Nokea
Which individual is demonstrating the highest level of resilience?
- A. Is able to repress stressors.
- B. Becomes depressed after the death of a spouse.
- C. Lives in a shelter for 2 years after the home is destroyed by fire.
- D. Takes a temporary job to maintain financial stability after loss of a permanent job.
Correct Answer: D
Rationale: The correct answer is D because the individual demonstrates resilience by adapting to adversity and taking proactive steps to maintain financial stability after a setback. This shows a positive coping mechanism and ability to bounce back.
A is incorrect as repressing stressors is not a healthy way of dealing with challenges. B is incorrect as becoming depressed indicates a lack of resilience. C, although a challenging situation, does not necessarily indicate the highest level of resilience as the individual is not actively taking steps to improve their situation.
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Which statement made by the patient demonstrates an understanding of the treatment of choice for patients managing the effects of traumatic events?
- A. I attend my therapy sessions regularly.
- B. Those intrusive memories are hidden for a reason and should stay hidden.
- C. Keeping busy is the key to getting mentally healthy.
- D. I've agreed to move in with my parents so I'll get the support I need.
Correct Answer: A
Rationale: The correct answer is A because attending therapy sessions regularly is a key component of treatment for managing the effects of traumatic events. Regular therapy sessions help individuals process their trauma, develop coping strategies, and work towards healing. Choice B is incorrect as suppressing intrusive memories can worsen mental health. Choice C is incorrect as keeping busy may serve as a distraction but does not address the root cause of trauma. Choice D is incorrect as moving in with parents for support is helpful, but therapy is the evidence-based treatment for trauma management.
A category 5 tornado occurred in a community of 400 people. Many homes and businesses were destroye In the 2 years following the disaster, 140 individuals were diagnosed with posttraumatic stress disorder (PTSD). Which term best applies to these newly diagnosed cases?
- A. Prevalence
- B. Comorbidity
- C. Incidence
- D. Parity
Correct Answer: C
Rationale: The term that best applies to the newly diagnosed cases of PTSD is "Incidence" (Choice C). Incidence refers to the rate of new cases of a disease within a specific population over a defined period. In this case, the 140 individuals newly diagnosed with PTSD in the 2 years following the tornado represent the occurrence of new cases within the community of 400 people. This term specifically addresses the number of new cases arising from a particular event or exposure.
Summary:
A: Prevalence refers to the total number of cases (new and existing) within a population at a specific point in time.
B: Comorbidity refers to the presence of two or more conditions in an individual at the same time.
D: Parity refers to equality or equivalence, which is not relevant to the context of new PTSD diagnoses post-tornado.
A client diagnosed with bipolar disorder and experiencing mania is admitted to the inpatient psychiatric setting. During the acute phase of mania, which medication would the nurse expect to most likely administer?
- A. Lithium carbonate (Lithium)
- B. Haloperidol lactate (Haldol)
- C. Fluoxetine (Prozac)
- D. Paroxetine (Paxil)
Correct Answer: B
Rationale: The correct answer is B: Haloperidol lactate (Haldol). In the acute phase of mania, antipsychotic medications like haloperidol are commonly used to manage symptoms such as agitation, hyperactivity, and psychosis. Haloperidol helps to reduce dopamine activity in the brain, which can help stabilize mood and behavior during manic episodes. Lithium (A) is more commonly used for long-term mood stabilization in bipolar disorder. Fluoxetine (C) and Paroxetine (D) are selective serotonin reuptake inhibitors (SSRIs) used for depression and not recommended during mania due to the risk of worsening manic symptoms.
A client is prescribed disulfiram as part of his alcohol treatment program to prevent relapse. The client asks the nurse, 'How will this drug help me?' Which response by the nurse would be most appropriate?
- A. It will help to cure your alcoholism.'
- B. It can help to prevent you from drinking.'
- C. It makes the withdrawal symptoms less troublesome.'
- D. It helps to clear the alcohol out of your body.'
Correct Answer: B
Rationale: The correct answer is B: It can help to prevent you from drinking. Disulfiram works by causing unpleasant symptoms (such as nausea, vomiting, and headache) when alcohol is consumed, acting as a deterrent to drinking. This helps the client stay sober and avoid relapse.
Incorrect choices:
A: It will help to cure your alcoholism - Disulfiram does not cure alcoholism but helps manage it.
C: It makes the withdrawal symptoms less troublesome - Disulfiram does not address withdrawal symptoms.
D: It helps to clear the alcohol out of your body - Disulfiram does not clear alcohol from the body but rather prevents its metabolism, leading to adverse effects if alcohol is consumed.
A twenty-eight-year-old client enters the family therapy meeting clutching a blanket and holds the blanket throughout the session while rocking back and forth in the chair. What defense mechanism is the client demonstrating?
- A. denial
- B. projection
- C. undoing
- D. regression
Correct Answer: D
Rationale: The correct answer is D: regression. The client clutching a blanket and rocking back and forth indicate a return to an earlier stage of development to cope with stress or anxiety. Regression involves reverting to behaviors from a less mature stage. Denial (A) involves refusing to acknowledge reality, projection (B) involves attributing one's feelings onto others, and undoing (C) involves trying to undo or reverse an unacceptable action or thought. These defense mechanisms do not align with the client's behavior of regression.