Author Question: The client on the mental health unit who should be assessed as being at highest risk for directing ... (Read 29 times)

Capo · **on:** Jul 19, 2018

The client on the mental health unit who should be assessed as being at highest risk for directing
violent behavior toward others is

a. E, who has obsessive-compulsive disorder and performs many rituals.
b. F, who has paranoid delusions that she is being followed by members of the
mafia.
c. G, who has severe depression with delusions of worthlessness.
d. H, who has completed alcohol withdrawal and is beginning a rehabilitation
program.

Question 2

A woman was abducted and raped at gunpoint by an unknown assailant. When found she was
confused and disoriented. The nurse makes the following observations about the client.

She is
talking rapidly in disjointed phrases, is unable to concentrate, and is indecisive when asked to make
simple decisions. The client's level of anxiety can be assessed as
a. severe.
b. moderate.
c. mild.
d. nonexistent.

soda0602 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
F has the greatest disruption of ability to perceive reality accurately. People who feel persecuted may
strike out against those believed to be persecutors. The other clients have better reality-testing
ability.

Answer to Question 2

A
Acute anxiety results from the personal threat to the victim's safety and security. In this case, the
client's symptoms of rapid, dissociated speech, inability to concentrate, and indecisiveness indicate
severe anxiety. Options B and C: Mild and moderate levels of anxiety would allow the client to
function at a higher level.