Nokea
A hospitalized client with schizophrenia is receiving antipsychotic medications. While assessing the client, the nurse identifies signs and symptoms of a dystonic reaction. Which agent would the nurse expect to administer?
- A. Diphenhydramine (Benadryl)
- B. Propranolol (Inderal)
- C. Risperidone (Risperdal)
- D. Aripiprazole (Abilify)
Correct Answer: A
Rationale: The correct answer is A: Diphenhydramine (Benadryl). Dystonic reactions are extrapyramidal side effects commonly seen with antipsychotic medications. Diphenhydramine is a first-line treatment for dystonic reactions due to its anticholinergic properties. It helps block the excessive dopamine activity in the brain that causes these reactions. Propranolol (B) is a beta-blocker and not typically used for dystonic reactions. Risperidone (C) and Aripiprazole (D) are antipsychotic medications themselves and would not be used to treat dystonic reactions caused by antipsychotic medications.
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Malika agrees to try losing weight according to the nurse practitioner's outlined plan. Additional teaching is warranted when Malika states:
- A. I am willing to admit I am depressed.
- B. Psychotherapy will be a part of my treatment.
- C. I prefer to have a gastric bypass rather than use this plan.
- D. My comorbid conditions may improve with weight loss.
Correct Answer: C
Rationale: Rationale:
C is correct because choosing gastric bypass over the outlined plan indicates a lack of commitment to the agreed weight loss plan. It suggests that Malika may not be fully engaged in following the recommendations provided by the nurse practitioner. This choice also implies a preference for a more invasive and potentially risky procedure over a more conservative approach. Options A, B, and D are incorrect because they do not challenge or contradict the nurse practitioner's plan, indicating a willingness to address depression, engage in psychotherapy, and recognize potential benefits of weight loss on comorbid conditions.
A nurse is reviewing common themes or social determinants among populations preventing clients' achievement of health care"“related goals. The nurse wants to include interventions into the clients' plan of care to help overcome effects of the identified social determinants. What would the nurse use to base conclusions?
- A. Healthy People 2030
- B. community-based outcomes
- C. culturally competent therapy
- D. national client safety goals
Correct Answer: A
Rationale: The correct answer is A: Healthy People 2030. This is a comprehensive set of national health objectives designed to identify and address the most significant health issues facing the population. The nurse would use Healthy People 2030 to base conclusions because it provides evidence-based goals and strategies to improve health outcomes and address social determinants of health.
Explanation:
1. Healthy People 2030 is a national initiative that focuses on improving the health and well-being of individuals and communities.
2. It includes specific objectives related to social determinants of health, such as poverty, education, and access to healthcare.
3. By using Healthy People 2030, the nurse can identify relevant interventions and strategies to address the identified social determinants and improve clients' health outcomes.
Summary:
B: Community-based outcomes may be relevant for specific interventions but do not provide the comprehensive national perspective needed to address social determinants.
C: Culturally competent therapy is important but focuses on individualized care rather than addressing broader social determin
Which technique is most applicable to aversion therapy?
- A. Punishment
- B. Desensitization
- C. Role modeling
- D. Positive reinforcement
Correct Answer: A
Rationale: Aversion therapy aims to reduce unwanted behaviors by associating them with negative consequences. Punishment, option A, is the most applicable technique as it involves applying an unpleasant stimulus to decrease the likelihood of a behavior occurring again. Desensitization (B) and positive reinforcement (D) aim to increase desired behaviors, which is not the goal of aversion therapy. Role modeling (C) involves observing and imitating others' behaviors, which is unrelated to aversion therapy's principles.
A client with a long history of alcohol use disorder has been diagnosed with Wernicke-Korsakoff syndrome. With which member of the mental health-care team would the nurse collaborate to meet this client's described need?
- A. The psychiatrist to obtain an order for neurocognitive disorder medications.
- B. The psychologist to set up counseling sessions to explore stressors.
- C. The dietitian to help the client increase consumption of thiamine-rich foods.
- D. The social worker to plan transportation to Alcoholics Anonymous.
Correct Answer: C
Rationale: The correct answer is C: The dietitian to help the client increase consumption of thiamine-rich foods. Wernicke-Korsakoff syndrome is caused by thiamine deficiency, commonly seen in individuals with alcohol use disorder. Thiamine supplementation is essential in managing this condition. Collaborating with a dietitian can ensure the client receives proper education and guidance on increasing thiamine intake through diet.
Incorrect choices:
A: The psychiatrist for neurocognitive disorder medications - While medications may be prescribed for symptoms, addressing the underlying thiamine deficiency is crucial.
B: The psychologist for counseling sessions - Counseling can be beneficial, but addressing the nutritional deficiency is a priority.
D: The social worker for transportation to AA - Important for ongoing support, but addressing the nutritional needs comes first to manage Wernicke-Korsakoff syndrome.
What behavior is a client with a diagnosis of antisocial personality disorder demonstrating when they engage in binge drinking?
- A. a defiant personality
- B. emotional regulation
- C. maladaptive behavior
- D. self-determination
Correct Answer: C
Rationale: The correct answer is C: maladaptive behavior. Clients with antisocial personality disorder often engage in maladaptive behaviors, such as binge drinking, to cope with their emotions and impulsivity. Binge drinking is a harmful coping mechanism that can lead to negative consequences, reflecting maladaptive behavior. Choice A (defiant personality) is incorrect as it does not directly relate to the behavior of binge drinking. Emotional regulation (Choice B) is also incorrect as individuals with antisocial personality disorder typically struggle with regulating their emotions, leading to impulsive behaviors like binge drinking. Self-determination (Choice D) is not the most appropriate answer as it does not directly address the maladaptive nature of binge drinking in individuals with antisocial personality disorder.