Nokea
Why are patients advised not to abruptly discontinue a benzodiazepine regimen?
- A. Potential for seizures
- B. Have many side effects
- C. Serotonin syndrome
- D. but do not abruptly stop taking medication - can cause withdrawal symptom
Correct Answer: A
Rationale: The correct answer is A: Potential for seizures. Abruptly discontinuing benzodiazepines can lead to withdrawal symptoms, including seizures, due to the sudden decrease in GABA activity in the brain. This can result in serious health risks. Option B is incorrect as side effects are not the primary reason for gradual tapering. Option C is unrelated, as serotonin syndrome is associated with other types of medications. Option D is incorrect because withdrawal symptoms, not side effects, are the main concern when stopping benzodiazepines abruptly.
You may also like to solve these questions
The nurse has been discussing actions to prevent AIDS-related wasting syndrome with a patient being treated for AIDS. Which patient statements indicate an understanding of this teaching? (Select all that apply.)
- A. Eat a low-residue diet.
- B. Drink liquids before meals.
- C. Enjoy food odors to stimulate appetite.
- D. Numb painful oral sores with ice or popsicles.
Correct Answer: A
Rationale: The correct answer is A: Eat a low-residue diet. This is because AIDS-related wasting syndrome can lead to malabsorption issues and gastrointestinal symptoms, making it difficult for the body to absorb nutrients from food. A low-residue diet is recommended to reduce the amount of fiber and bulk in the diet, making it easier for the body to digest and absorb nutrients. Choices B, C, and D are incorrect as they do not specifically address the nutritional needs of a patient with AIDS-related wasting syndrome. Drinking liquids before meals may help with appetite but does not address nutrient absorption. Enjoying food odors may stimulate appetite but does not focus on nutrient intake. Numbing oral sores with ice or popsicles addresses symptom management but does not address the underlying issue of nutrient absorption.
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.
The psychological test that measures projective personality is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. DAT
Correct Answer: A
Rationale: Rorschach uses projective responses to reveal personality.
Which nursing activity demonstrates the role of a professional psychiatric nurse as identified by Hildegard Peplau?
- A. Managing the milieu
- B. Caring for the client's physiological needs
- C. Providing counseling
- D. Documenting client behaviors
Correct Answer: C
Rationale: The correct answer is C: Providing counseling. Peplau, a renowned nursing theorist, emphasized the importance of the nurse-client relationship and therapeutic communication in psychiatric nursing. Counseling is a fundamental aspect of the nurse's role in helping clients explore thoughts, emotions, and behaviors to promote healing and growth. It allows for a deeper understanding of the client's needs and facilitates positive change. Managing the milieu (A) focuses on the physical environment, not the therapeutic relationship. Caring for physiological needs (B) is important but does not capture the essence of Peplau's theory. Documenting client behaviors (D) is crucial for monitoring progress but does not directly align with Peplau's emphasis on therapeutic communication.
Which of the following is not a component of Bandura's theory
- A. Self-efficacy
- B. Reciprocal determinism
- C. Classical conditioning
- D. Behavioral capability
Correct Answer: C
Rationale: Classical conditioning is Pavlov's, not Bandura's; Bandura focused on social and cognitive factors.