Question

A nurse is providing care to a client who is aggressive and demonstrating self-injurious behaviors. Which of the following disorders ones the nurse identifies as being consistent with this behavior?

Answer 1

Correct Answers:

Autism spectrum disorder

Rationale :

💎Autism Spectrum Disorder (ASD) is characterized by impaired social interaction, repetitive behaviors, and self-injurious actions, particularly during emotional distress.

💎Self-harm behaviors such as head banging, biting, or scratching may occur as a form of sensory regulation or communication difficulty.

💎Aggression in ASD often stems from frustration, sensory overload, or inability to express needs verbally.

💎Early behavioral and environmental interventions can reduce self-injurious tendencies and improve coping skills.

💎The nurse’s role includes providing a safe environment, minimizing stimuli, and using structured routines to support stability.

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Answer 2

Correct Answers:

Biologically male clients are typically diagnosed earlier than biologically female clients.

Rationale :

🔷Schizophrenia often presents earlier in males (late adolescence to early 20s) than in females (mid-20s to early 30s).

🔷Biological and hormonal factors, including estrogen’s neuroprotective role, delay symptom onset in women.

🔷Early male onset is linked to poorer premorbid functioning and more negative symptoms.

🔷Recognizing this pattern helps tailor early detection, psychoeducation, and family interventions.

🔷Understanding demographic variations supports timely diagnosis and appropriate treatment planning.

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Answer 3

Correct Answers:

Fulfill a promise by allowing a client to visit with family members.

Rationale :

🟢Trust-building in therapeutic relationships depends on honesty, consistency, and following through on commitments.

🟢When the nurse keeps promises—such as arranging a family visit—it reinforces reliability and integrity.

🟢Trust is foundational for clients to openly share emotions, fears, and experiences vital to therapeutic progress.

🟢Conversely, broken promises erode confidence and increase defensiveness or resistance to care.

🟢Consistency in words and actions strengthens the therapeutic alliance, especially in psychiatric settings.

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Answer 4

Correct Answers:

Fulfill a promise by allowing a client to visit with family members.

Rationale :

🟢Trust-building in therapeutic relationships depends on honesty, consistency, and following through on commitments.

🟢When the nurse keeps promises—such as arranging a family visit—it reinforces reliability and integrity.

🟢Trust is foundational for clients to openly share emotions, fears, and experiences vital to therapeutic progress.

🟢Conversely, broken promises erode confidence and increase defensiveness or resistance to care.

🟢Consistency in words and actions strengthens the therapeutic alliance, especially in psychiatric settings.

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Answer 5

Correct Answers:

Economic

Rationale :

🔶Economic (financial) abuse occurs when a caregiver or another person illegally or improperly uses a client’s funds, property, or assets without consent.

🔶Writing checks in the client’s name without permission is a clear indicator of financial exploitation.

🔶This form of abuse is especially common among older adults, often involving trusted family members or caregivers.

🔶Nurses are mandated reporters and must notify the social services or adult protective services immediately.

🔶Assessment of financial control, dependency, and documentation helps identify ongoing risk and prevent recurrence.

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Answer 6

Correct Answers:

Resistance phase

Rationale :

🔵The resistance phase of Selye’s General Adaptation Syndrome (GAS) occurs after the initial alarm stage, during prolonged exposure to stressors.

🔵The body maintains adaptive responses, such as sustained cortisol release, allowing continued function despite stress.

🔵A nurse in this phase can perform daily duties effectively, showing no visible impairment, but internal resources are being taxed.

🔵Prolonged stress without relief may eventually lead to the exhaustion phase, where coping fails.

🔵Recognition of this stage emphasizes the importance of stress management and self-care for healthcare professionals.

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Answer 7

Correct Answers:

Serotonin

Rationale :

🟣Serotonin plays a crucial role in sleep regulation, mood, memory, and cognition.

🟣Deficiency or dysregulation of serotonin leads to sleep disturbances, irritability, and impaired focus.

🟣It also contributes to disorders such as depression, anxiety, and insomnia through disrupted neurochemical signaling.

🟣Restoration through SSRIs, balanced nutrition, and behavioral therapy can improve sleep and cognitive clarity.

🟣Nurses should monitor for signs of poor concentration, fatigue, or emotional instability as possible serotonin imbalance indicators.

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Answer 8

Correct Answers:

Somatic symptom disorder is usually underdiagnosed in the older population.

Rationale :

⚫ In older adults, somatic symptom disorder (SSD) often goes unrecognized because physical complaints are mistaken for age-related changes or comorbid illness.

⚫ Many elders present with multiple physical symptoms—pain, fatigue, gastrointestinal issues—without clear organic cause.

⚫ Cultural attitudes and healthcare bias may result in psychological factors being overlooked in this age group.

⚫ Early identification improves quality of life by integrating medical and psychological interventions.

⚫ Nurses play a key role in differentiating SSD from true physiological disease through comprehensive assessment.

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Answer 9

Correct Answers:

Families where caregivers have college degrees or higher

Rationale :

🟡Higher caregiver education levels are associated with better emotional awareness, coping skills, and stress management, which are protective against childhood adversity.

🟡Educated caregivers often demonstrate greater problem-solving ability and access to supportive resources.

🟡These qualities create stable environments that buffer children from trauma-related mental health risks.

🟡The presence of emotional connection and open communication further promotes psychological resilience.

🟡Protective family factors can significantly reduce the long-term effects of adverse childhood experiences (ACEs).

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Answer 10

Correct Answers:

Adaptive vs. maladaptive

Rationale :

🔴Understanding stress responses as adaptive or maladaptive helps nurses evaluate whether coping promotes or harms well-being.

🔴Adaptive coping (e.g., problem-solving, relaxation) enhances resilience, while maladaptive coping (e.g., avoidance, substance use) worsens distress.

🔴This perspective guides nursing interventions toward promoting healthy stress management strategies.

🔴Assessing coping style provides context for emotional, physical, and behavioral responses to stressors.

🔴Encouraging adaptive coping supports positive adjustment and recovery.

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Custom NUR 222GBS- FALL 25-SEC 01 FINAL EXAM

No.

1 :
A nurse is providing care to a client who is aggressive and demonstrating self-injurious behaviors. Which of the following disorders ones the nurse identifies as being consistent with this behavior?

2 :
A nurse is caning for a client who has been newly diagnosed with schizophrenia. Which of the following findings is true regarding this disorder?

3 :
A nurse is working to build rapport and trust with new clients. Which of the following actions should the nurse take?

4 :
A nurse is working to build rapport and trust with new clients. Which of the following actions should the nurse take?

5 :
A nurse is caring for an older adult client who reports their caregiver has been writing checks in their name without their consent. Which of the following types of abuse is the client experiencing?

6 :
Which of the following phases of Selye's General Adaptation Syndrome (GAS) reflects a nurse's ability to successfully perform duties during a prolonged period of stress lasting weeks to months without any indication of observable impairment?

7 :
A nurse is caring for a client who has sleep dysregulation, poor memory, and poor concentration. Which of the following neurotransmitters shows the fine identify as being responsible for the client's manifestations?

8 :
A nurse is working with an older adult client who has been diagnosed with somatic symptom disorder. Which of the following should the nurse consider when working with an older adult who has somatic symptom disorder?

9 :
A nurse is caring for a client who is concerned about developing a mental health disorder as a result of their childhood experiences. Which of the following familial characteristics is a protective factor for adverse childhood experiences?

10 :
A nurse is caring for a client who reports a recent increase in stressors. Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this client?

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Custom NUR 222GBS- FALL 25-SEC 01 FINAL EXAM

No.

1 : A nurse is providing care to a client who is aggressive and demonstrating self-injurious behaviors. Which of the following disorders ones the nurse identifies as being consistent with this behavior?

2 : A nurse is caning for a client who has been newly diagnosed with schizophrenia. Which of the following findings is true regarding this disorder?

3 : A nurse is working to build rapport and trust with new clients. Which of the following actions should the nurse take?

4 : A nurse is working to build rapport and trust with new clients. Which of the following actions should the nurse take?

5 : A nurse is caring for an older adult client who reports their caregiver has been writing checks in their name without their consent. Which of the following types of abuse is the client experiencing?

6 : Which of the following phases of Selye's General Adaptation Syndrome (GAS) reflects a nurse's ability to successfully perform duties during a prolonged period of stress lasting weeks to months without any indication of observable impairment?

7 : A nurse is caring for a client who has sleep dysregulation, poor memory, and poor concentration. Which of the following neurotransmitters shows the fine identify as being responsible for the client's manifestations?

8 : A nurse is working with an older adult client who has been diagnosed with somatic symptom disorder. Which of the following should the nurse consider when working with an older adult who has somatic symptom disorder?

9 : A nurse is caring for a client who is concerned about developing a mental health disorder as a result of their childhood experiences. Which of the following familial characteristics is a protective factor for adverse childhood experiences?

10 : A nurse is caring for a client who reports a recent increase in stressors. Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this client?

1 :
A nurse is providing care to a client who is aggressive and demonstrating self-injurious behaviors. Which of the following disorders ones the nurse identifies as being consistent with this behavior?

2 :
A nurse is caning for a client who has been newly diagnosed with schizophrenia. Which of the following findings is true regarding this disorder?

3 :
A nurse is working to build rapport and trust with new clients. Which of the following actions should the nurse take?

4 :
A nurse is working to build rapport and trust with new clients. Which of the following actions should the nurse take?

5 :
A nurse is caring for an older adult client who reports their caregiver has been writing checks in their name without their consent. Which of the following types of abuse is the client experiencing?

6 :
Which of the following phases of Selye's General Adaptation Syndrome (GAS) reflects a nurse's ability to successfully perform duties during a prolonged period of stress lasting weeks to months without any indication of observable impairment?

7 :
A nurse is caring for a client who has sleep dysregulation, poor memory, and poor concentration. Which of the following neurotransmitters shows the fine identify as being responsible for the client's manifestations?

8 :
A nurse is working with an older adult client who has been diagnosed with somatic symptom disorder. Which of the following should the nurse consider when working with an older adult who has somatic symptom disorder?

9 :
A nurse is caring for a client who is concerned about developing a mental health disorder as a result of their childhood experiences. Which of the following familial characteristics is a protective factor for adverse childhood experiences?

10 :
A nurse is caring for a client who reports a recent increase in stressors. Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this client?