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A healthcare provider is providing care for a patient with generalized anxiety disorder (GAD) who has been prescribed an SSRI. Which SSRI is commonly used for this condition?
- A. Methylphenidate
- B. Sertraline
- C. Lithium
- D. Haloperidol
Correct Answer: B
Rationale: The correct answer is B: Sertraline. Sertraline, an SSRI, is commonly used to treat generalized anxiety disorder (GAD) due to its efficacy and tolerability. Methylphenidate is a central nervous system stimulant used for ADHD and narcolepsy, not for GAD. Lithium is mainly used for bipolar disorder, not for GAD. Haloperidol is an antipsychotic medication, not typically used for GAD.
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When an individual uses the defense mechanism of displacement after the boss openly disagrees with suggestions, what behavior would be expected from this individual?
- A. The individual assertively confronts the boss
- B. The individual leaves the staff meeting to work out in the gym
- C. The individual criticizes a coworker
- D. The individual takes the boss out to lunch
Correct Answer: C
Rationale: The correct answer is C. The individual using the defense mechanism of displacement would criticize a coworker after being confronted by the boss. Displacement involves transferring feelings from one target to a neutral or less-threatening target, hence the individual criticizing a coworker instead of directly confronting the boss. Choices A, B, and D are incorrect. Choice A is incorrect because the individual is not likely to assertively confront the boss when using displacement. Choice B is incorrect as leaving the meeting to work out in the gym is not a typical response when displacement is used. Choice D is incorrect as taking the boss out to lunch does not align with the concept of displacement, which involves redirecting emotions onto another target.
During a mental health assessment on an adult client, which client action would demonstrate the highest achievement in terms of mental health according to Maslow's hierarchy of needs?
- A. Maintaining a long-term, faithful, intimate relationship
- B. Achieving a sense of self-confidence
- C. Possessing a feeling of self-fulfillment and realizing full potential
- D. Developing a sense of purpose and the ability to direct activities
Correct Answer: C
Rationale: In Maslow's hierarchy of needs, self-actualization is the highest level. Possessing a feeling of self-fulfillment and realizing full potential reflects self-actualization. This level represents achieving personal growth, self-improvement, and reaching one's full potential, indicating optimal mental health. Choices A, B, and D represent lower levels of needs according to Maslow's hierarchy. Maintaining a long-term relationship indicates belongingness and love needs, achieving self-confidence pertains to esteem needs, and developing a sense of purpose relates to self-esteem and self-actualization needs, but they are not at the pinnacle of self-actualization as in choice C.
A patient with bipolar disorder is prescribed quetiapine. The nurse should monitor the patient for which common side effect?
- A. Weight gain
- B. Hypertension
- C. Hair loss
- D. Hyperthyroidism
Correct Answer: A
Rationale: Weight gain is a common side effect of quetiapine, an atypical antipsychotic. Quetiapine can lead to metabolic changes that may result in weight gain. Monitoring weight regularly is essential to address this potential side effect. Choices B, C, and D are incorrect. Quetiapine is not typically associated with hypertension, hair loss, or hyperthyroidism as common side effects.
A client with obsessive-compulsive disorder (OCD) is being cared for by a nurse. Which intervention should the nurse include in the plan of care?
- A. Encourage the client to suppress compulsive behaviors.
- B. Set strict limits on the amount of time the client can engage in compulsive behaviors.
- C. Allow the client to perform compulsive behaviors as needed.
- D. Gradually limit the amount of time allotted for compulsive behaviors.
Correct Answer: D
Rationale: In caring for a client with OCD, it is essential to gradually limit the time allotted for compulsive behaviors. This intervention helps the client develop alternative coping mechanisms. Encouraging suppression or setting strict limits on compulsive behaviors can exacerbate the client's anxiety, making it crucial to approach the care plan with a gradual reduction strategy. Allowing the client to perform compulsive behaviors as needed does not promote progress towards managing OCD symptoms and may reinforce maladaptive patterns of behavior.
A client with bipolar disorder is prescribed lithium. Which of the following statements by the client indicates a need for further teaching?
- A. I should maintain a consistent salt intake.
- B. I should drink 6-8 glasses of water daily.
- C. I need to have my lithium levels checked regularly.
- D. I can stop taking my medication once my mood stabilizes.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.