solitude. D: Do not usually respond to antipsychotic medications - This is incorrect as individuals with schizotypal personality disorder may benefit from antipsychotic medications for symptom management.

Question 4 of 5

Fred is an older adult with spinal stenosis and who is being treated with a short-term prescription of opioids for an acute episode of back pain. His nurse recognizes additional teaching is necessary when Fred states:

Correct Answer: D

Rationale: The correct answer is D because sharing prescription medication, such as Norco, with others is illegal and dangerous. Step 1: Sharing opioids is illegal and can lead to legal consequences. Step 2: Sharing opioids can result in harmful drug interactions or overdose due to individual variations in tolerance and health conditions. Step 3: It is important to emphasize the importance of using prescribed medications only as directed by a healthcare provider for safety and effectiveness. Choices A, B, and C are incorrect because they are all appropriate self-management strategies for managing back pain in older adults with spinal stenosis.

Question 5 of 5

What is a risk of alcohol intake in an older adult that is not as high of a risk in a younger adult?

Correct Answer: A

Rationale: The correct answer is A: risk for osteoporosis. Older adults are at a higher risk for osteoporosis due to alcohol consumption as it can further weaken bones, leading to fractures. This risk is not as prevalent in younger adults whose bones are typically stronger. Choice B: risk of car accidents is not age-dependent; alcohol impairs driving skills regardless of age. Choice C: risk for hallucinations can occur in both older and younger adults with alcohol intake, depending on individual susceptibility. Choice D: risk for vomiting is a common side effect of excessive alcohol consumption, which can affect individuals of all ages.

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