Nokea
Which medication is commonly prescribed to treat obsessive-compulsive disorder (OCD)?
- A. Paroxetine
- B. Lithium
- C. Donepezil
- D. Valproate
- E. Carbamazepine
Correct Answer: A
Rationale: The correct answer is A: Paroxetine. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed for OCD due to its effectiveness in increasing serotonin levels in the brain, which helps reduce obsessive thoughts and compulsive behaviors. Lithium, Donepezil, Valproate, and Carbamazepine are not typically used to treat OCD as they are more commonly indicated for conditions such as mood disorders, Alzheimer's disease, epilepsy, and bipolar disorder, respectively. Therefore, Paroxetine is the most appropriate choice for treating OCD based on its mechanism of action and proven efficacy.
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A nurse is assessing a parent who lost a 12-year-old child in a car crash 2 years ago. Which of the following findings indicates the client is exhibiting manifestations of prolonged grieving?
- A. Leaves the child's room exactly as it was before the loss
- B. Volunteers at a local children's hospital
- C. Talks about the child in the past tense
- D. Visits the child's grave every week after worship services
Correct Answer: A
Rationale: In prolonged grief, individuals may struggle to move forward and avoid changing their environment.
A nurse is caring for a client who is receiving treatment for alcohol withdrawal. Which of the following findings is the highest priority?
- A. Vitamin deficiency
- B. Diaphoresis
- C. Tremors
- D. Visual hallucinations
Correct Answer: D
Rationale: The correct answer is D: Visual hallucinations. Visual hallucinations in a client undergoing alcohol withdrawal indicate severe withdrawal symptoms and potential progression to delirium tremens, a life-threatening condition. Addressing visual hallucinations promptly is crucial to prevent harm or injury to the client. Vitamin deficiency (choice A), diaphoresis (choice B), and tremors (choice C) are common symptoms of alcohol withdrawal but are not as immediately life-threatening as visual hallucinations. Therefore, addressing visual hallucinations takes priority over these symptoms.
A nurse is caring for a postpartum client who tells the nurse that she does not want any more children. The client asks which birth control method the nurse would recommend. Which of the following responses should the nurse make?
- A. "It's your choice, of course, but birth control pills are the most reliable."
- B. "I'd consider an intrauterine device. You won't have to worry about pregnancy."
- C. "Your provider usually recommends a diaphragm and spermicidal cream."
- D. "Let's talk about the available options and go from there."
Correct Answer: D
Rationale: The correct answer is D because it promotes patient-centered care by involving the client in decision-making. The nurse should discuss available birth control options with the client to ensure the method aligns with her preferences, lifestyle, and medical history. This approach empowers the client to make an informed decision that best suits her needs.
Option A is incorrect because it assumes the client's preference without exploring other options. Option B may not align with the client's preferences, and the nurse should not impose a specific method. Option C assumes the provider's recommendation without considering the client's preferences. These options do not prioritize shared decision-making and individualized care.
A nurse is discussing the manifestations of alcohol withdrawal with a client who has a history of alcohol use disorder. Which of the following client statements indicates understanding?
- A. "I should expect tremors to start less than 24 hours after I stop drinking."
- B. "Disulfiram will block my cravings for alcohol."
- C. "My symptoms should last about 5 to 7 days once they begin."
- D. "It is important that I take vitamin C to prevent cirrhosis or other liver damage."
Correct Answer: A
Rationale: The correct answer is A because alcohol withdrawal symptoms, including tremors, typically begin within 6-24 hours after the last drink. This statement shows an accurate understanding of the timing of alcohol withdrawal manifestations. Choice B is incorrect because Disulfiram is a medication used to deter alcohol consumption, not block cravings. Choice C is incorrect because alcohol withdrawal symptoms can last beyond 5-7 days. Choice D is incorrect because vitamin C does not prevent cirrhosis or liver damage from alcohol abuse.
A nurse is planning discharge for a client who has borderline personality disorder. Which of the following interventions should be included for this client?
- A. Dialectical behavior therapy
- B. Behavioral contract
- C. Milieu therapy
- D. Safety plan
Correct Answer: D
Rationale: The correct answer is D: Safety plan. For a client with borderline personality disorder, a safety plan is crucial to prevent self-harm or suicidal behaviors. This intervention helps the client identify triggers, coping strategies, support resources, and steps to take in a crisis. A: Dialectical behavior therapy is a comprehensive treatment, not just a discharge plan. B: Behavioral contract may not address the immediate safety concerns. C: Milieu therapy focuses on the therapeutic environment, not individual discharge planning.