A hospitalized client with schizophrenia is receiving antipsychotic medications. While assessing the client, the nurse identifies signs and symptoms of a dystonic reaction. Which agent would the nurse expect to administer?

Correct Answer: A

Rationale: The correct answer is A: Diphenhydramine (Benadryl). Dystonic reactions are extrapyramidal side effects commonly seen with antipsychotic medications. Diphenhydramine is a first-line treatment for dystonic reactions due to its anticholinergic properties. It helps block the excessive dopamine activity in the brain that causes these reactions. Propranolol (B) is a beta-blocker and not typically used for dystonic reactions. Risperidone (C) and Aripiprazole (D) are antipsychotic medications themselves and would not be used to treat dystonic reactions caused by antipsychotic medications.

Correct Answer: A

Rationale: The correct answer is A: Healthy People 2030. This is a comprehensive set of national health objectives designed to identify and address the most significant health issues facing the population. The nurse would use Healthy People 2030 to base conclusions because it provides evidence-based goals and strategies to improve health outcomes and address social determinants of health. Explanation: 1. Healthy People 2030 is a national initiative that focuses on improving the health and well-being of individuals and communities. 2. It includes specific objectives related to social determinants of health, such as poverty, education, and access to healthcare. 3. By using Healthy People 2030, the nurse can identify relevant interventions and strategies to address the identified social determinants and improve clients' health outcomes. Summary: B: Community-based outcomes may be relevant for specific interventions but do not provide the comprehensive national perspective needed to address social determinants. C: Culturally competent therapy is important but focuses on individualized care rather than addressing broader social determin

Correct Answer: C

Rationale: The correct answer is C: maladaptive behavior. Clients with antisocial personality disorder often engage in maladaptive behaviors, such as binge drinking, to cope with their emotions and impulsivity. Binge drinking is a harmful coping mechanism that can lead to negative consequences, reflecting maladaptive behavior. Choice A (defiant personality) is incorrect as it does not directly relate to the behavior of binge drinking. Emotional regulation (Choice B) is also incorrect as individuals with antisocial personality disorder typically struggle with regulating their emotions, leading to impulsive behaviors like binge drinking. Self-determination (Choice D) is not the most appropriate answer as it does not directly address the maladaptive nature of binge drinking in individuals with antisocial personality disorder.

Correct Answer: D

Rationale: The correct answer is D: Homeless individuals. Homeless individuals are the most at risk due to the severe impact of poverty and the downward economic spiral on their mental health. Homelessness often results from poverty, leading to chronic stress, lack of access to basic needs, social isolation, and increased vulnerability to mental health issues. Homeless individuals face multiple stressors that can exacerbate existing mental health conditions or lead to the development of new ones. Older adults (A) may face financial challenges but are not necessarily homeless. Individuals with physical disabilities (B) may encounter economic difficulties but are not automatically homeless. Single-parent families (C) may struggle financially, but homelessness is not exclusive to this group.

Correct Answer: A

Rationale: The correct answer is A because first-order changes refer to small, incremental adjustments within the system. In this scenario, the parent returning to work while the children are all in school signifies a gradual shift in the family dynamic. The other choices involve significant and more disruptive changes like a daughter leaving for college, a son getting married and moving out, and the death of a family member, which are considered second-order changes that lead to more substantial shifts in the family system.