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Meditation has been shown to be an effective stress management technique. When meditation is effective, what should a healthcare professional expect to assess?
- A. An achieved state of relaxation
- B. An achieved insight into one's feelings
- C. A demonstration of appropriate role behaviors
- D. An enhanced ability to problem-solve
Correct Answer: A
Rationale: Corrected Rationale: When meditation is effective, a healthcare professional should expect to assess an achieved state of relaxation. Meditation is known to facilitate a special state of consciousness through concentrated focus, leading to a sense of calm and relaxation. While meditation can sometimes provide insights into one's feelings, the primary outcome related to stress management is the promotion of relaxation. Choices C and D are not directly related to the typical outcomes of effective meditation for stress management.
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A client with bipolar disorder is experiencing a depressive episode. Which of the following interventions should the nurse not implement?
- A. Agree with the client's delusions to avoid confrontation.
- B. Monitor for signs of suicidal ideation
- C. Promote a regular sleep schedule
- D. Discourage the expression of negative feelings
Correct Answer: A
Rationale: During a depressive episode in bipolar disorder, it is crucial not to agree with the client's delusions to avoid reinforcing false beliefs. Monitoring for signs of suicidal ideation is essential for safety. Promoting a regular sleep schedule can help stabilize mood. Discouraging the expression of negative feelings is not recommended as it is important to allow clients to express their emotions and feel heard.
Which is an example of the ego defense mechanism of regression?
- A. A mother blames the teacher for her child's failure in school.
- B. A teenager becomes hysterical after seeing a friend killed in a car accident.
- C. A woman wants to marry a man exactly like her beloved father.
- D. An adult throws a temper tantrum when he does not get his own way.
Correct Answer: D
Rationale: The correct answer is D. Regression involves reverting to an earlier stage of development for comfort. In this case, an adult throwing a temper tantrum is regressing to a childlike behavior when faced with not getting their way, which is a form of seeking comfort associated with earlier development. Choices A, B, and C do not exemplify regression. Blaming the teacher, becoming hysterical after a traumatic event, or seeking a partner similar to a beloved father are not instances of reverting to earlier developmental stages to cope with stress or conflict.
A client diagnosed with schizophrenia is prescribed an antipsychotic medication. Which of the following side effects should the nurse monitor for? Select one that doesn't apply.
- A. Tardive dyskinesia
- B. Muscle tension
- C. Orthostatic hypotension
- D. Hyperglycemia
Correct Answer: B
Rationale: Side effects of antipsychotic medications commonly include tardive dyskinesia, orthostatic hypotension, and hyperglycemia. Muscle tension is not typically associated with antipsychotic medication use. Tardive dyskinesia is characterized by involuntary movements, orthostatic hypotension refers to a drop in blood pressure upon standing, and hyperglycemia indicates high blood sugar levels. Monitoring these side effects is crucial for early detection and management, but muscle tension is not a typical side effect of antipsychotic medications.
According to Maslow's hierarchy of needs, which situation on an inpatient psychiatric unit would require priority intervention by a nurse?
- A. A client rudely complaining about limited visiting hours
- B. A client exhibiting aggressive behavior toward another client
- C. A client stating that no one cares
- D. A client verbalizing feelings of failure
Correct Answer: B
Rationale: The correct answer is B. According to Maslow's hierarchy of needs, safety needs are considered fundamental and must be addressed before higher-level needs. When a client exhibits aggressive behavior toward another client, it poses an immediate threat to safety and requires priority intervention by the nurse to ensure the well-being of all individuals involved. Clients who are rude in their complaints (Choice A), express feelings of failure (Choice D), or state that no one cares (Choice C) are addressing higher-level needs related to social interactions, esteem, and self-actualization, respectively, which can be addressed once safety needs are secured.
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.