A client who is taking paroxetine (Paxil) reports to the nurse that he has been nauseated since beginning the medication. Which of the following actions is indicated initially?

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Public Health Theories of Behavior Change Questions

Question 1 of 5

A client who is taking paroxetine (Paxil) reports to the nurse that he has been nauseated since beginning the medication. Which of the following actions is indicated initially?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A client has a lithium level of 1.2 mEq/L. Which of the following interventions by the nurse is indicated?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

Six months after her husband and children were killed in a car accident, a client is diagnosed with ulcerative colitis. The nurse would recognize that this situation validates which study perspective?

Correct Answer: B

Rationale: The correct answer is B: Psychoneuroimmunology. This perspective studies the interactions between psychological processes, the nervous system, and the immune system. The client's diagnosis of ulcerative colitis after a traumatic event like losing her family suggests a link between stress, emotions, and physical health. Ulcerative colitis is known to be influenced by stress and emotional factors, supporting the psychoneuroimmunology perspective. Choice A (Neuroendocrinology) focuses on the interactions between the nervous and endocrine systems, which may not fully explain the relationship between stress and the immune system in this case. Choice C (Diagnostic technology) is unrelated to the client's condition and situation. Choice D (Neurophysiology) primarily focuses on the study of the nervous system's structure and function, which does not address the psychological and immune system connections seen in this scenario.

Question 4 of 5

A nurse is caring for a client with decreased norepinephrine levels. Which mental illness is the client most likely at risk for?

Correct Answer: D

Rationale: The correct answer is D: Major depressive episode. Decreased norepinephrine levels are associated with depression. Norepinephrine plays a role in mood regulation, and low levels can lead to symptoms of depression. Bipolar disorder (A) is more linked to imbalances in neurotransmitters like serotonin and dopamine. Schizophrenia (B) is associated with dopamine dysregulation. Generalized anxiety disorder (C) is linked to imbalances in serotonin and GABA neurotransmitters. Therefore, the client with decreased norepinephrine levels is most likely at risk for a major depressive episode.

Question 5 of 5

A fourth-grade boy teases and makes jokes about a cute girl in his class. A nurse would recognize this behavior as indicative of which defense mechanism?

Correct Answer: C

Rationale: Reaction formation is the correct defense mechanism in this scenario. The boy is displaying behavior opposite to his true feelings towards the girl to cope with his unconscious attraction or affection. This defense mechanism involves expressing the opposite of one's true feelings to manage inner conflicts. Displacement (A) involves redirecting emotions towards a less threatening target, projection (B) involves attributing one's own thoughts or feelings to someone else, and sublimation (D) involves channeling unacceptable impulses into socially acceptable behavior. These other options do not align with the behavior described in the question.

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