NCLEX-PN

Chapter 4: Quiz & Answer Key 1. Which couple is at greatest risk for domestic violence? A.​ A couple that consists of a husband and wife, both of whom are affected with Alzheimer’s disease B.​ A poverty-stricken couple without any healthcare resources in the community C.​ A pregnant woman and a husband who was physically abused as a young child D.​ A wealthy couple with feelings that they are immune from punishment and above the law Correct Response: C Explanation : The couple at the highest risk of domestic violence consists of a pregnant woman and a husband who experienced physical abuse during childhood. Pregnancy and a history of personal abuse are common risk factors for women and male abusers, respectively. Recent research reveals that abuse and neglect can impact individuals of all ages and socioeconomic backgrounds, including both the wealthy and poor. Other groups vulnerable to abuse and neglect include females, infants, children, individuals with cognitive or developmental impairments, the elderly, and those with physical or mental disabilities. Abusers often exhibit traits such as substance abuse, psychiatric disorders, inadequate parenting and anger management skills, low self-esteem, poor coping abilities, impaired impulse control, immaturity, and may be going through a current crisis. (See Domestic or Spousal Abuse ) 2. You are caring for a client who has been taking illicit amphetamines and states that they continue to use this illicit drug because they “suffer and feel lousy” when they try to stop taking it. Which nursing diagnosis is the most appropriate for this client? A.​ Psychological dependence secondary to amphetamine use B.​ Substance abuse secondary to amphetamine use C.​ Addiction secondary to amphetamine use D.​ Physical dependence secondary to amphetamine use Correct Response : A Explanation : The appropriate nursing diagnosis for this client is " Psychological dependence secondary to amphetamine use ," which refers to the client's reliance on amphetamines to avoid unpleasant feelings and experiences. Substances like amphetamines and hallucinogenic drugs like LSD are often linked to psychological dependence. Substance abuse involves excessive consumption of an addictive substance, whether it's alcohol, prescription drugs, or illegal drugs. It does not include prescribed medications used for medical purposes, but if these medications are continued after the medical need has passed, it is considered substance abuse. Addiction is an unending need for a substance, even when its use leads to serious physical, psychological, social, or economic harm and a loss of control over its consumption. It can occur with or without physical dependence.

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