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Chapter 26: Outward-Focused Emotions: Violence
from TEST BANK for Foundations of Mental Health Care 7th Edition Morrison-Valfre. All 33 Chapters.
by ACADEMIAMILL
Morrison-Valfre: Foundations of Mental Health Care, 7th Edition
Multiple Choice
1. Mr. Right employs 22 children in his clothing factory. Each child is no older than 10 years of age and works 11 hours a day, 6 days a week. Mr. Right is practicing: a. abuse. b. neglect. c. violence. d. exploitation.
ANS: D
This describes the exploitation of children in providing a profit for Mr. Right. Abuse refers to the intentional misuse of something or someone that results in harm; neglect is described as causing harm to another’s health or welfare through failure to provide for basic needs or by placing the person’s health or welfare at unreasonable risk; and violence is defined as physical force that harms another.
DIF: Cognitive Level: Comprehension REF: p. 300 OBJ: 1
TOP: Definition of Terms
KEY: Nursing Process Step: Assessment
MSC: Client Needs: Safe and Effective Care Environment a. feminist b. sociological c. anthropological d. psychiatric/mental illness
2. The theory that cites poverty, unemployment, and crime as sources of violence is known as the theory.
ANS: B
Sociological theories consider environmental and social factors to be causes of violence in society. Feminist theories describe violence directed toward women. Anthropological theory is based on cultural patterns, social organizations, and sexual differences; and the psychiatric/mental illness theory refers to violence as a mental illness.
DIF: Cognitive Level: Knowledge REF: p. 301 OBJ: 2
TOP: Theories of Violence
MSC: Client Needs: Psychosocial Integrity
KEY: Nursing Process Step: Assessment a. Machismo b. Femininity c. Masculinity d. Muscularity
3. What concept do feminist theories use to explain violence against women?
ANS: A
Machismo is defined as compulsive masculinity that results in aggressive and violent behavior directed toward women, which occurs as the result of socialization of this behavior throughout childhood.
DIF: Cognitive Level: Knowledge REF: p. 301 OBJ: 2
TOP: Adjustment Disorders KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
4. The term that describes repeated physical abuse, usually of a woman, child, or elder, is: a. neglect. b. battering. c. exploitation. d. gender abuse.
ANS: B
This is the definition of battering. Neglect is defined as causing harm to another’s health or welfare through failure to provide for basic needs or by placing the person’s health or welfare at unreasonable risk. Exploitation refers to using an individual for selfish purposes or for profit. Gender abuse is described as various forms of abuse directed toward women.
DIF: Cognitive Level: Knowledge REF: p. 302 OBJ: 5
TOP: Domestic Violence KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
5. A male who, as a child, observed the women in his family being dominated is, in his own life, more likely to: a. love. b. batter. c. belittle. d. order around.
ANS: B
The social learning theory considers this to be a contributing factor to a male who has become a batterer.
DIF: Cognitive Level: Knowledge REF: p. 301 OBJ: 2
TOP: Theories of Violence KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity a. shaken baby b. drugged baby c. depressed infant d. feeding disorder
6. Whenever there is a history of unexplained lethargy, fussiness, or irritability in an infant, caregivers should suspect syndrome.
ANS: A
Shaken baby syndrome should be suspected when an infant has unexplained or vague injuries. This form of child abuse results when the child is vigorously shaken, leading to whiplash-induced bleeding in the brain.
DIF: Cognitive Level: Comprehension REF: p. 305
TOP: Child Abuse KEY: Nursing Process Step: Assessment
MSC: Client Needs: Physiological Integrity
OBJ: 5
7. Eating disorders, substance abuse, delinquent behaviors, posttraumatic stress disorder, and suicide most commonly are seen as the result of abuse in this population: a. children. b. adolescents. c. adults. d. elderly.
ANS: B
These disorders most frequently are seen as the result of abuse of adolescents, and abuse of this age-group is the most overlooked type of family violence.
DIF: Cognitive Level: Knowledge REF: p. 306
OBJ: 6
TOP: Adolescent Abuse KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
8. A physically or mentally impaired older woman who is living with a relative and has a history of unexplained bruises or injuries, burns in unusual places, or poor personal hygiene is likely a victim of: a. neglect. b. child abuse. c. elder abuse. d. adolescent abuse.
ANS: C
These are typical signs of elder abuse, which most typically occurs among family members.
DIF: Cognitive Level: Comprehension REF: p. 307
TOP: Elder Abuse KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
OBJ: 5
9. A rule of thumb for recovering from a rape or other violent experience states that the greater the force or brutality, the greater the psychological harm and: a. recovery time. b. legal implications. c. social dysfunction. d. financial difficulty.
ANS: A
Recovery time is directly related to the level of the attack.
DIF: Cognitive Level: Comprehension REF: p. 310
OBJ: 6
TOP: Rape: Trauma Syndrome KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
10. Many victims of violence believe that their abusers may attempt to hurt them again, even as they are seeking help. Recognizing this, the care provider: a. does not leave the client alone. b. posts security guards at the door. c. leaves the client alone no longer than 15 minutes. d. immediately gets the name and phone number of the perpetrator.
ANS: A
The first priority of care for every victim of violence is to ensure safety and security.
DIF: Cognitive Level: Application REF: p. 310
OBJ: 8
TOP: Treating Victims of Violence KEY: Nursing Process Step: Intervention
MSC: Client Needs: Safe and Effective Care Environment a. Inspect b. Investigate c. Report to the authorities d. Report to the client’s family
11. By law, what are health care providers required to do when they encounter incidents of suspected or actual abuse or neglect?
ANS: C
By law, health care providers are required to report violent incidents to the police. It is not mandatory for health care providers to inspect clients if they have not given permission. Investigation is the responsibility of law enforcement officials. Reporting to the client’s family is a breach of confidentiality unless requested by the client.
DIF: Cognitive Level: Knowledge REF: p. 307
OBJ: 7
TOP: Special Assessments KEY: Nursing Process Step: Intervention
MSC: Client Needs: Safe and Effective Care Environment
12. During the recoil stage of recovery from violence, the major characteristic is: a. fear. b. disorganization. c. reconstruction. d. struggle to adapt.
ANS: D
The recoil stage is when the individual becomes aware of the impact of the violence on his or her life. Fear and disorganization occur during the impact stage, and reconstruction occurs during the reorganization stage.
DIF: Cognitive Level: Knowledge REF: p. 309 | Table 26.2
OBJ: 6 TOP: Mental Health Disorders Relating to Violence
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity a. 10 b. 25 c. 50 d. 75
13. Child prostitution in Thailand is widespread, and it is estimated that % of these children have AIDS.
ANS: C
There are nearly 500,000 child prostitutes in Thailand alone. This does not include the number in the remainder of Asia or the rest of the world.
DIF: Cognitive Level: Knowledge REF: p. 305 OBJ: 5
TOP: Child Abuse KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity a. Bruises and welts at various stages of healing b. Consistently dirty, hungry, and inappropriately dressed c. Child has torn, stained, or bloody underclothing d. Any fracture in a child younger than 2 years of age or fractures at various stages of healing in a child of any age
14. Which signs and/or symptoms should alert the caregiver to a child who is suffering from neglect?
ANS: B
These are only a few of the signs of neglect. Bruises and fractures are consistent with physical abuse, and torn, stained, or bloody underclothing is seen with sexual abuse.
DIF: Cognitive Level: Application REF: p. 311 | Table 26.3
OBJ: 5 TOP: Special Assessments
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity a. Avoid the conflict and focus on positive aspects of their lives. b. Isolate the family and attempt to reach resolution without outside interference. c. Maintain clear and supportive communication to address the crisis. d. Look to the head of the family to resolve based on role.
15. When a functional family is faced with a crisis or unexpected situation, which of the following behaviors do they exhibit to overcome it?
ANS: C
A functional family unit is described by what it does (processes) to achieve its goals. These processes include clear and supportive communications among all family members. Isolating the family does not allow them to use resources outside the family, avoidance of conflict does not promote resolution, and assigning goal planning to one member does not describe the actions of a functional family.
DIF: Cognitive Level: Application REF: p. 302 OBJ: 3
TOP: Domestic Violence KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity a. Trusting nature b. Assertive personality c. Accomplished in nontraditional female career d. Suspicious nature
16. While an abused woman cannot be categorized to fit a specific profile, which of the following traits is most commonly identified?
ANS: A
There is no “typical” abused woman, but the victims of violence do have some characteristics in common. Perhaps the most common trait is a trusting nature, as opposed to a suspicious nature. Many women were raised to be nonaggressive and traditional, as opposed to assertive and accomplished in nontraditional female careers.
DIF: Cognitive Level: Application REF: p. 303
OBJ: 3
TOP: Gender Abuse KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity a. Postpartum hemorrhage b. Preterm delivery c. Maternal substance abuse d. Delivery by caesarean section
17. Abuse during pregnancy endangers the health and well-being of the pregnant woman and her fetus. Which complicating factor is seen twice as much in women experiencing abuse during pregnancy?
ANS: B
The number of women who are abused during pregnancy experiencing preterm delivery and low birth weight infants has doubled. Women also postpone prenatal care until the third trimester when it is too late to provide adequate care to treat problems. Hemorrhage after delivery, substance abuse, and operative delivery are not noted as issues more prevalent in abused pregnant women.
DIF: Cognitive Level: Application REF: p. 303
OBJ: 4
TOP: Abuse During Pregnancy KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity a. Noncompliance b. Denial, ineffective c. Self-esteem disturbance, situational low/chronic low d. Violence, risk for other-directed
18. Which nursing diagnosis would be most appropriate for an adolescent client suffering from test anxiety who was continually told by her mother that she was inferior to her siblings and could never amount to anything?
ANS: C
Emotional abuse involves rejection, criticism, terrorizing, and isolation. The result is low self-esteem, in which the adolescent doubts her abilities. The adolescent in this case is not in denial and is not demonstrating behaviors that would alert the nurse to a violent nature. Noncompliance is not an issue in this case.
DIF: Cognitive Level: Application REF: p. 313 | Box 26.5
OBJ: 5 TOP: Child Abuse KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
Multiple Response
1. Which are characteristics of a dysfunctional family? (Select all that apply.)
a. Occasional arguments b. Setting goals c. Inconsistent authority d. No clearly defined roles e. Members are self-centered f. Family boundaries are rigid g. Clear and supportive communications
ANS: C, D, E, F
A dysfunctional family is described by its inability to fulfill its basic functions. All other options represent a well-functioning family dynamic.
DIF: Cognitive Level: Comprehension REF: p. 302 OBJ: 3
TOP: Domestic Violence KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity a. Denial of the seriousness of the problem b. Feeling that she cannot control the man’s behavior c. Blaming alcohol and work for the man’s behavior d. Feeling that she deserves minor abuse
2. During the first phase of the domestic abuse cycle, the female victim of domestic violence inflicted by a male usually displays which characteristics or behaviors? (Select all that apply.)
ANS: A, C
The first cycle is the tension phase. During this phase, the woman feels that she can control the man’s behavior, and she feels that she does not deserve minor abuse.
DIF: Cognitive Level: Application REF: p. 304 | Table 26.1
OBJ: 5 TOP: Domestic Violence
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity a. Even though they have been dating for less than 2 months, he wants to get married as soon as possible. b. He does not allow her to go out with friends unless he accompanies them. c. He finds fault with her family and seeks to convince her that they are trying to sabotage her relationship with him. d. He has a poor relationship with his own parents, blaming them for not supporting him after he was fired from various jobs. e. He would like to further his education but realizes that he must first work for a while to pay off student loans.
3. A 25-year-old woman expresses concern regarding some of her new boyfriend’s behaviors. Which of the following statements might indicate that he has an abusive personality? (Select all that apply.)
ANS: A, B, C, D
Early signs of an abusive personality include a push for quick involvement, as seen in the rush to get married. Demonstrating jealous and controlling behaviors in not allowing his partner to go out with friends, blaming his family for his own problems, and attempting to isolate his partner from her family are also signs of an abusive personality. Working to pay off loans before furthering education is a realistic expectation and not indicative of an abusive personality.
DIF: Cognitive Level: Application REF: p. 305 | Box 26.3
OBJ: 9 TOP: Early Signs of Abusive Personality
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
Chapter 27: Inward-Focused Emotions: Suicide
Morrison-Valfre: Foundations of Mental Health Care, 7th Edition
Multiple Choice
1. Self-protective responses are seen in behaviors that meet basic: a. goals. b. needs. c. wants. d. demands.
ANS: B
People behave in many ways to secure basic safety and security needs.
DIF: Cognitive Level: Knowledge REF: p. 316 OBJ: 1
TOP: Continuum of Behavioral Responses
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity a. adaptive b. suicidal c. direct self-destructive d. indirect self-destructive
2. Bob drives fast everywhere he goes, especially when he is drinking. Last night, he was arrested for gambling and loud behavior. Bob is engaging in behavior.
ANS: D
Indirect self-destructive behaviors are behaviors that may result in harm or death to the individual who has no intention of ending his or her life. Suicide and direct self-destructive behavior are behaviors that convey an active wish to die. The behavior in this situation is maladaptive, not adaptive.
DIF: Cognitive Level: Application REF: p. 316 OBJ: 1
TOP: Continuum of Behavioral Responses
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
3. Suicide in the United States is: a. not a problem. b. the tenth leading cause of death. c. most prevalent among the middle-aged. d. controlled by the use of antidepressants.
ANS: B
Suicide is the tenth leading cause of death in the United States.
DIF: Cognitive Level: Knowledge REF: p. 317 OBJ: 2
TOP: Impact of Suicide on Society KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity a. biological b. sociological c. interpersonal d. psychoanalytical
4. The theory that suicide rates are affected by group support, social changes, regulations, religion, legal sanctions or limitations, and philosophical beliefs is known as the theory.
ANS: B
Sociological theory considers the relationship between the number of suicides and the social conditions in an area. Biological theory refers to anxiety and depression caused by irregularities in neurotransmitters, leading to suicide; interpersonal theory views suicide as the result of an inability to resolve interpersonal conflicts; and psychoanalytical theory considers suicide as anger turned inward.
DIF: Cognitive Level: Knowledge REF: p. 321 OBJ: 6
TOP: Theories About Suicide KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity a. family b. social c. mental health d. acute physical
5. Adolescents are at greater risk for committing suicide if they have problems.
ANS: C
Adolescents with existing mental health problems are at greater risk for committing suicide than are other children because they often do not have effective coping skills.
DIF: Cognitive Level: Knowledge REF: p. 322
OBJ: 7
TOP: Suicide and Children KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity a. adult men; women b. adult women; men c. adult fathers; mothers d. adolescent mothers; fathers
6. Suicide is attempted three times more frequently by but is more often successfully completed by .
ANS: B
Women attempt suicide three times more frequently than men, but men are more often successful at completing the act.
DIF: Cognitive Level: Knowledge REF: p. 323
OBJ: 2 | 7
TOP: Suicide and Adults KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
7. The caregiver works with suicidal clients to establish therapeutic rapport. The focused communications and concerned actions encourage suicidal persons to: a. feel in control. b. feel self-worth. c. talk about themselves. d. feel foolish for thinking about suicide.
ANS: B
The focused communications and concerned actions of caregivers help suicidal individuals to feel self-worth, which directly affects the treatment goals of the individual.
DIF: Cognitive Level: Application REF: p. 325 OBJ: 9
TOP: Therapeutic Interventions for Suicidal Clients
KEY: Nursing Process Step: Intervention MSC: Client Needs: Psychosocial Integrity a. adolescents b. older adults c. young adults d. middle-aged adults
8. Suicide attempts by are more successful because one out of every two attempts results in death.
ANS: B
The incidence of successful suicides increases with age because of the fact that older adults are less likely than persons of all other age groups to communicate their intentions to others.
DIF: Cognitive Level: Knowledge REF: p. 323 OBJ: 7
TOP: Suicide and Older Adults KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
9. When the environment lacks security or presents dangers, the perception that life will be short or will end in violence is most compelling for: a. children. b. adolescents. c. young adults. d. middle-aged adults.
ANS: B
This age-group tends to feel this way more than other age groups do, and if this is the feeling of an adolescent, he or she sees no promise for the future.
DIF: Cognitive Level: Comprehension REF: p. 322 OBJ: 7
TOP: Suicide and Adolescents KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
10. All people who commit suicide are depressed or psychotic. This statement is a(n): a. fact. b. myth. c. opinion. d. attitude.
ANS: B
Many false ideas about suicide still exist. It is important for the nurse to become familiar with these myths if he is to be skilled in educating others about suicide.
DIF: Cognitive Level: Comprehension REF: p. 317 OBJ: 2
TOP: Myths About Suicide KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
11. The nurse is caring for a male client with a major depressive disorder who has not responded well to various treatments in the past. The latest treatment method has resulted in slight improvement in the client’s symptoms. On this particular day, the client has a very positive affect and says he feels “amazingly better.” The nurse should: a. congratulate him on his recovery. b. document the client’s improvement. c. ask him what he feels has helped him feel better so suddenly. d. assess the client for signs and symptoms of suicidal thoughts.
ANS: D
This behavior is frequently seen when a depressed individual has made the decision to commit suicide. The other options ignore this important sign.
DIF: Cognitive Level: Application REF: p. 327 | Box 27.1
OBJ: 2 TOP: Myths About Suicide
KEY: Nursing Process Step: Intervention MSC: Client Needs: Psychosocial Integrity a. Cry for help b. Relieving distress c. Preoccupation with suicide d. Refusal to accept a diminished style of life
12. An adult female whose fiancé recently called off the wedding attempts suicide by taking an overdose of sleeping medication. Immediately after taking the medication, she calls friends and family to tell them what she has done. Her friends and family activate the emergency response system, and she is taken to the emergency department and is admitted to a mental health facility for monitoring. She is exhibiting signs and symptoms most evident of which suicidal motivational category?
ANS: A
This behavior is characteristic of a cry for help. Calling others after her attempt shows that she was not intent on committing suicide. Relieving distress refers to individuals who face situations that threaten their own intactness as a person, such as terminal illness; preoccupation with suicide indicates the only form of control for one’s own life; and refusal to accept a diminished style of life refers to considering all options and then rationally deciding that suicide is the best option.
DIF: Cognitive Level: Application REF: p. 320 OBJ: 4
TOP: Categories of Motivation KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
13. A terminally ill female client chooses the time and place of her own death. This is an example of: a. suicide. b. self-injury. c. rational suicide. d. planned suicide.
ANS: C
In this situation, the person knows that she is going to die, so the decision of where to die is made freely and with sound mind. Suicide and planned suicide simply refer to intentionally taking one’s own life. Self-injury is an active attempt to injure oneself.
DIF: Cognitive Level: Comprehension REF: p. 319
OBJ: 3
TOP: Social Factors KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
14. An elderly male client’s wife of 50 years recently died from cancer. He suffers from a chronic debilitating illness and has been refusing to eat, drink, or take his medications. This client is displaying behavior characteristic of: a. suicidal threats. b. suicidal attempts. c. suicidal ideation. d. passive suicide.
ANS: D
Passive suicide is seen most frequently in older adults as a result of depression and loneliness. Suicidal threats refer to written or verbal threats of suicide; suicidal attempts are self-directed actions to harm oneself; and suicidal ideation is a preoccupation with the idea of suicide.
DIF: Cognitive Level: Application REF: p. 323
OBJ: 7
TOP: Suicide and Older Adults KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity a. emotional b. social c. intellectual d. spiritual
15. In the dimension, an individual who is considering suicide experiences distorted thinking and self-defeating thoughts.
ANS: C
This dimension is characterized by self-defeating thoughts rather than attempts to problem-solve. The emotional dimension refers to feelings such as ambivalence, anger, guilt, and hopelessness; the social dimension refers to feelings of inferiority; and the spiritual dimension encompasses an individual’s ethics, religion, and societal beliefs.
DIF: Cognitive Level: Comprehension REF: p. 319
OBJ: 4
TOP: Characteristics of Suicide KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity a. Firearm use b. Hanging c. Overdose d. Drowning
16. Methods of suicide differ by gender. What is a preferred method of female suicide victims?
ANS: C
Women who commit suicide use a method such as overdose or inhalation of carbon monoxide. Men generally utilize more violent methods such as firearm use, hanging, or drowning.
DIF: Cognitive Level: Comprehension REF: p. 319 OBJ: 2
TOP: Characteristics of Suicide KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity a. Serotonin b. Epinephrine c. Norepinephrine d. Dopamine
17. Biological studies of suicide victims show an imbalance of which neurotransmitter system?
ANS: A
Researchers have demonstrated that when certain chemicals in the brain (neurotransmitters) are not in balance, people have difficulty regulating their moods. Irregularities in a certain neurotransmitter pattern, called the serotonin system, have been found in depressed and suicidal persons.
DIF: Cognitive Level: Comprehension REF: p. 321 OBJ: 6
TOP: Theories About Suicide: Biological Evidence
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity a. “If I had AIDS or cancer and died, then my family would be sorry.” b. “I just don’t see any other way out of this situation.” c. “I tried to kill myself 6 months ago, but my friend stopped me. The next time, no one will know.” d. “I have thought about planning it, but I haven’t done it.”
18. In assessing a client for suicide, which finding presents the greatest risk for the client?
ANS: C
In assessing a client for risk of suicide, all of these factors (suicide ideation, present suicide plan, and level of despair) indicate a risk. However, a client with previous attempts presents the highest risk.
DIF: Cognitive Level: Comprehension REF: p. 322 | Box 27.2
OBJ: 8 TOP: Suicide Assessment
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
19. After establishing a no-harm contract with the client, the nurse should: a. begin to assess client risk factors. b. continue to maintain close observation. c. decrease observation activity to allow client autonomy. d. begin treatment with antidepressants.
ANS: B
After the client agrees to a no-harm contract, the health care provider must still maintain close observation while continuing to work on underlying issues of self-worth and despair. The assessment process should have been started prior to this. Antidepressants are prescribed based on physician order. Decreasing observation may increase client risk at this time.
DIF: Cognitive Level: Comprehension REF: p. 325
TOP: Therapeutic Interventions for Suicidal Clients
OBJ: 9
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
Multiple Response
1. Which of the following are included in the continuum of self-protective responses? (Select all that apply.)
a. Suicide b. Self-injury c. Depression d. Goal setting e. Self-enhancement f. Growth-promoting risk taking g. Supportive communications
ANS: A, B, E, F
Suicide, self-injury, positive risk taking, and self-enhancement are behaviors in the continuum of self-protective responses.
DIF: Cognitive Level: Knowledge REF: p. 316
TOP: Continuum of Behavioral Responses
OBJ: 1
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity a. Suicide occurs most often in lower socioeconomic classes. b. Depression is a high risk factor for attempting suicide. c. Giving away important possessions is a sign of suicidal thoughts. d. It is harmful to discuss the subject of suicide with clients. e. Suicidal threats are serious only if the client conveys the planned method.
2. Which are facts about suicide? (Select all that apply.)
ANS: B, C
These are only two of the facts about suicide. The other options are myths regarding suicide. It is important for the nurse to be familiar with both the facts and the myths regarding suicide.
DIF: Cognitive Level: Comprehension REF: p. 317
OBJ: 2
TOP: Myths About Suicide KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity a. Social isolation b. Legal status of gun ownership c. Poverty and homelessness d. Veterans of combat e. Availability of internet resources
3. Which social factors impact the incidence of suicide? (Select all that apply.)
ANS: A, B, C, D
Social isolation increases as people are more mobile and separated from family and support systems. The legal availability of firearms increases the suicide rate. Circumstances where people cannot care for their basic needs through homelessness and poverty increase the incidence of suicide. Persons who have suffered some type of PTSD, such as survivors of natural disasters or veterans of combat, have higher suicide rates. Access to internet resources does not impact the incidence of suicide.
DIF: Cognitive Level: Comprehension REF: p. 318
OBJ: 3
TOP: Social Factors KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
