A client diagnosed with post-traumatic stress disorder is receiving paliperidone (Invega). Which symptoms should a nurse identify that would warrant the need for this medication?

Correct Answer: C

Rationale: The correct answer is C because flashbacks of killing the enemy are indicative of the intrusive symptoms of post-traumatic stress disorder (PTSD), which can be effectively treated with antipsychotic medications like paliperidone. These symptoms are often associated with severe distress and impairment in daily functioning. Choice A (flat affect and anhedonia) typically aligns more with symptoms of depression rather than PTSD. Choice B (persistent anorexia and weight loss) is more related to physical symptoms rather than the core symptoms of PTSD. Choice D (distant and guarded in relationships) may suggest avoidance symptoms of PTSD, but it does not specifically warrant the use of paliperidone. Therefore, choice C is the most appropriate response based on the symptoms indicative of PTSD that would require this medication.

Correct Answer: A

Rationale: The correct answer is A because it contains foods low in tyramine. Mashed potatoes, ground beef, corn, green beans, and apple pie are all safe options. Tyramine is found in aged, fermented, and spoiled foods, which are present in the other choices. Avocados, ham, chocolate, sausage, cheese, and banana bread are high in tyramine and should be avoided. Caffeinated coffee contains tyramine as well. A tyramine-restricted diet aims to prevent a hypertensive crisis in individuals taking MAOIs by avoiding foods that can interact with these medications.

Correct Answer: C

Rationale: The correct answer is C: Bleeding may increase when taken with aspirin. Clopidogrel is an antiplatelet medication that works to prevent blood clots. When taken with aspirin, the risk of bleeding increases due to the combined antiplatelet effects. This is important for the patient to be aware of to prevent any potential complications. Choices A and B are incorrect as constipation and hypotension are not commonly associated with clopidogrel. Choice D is incorrect as the normal dose of clopidogrel is typically a 75-mg tablet per day, not 25-mg.

Correct Answer: A

Rationale: The correct answer is A: mood improvement. Outcome criteria for a patient taking an SSRI focus on improving mood because SSRIs are primarily used to treat depression and anxiety disorders by increasing serotonin levels in the brain. Coherent thought processes (B) are important but not the primary focus of SSRI treatment. Reduced levels of motor activity (C) and decreased extrapyramidal symptoms (D) are not typically associated with SSRIs, so they are not relevant outcome criteria in this context. By prioritizing mood improvement as the outcome criteria, the nurse can effectively evaluate the effectiveness of the SSRI therapy for the patient.

Correct Answer: B

Rationale: The correct answer is B: “You probably should speak to a genetic counselor.” This is the best response because cystic fibrosis is an inherited disorder caused by mutations in the CFTR gene. Genetic counselors are trained to assess the risk of genetic conditions based on family history and provide guidance on testing and options. Choice A is incorrect because cystic fibrosis is indeed an inherited disorder. Choice C is incorrect because gene testing for cystic fibrosis is available. Choice D is incorrect because while there are new treatments for cystic fibrosis, they may not be readily available to everyone, and the focus should be on genetic counseling in this situation.