A client who is receiving lithium comes to the clinic for an evaluation. During the visit, the client reports a fine hand tremor. Which action by the nurse would be most appropriate?

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Question 1 of 4

A client who is receiving lithium comes to the clinic for an evaluation. During the visit, the client reports a fine hand tremor. Which action by the nurse would be most appropriate?

Correct Answer: C

Rationale: Step-by-step rationale: 1. Fine hand tremor is a common side effect of lithium. 2. Assisting the client in minimizing exposure to stressors is most appropriate as stress can exacerbate tremors. 3. Stress management can help reduce tremors without needing to adjust medication dosage. 4. Obtaining blood drug level is not necessary for managing tremors. 5. Taking medication with meals or elevating hand would not directly address the underlying cause of tremors.

Question 2 of 4

The nurse is counseling a family whose child has autism. When describing this condition, which of the following would the nurse most likely include?

Correct Answer: C

Rationale: The correct answer is C: Onset before child is 2.5 years old. This is because autism spectrum disorder typically presents in early childhood, with symptoms becoming noticeable before the age of 2.5 years. Early intervention is crucial for improving outcomes. A: Connection to ineffective parental practices is incorrect as autism is a neurodevelopmental disorder with genetic and environmental factors. B: Detection after the child enters school is incorrect as early signs of autism can be observed much earlier. D: Girls are more frequently affected than boys is incorrect as autism is diagnosed more frequently in boys than girls.

Question 3 of 4

A nurse is teaching a group of hospitalized clients who have co-occurring disorders involving cognitive disorders and alcoholism about the relapse cycle. Which statement would the nurse most likely include during this teaching session?

Correct Answer: A

Rationale: The correct answer is A because it accurately describes the relapse cycle for individuals with co-occurring cognitive disorders and alcoholism. Step 1: Discharged from the hospital, leading to using alcohol instead of medication. Step 2: Alcohol use leads to resurfacing of psychiatric symptoms. Step 3: Rehospitalization and control of symptoms with medications. Step 4: Cycle repeats after discharge. Other choices lack the comprehensive explanation of the relapse cycle, such as hallucinations being the sole trigger (B), unrelated alcoholism and psychiatric illness (C), and the cycle being solely triggered by attempts to stop drinking (D).

Question 4 of 4

A nurse is part of a multidisciplinary team working with groups of depressed patients. One group receives supportive interventions and antidepressants. The other group receives only medication. The team measures outcomes for each group. Which type of study is evident?

Correct Answer: D

Rationale: The correct answer is D: Clinical epidemiology. Clinical epidemiology focuses on studying the outcomes of interventions in clinical settings. In this scenario, the nurse and the multidisciplinary team are evaluating the outcomes of different treatment approaches for depressed patients. This involves assessing the effectiveness of supportive interventions and antidepressants compared to medication alone. This type of study design allows for the evaluation of the impact of interventions on patient outcomes. Explanation for other choices: A: Incidence - Incidence refers to the rate of new cases of a condition in a population over a specified period. This choice is not relevant to the scenario described. B: Prevalence - Prevalence refers to the proportion of individuals in a population with a specific condition at a given point in time. This choice is not relevant to the scenario described. C: Comorbidity - Comorbidity refers to the presence of two or more conditions in an individual. This choice is not relevant to the scenario described.

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