Nokea
What treatment does a nurse expect to initiate for a depressed patient who is agitated, vomiting, hyperthermic, hyperreflexive, and tachycardic?
- A. Serotonin syndrome: Anticonvulsants for seizures
- B. Clonazepam for myoclonus
- C. Lorazepam for restlessness and agitation
- D. Palpitations
Correct Answer: A
Rationale: The correct answer is A: Serotonin syndrome: Anticonvulsants for seizures. The patient's symptoms of agitation, vomiting, hyperthermia, hyperreflexia, and tachycardia are indicative of serotonin syndrome. Treatment involves stopping the offending medications, supportive care, and in severe cases, anticonvulsants for seizures. Choice B (Clonazepam) is incorrect as it is used for myoclonus, not the main symptoms presented. Choice C (Lorazepam) is incorrect as it is used for restlessness and agitation but not specifically for serotonin syndrome. Choice D (Palpitations) is incorrect as it is a symptom of serotonin syndrome, not a treatment.
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The forensic psychiatric nurse oftentimes has conflicting goals when providing psychiatric care while serving the legal system. Which situation best demonstrates this conflict?
- A. Performing a mental health assessment on an individual diagnosed with paranoid schizophrenia who is accused of violently attacking a neighbor he believed was 'spying for the government'
- B. Providing both physical and emotional care to a female who was raped while securing and preserving the evidence that will be used in a court of law
- C. Arranging for and then leading an anger management therapy group for a group of female offenders who are about to be paroled
- D. Conducting a depression screening on a newly incarcerated prisoner serving a 25-year sentence in a federal prison
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the conflict between providing psychiatric care and serving the legal system. In this scenario, the nurse must assess a patient with paranoid schizophrenia who committed a violent act due to delusions. The nurse needs to balance the patient's mental health needs with addressing the legal implications of the violent behavior.
Choice B involves caring for a rape victim and preserving evidence, which aligns with both nursing and legal responsibilities. Choice C focuses on providing therapy to offenders, which does not inherently present a conflict between psychiatric care and legal duties. Choice D involves conducting a depression screening for a prisoner, which is important for mental health care but does not inherently involve a conflict with legal obligations.
A person is considered intellectually disabled if he or she has an IQ of less than
- A. 70 to 75
- B. 80 to 85
- C. 90 to 95
- D. 60 to 65
Correct Answer: A
Rationale: An IQ below 70-75, with adaptive deficits, defines intellectual disability, per DSM-5.
The greatest benefit derived from current work being done related to pharmacogenetics is that:
- A. The cost of medication manufacturing will be drastically reduced.
- B. Research and development of new drugs will be much less costly.
- C. Medications will be designed so that they do not cause unwanted side effects.
- D. Medications will be formulated so that only one dose per day will be required.
Correct Answer: C
Rationale: The correct answer is C because pharmacogenetics allows medications to be designed based on an individual's genetic makeup, minimizing unwanted side effects. This is beneficial as it enhances treatment effectiveness and safety. Choice A is incorrect as cost reduction in manufacturing is not the primary focus of pharmacogenetics. Choice B is incorrect as research and development costs are not directly impacted by pharmacogenetics. Choice D is incorrect as the frequency of medication dosing is not the main benefit derived from pharmacogenetics.
The nurse demonstrates appropriate Asian-American cultural sensitivity when:
- A. Substituting the word 'sadness' for depression when participating at a health fair at a local Asian-American senior center.
- B. Anticipating that the Asian-American teenager is well educated concerning the dangers of tobacco and marijuana abuse.
- C. Being particularly interested in the older Asian-American's view regarding the role of alcohol in managing stress.
- D. Evaluating the critical thinking skills and short-term recall abilities of the Asian-American female over the age of 70.
Correct Answer: A
Rationale: The correct answer is A because using the term 'sadness' instead of 'depression' shows cultural sensitivity. In many Asian cultures, mental health terms like 'depression' can carry stigma and be taboo. By using a milder term like 'sadness,' the nurse acknowledges and respects the cultural nuances around mental health. This approach can help build trust and rapport with the Asian-American community.
Choices B, C, and D are incorrect because they do not directly address cultural sensitivity in the same way as choice A. Anticipating an Asian-American teenager's education level or focusing on an older person's views on alcohol and evaluating cognitive abilities do not demonstrate the same level of cultural sensitivity as being mindful of the language used when discussing mental health.
The nurse demonstrates an understanding of effective data collection when interviewing a client regarding a family history when:
- A. Basing the assessment on a universally accepted definition of family.
- B. Constructing a genogram as a basis for documenting the information gathered.
- C. Recognizing that the Family Apgar tool is used for assessing single parent families.
- D. Gathering information on at least four generations of the client's family members.
Correct Answer: B
Rationale: The correct answer is B because constructing a genogram is an effective way to visually represent a client's family history, including relationships and health conditions. Genograms provide a comprehensive overview of family dynamics and can aid in identifying patterns of health issues. This method allows for organized documentation of information gathered, enhancing data accuracy and analysis.
Choice A is incorrect as there is no universally accepted definition of family, which can vary culturally and individually. Choice C is incorrect as the Family Apgar tool assesses family functioning, not specific family structures. Choice D is incorrect because gathering information on at least four generations may not always be necessary or feasible, and the depth of information is more important than the number of generations.