Nokea
Which drug group requires nursing assessment for the development of abnormal movement disorders in individuals taking therapeutic dosages?
- A. SSRIs
- B. Antipsychotics
- C. Benzodiazepines
- D. Tricyclic antidepressants
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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During cognitive-behavioral therapy, a 12-year-old patient reports to the nurse practitioner:
- A. I was so mad I wanted to hit my mother.
- B. I thought that everyone at school hated me. That's not true. Most people like me and I have a friend named Todd.
- C. I forgot that you told me to breathe when I become angry.
- D. I scream as loud as I can when the train goes by the house.
Correct Answer: B
Rationale: In cognitive-behavioral therapy, recognizing and challenging negative thoughts is crucial for progress. Choice B demonstrates the patient's ability to identify and correct distorted thoughts, indicating positive advancement in therapy. This cognitive restructuring is a key component of cognitive-behavioral therapy, helping individuals develop healthier thinking patterns and coping strategies.
Substance abuse is often present in individuals diagnosed with bipolar disorder. Laura, a 28-year-old with a bipolar disorder diagnosis, chooses to drink alcohol instead of taking her prescribed medications. The nurse caring for this patient recognizes that:
- A. Anxiety may be present.
- B. Alcohol ingestion is a form of self-medication.
- C. The patient is lacking a sufficient number of neurotransmitters.
- D. The patient is using alcohol as a coping mechanism.
Correct Answer: B
Rationale: Individuals with bipolar disorder may turn to alcohol as a form of self-medication to cope with their symptoms. This behavior is often seen as an attempt to manage mood swings and alleviate distress. It is important for healthcare providers to address and manage substance abuse issues in patients with bipolar disorder to ensure proper treatment and overall well-being.
Which approach involves surgically implanting electrodes into specific areas of the brain to stimulate regions identified as underactive in depression?
- A. Transcranial magnetic stimulation
- B. Deep brain stimulation
- C. Vagus nerve stimulation
- D. Electroconvulsive therapy
Correct Answer: B
Rationale: Deep brain stimulation is a treatment approach that involves the surgical implantation of electrodes into specific areas of the brain to stimulate regions identified as underactive in depression. This method aims to modulate brain activity and has shown effectiveness in treating certain cases of depression.
When should healthcare professionals be most alert to the possibility of communication errors resulting in harm to the patient?
- A. Change of shift reports
- B. Admission interviews
- C. One-to-one conversations with patients
- D. Conversations with patient families
Correct Answer: A
Rationale: Healthcare professionals should be most alert to the possibility of communication errors resulting in harm to the patient during change of shift reports. This is a critical time when information is transferred between healthcare providers, and any errors in communication during this handover can lead to adverse outcomes for the patient.
Luc's family comes home one evening to find him extremely agitated, and they suspect he is in a full manic episode. The family calls emergency medical services. While one medic is talking with Luc and his family, the other medic is counting something on his desk. What is the medic most likely counting?
- A. Hypodermic needles
- B. Fast food wrappers
- C. Empty soda cans
- D. Energy drink containers
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.