A nurse is assessing a client diagnosed with Alzheimer's disease. As part of the assessment, the nurse asks the client to identify common objects. The nurse is assessing for which of the following?

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Question 1 of 9

A nurse is assessing a client diagnosed with Alzheimer's disease. As part of the assessment, the nurse asks the client to identify common objects. The nurse is assessing for which of the following?

Correct Answer: C

Rationale: The correct answer is C: Agnosia. Agnosia is the inability to recognize familiar objects, people, or sounds despite intact sensory abilities. In Alzheimer's disease, agnosia is commonly seen due to damage in the brain areas responsible for processing sensory information. Asking the client to identify common objects helps assess their ability to recognize and comprehend the objects correctly. A: Aphasia is the impairment of language function, not object recognition. B: Apraxia is the inability to perform purposeful movements, not related to object recognition. D: Executive functioning involves cognitive processes such as planning, organizing, and decision-making, not directly related to object recognition in Alzheimer's disease.

Question 2 of 9

After teaching a patient who is receiving phenelzine, the nurse determines that the teaching was successful when the patient states the need to avoid which of the following?

Correct Answer: C

Rationale: The correct answer is C: Tap beers. Phenelzine is a monoamine oxidase inhibitor (MAOI), which can interact with tyramine-rich foods and beverages like tap beers. When phenelzine is combined with tyramine-containing substances, it can lead to a hypertensive crisis. Choices A, B, and D do not contain high levels of tyramine and are safe to consume while taking phenelzine. It is crucial for patients on MAOIs to avoid foods like tap beers to prevent dangerous interactions.

Question 3 of 9

A nurse is preparing a presentation about the current status of mental health services in the United States. Which statement would the nurse include as the most reflective of this status?

Correct Answer: D

Rationale: The correct answer is D: Mental health care services are inadequate and fragmented. This is the most reflective statement of the current status of mental health services in the United States. 1. Inadequate services: Many individuals face barriers in accessing mental health care due to factors such as cost, stigma, and lack of providers. 2. Fragmented services: The mental health care system in the U.S. is often disjointed, with gaps in service provision and coordination between different providers and agencies. 3. Lack of resources: There is a shortage of mental health professionals and funding for mental health services, further contributing to the inadequacy and fragmentation of care. Other choices are incorrect because: A: Mental health care is not equally accessible, as there are disparities in access based on factors like income and location. B: While mental illness is a significant cause of disability, this statement does not address the current status of mental health services. C: Mental health care focuses on a range of interventions, including

Question 4 of 9

What group would benefit most from a laissez-faire leader?

Correct Answer: A

Rationale: A laissez-faire leader is best suited for an art group because they are typically creative, self-motivated, and independent individuals who thrive in an environment with minimal supervision. This leadership style allows members to have freedom in their artistic expression and encourages innovation. In contrast, a grief group, social skills group, and anger management group would benefit more from a more structured and supportive leadership style to provide guidance, encouragement, and emotional support, which are essential for addressing the specific needs and challenges of these groups.

Question 5 of 9

The nurse is caring for a client diagnosed with HAND resulting from AIDS. Which of the following would be most important for the nurse to assess?

Correct Answer: B

Rationale: The correct answer is B: Cognitive impairment. For a client with HIV-associated neurocognitive disorder (HAND), assessing cognitive impairment is crucial as it directly impacts their ability to perform daily activities and make informed decisions. Cognitive assessment helps in determining the extent of cognitive decline and planning appropriate interventions. Sensory impairment (choice A) may be important but is not the priority in HAND. Social behaviors (choice C) and anxiety state (choice D) are also important but assessing cognitive impairment takes precedence due to its direct impact on the client's overall functioning.

Question 6 of 9

Maxwell is a 30-year-old male who arrives at the emergency department stating, 'I feel like I am having a stroke.' During the intake assessment, the nurse discovers that Maxwell has been working for 36 hours straight without eating and has consumed eight double espresso drinks and 12 caffeinated sodas. The nurse suspects:

Correct Answer: B

Rationale: The correct answer is B: Dehydration and caffeine overdose. Maxwell's symptoms of feeling like having a stroke are likely due to severe dehydration and excessive caffeine consumption. Dehydration can cause dizziness, confusion, and weakness, mimicking stroke symptoms. Caffeine overdose can lead to increased heart rate, tremors, and anxiety, exacerbating these symptoms. Working for 36 hours straight without eating also contributes to dehydration and electrolyte imbalances. Choices A, C, and D are incorrect as there are no indications of fluid overload, benzodiazepine overdose, or sleep deprivation syndrome in this scenario.

Question 7 of 9

A nurse is assessing a client who is presenting with symptoms of hallucinations and delusions. They have had these symptoms for a week. The client does not have a history of a mood disorder; they do not have any medical conditions or history of substance misuse. What is the client's most likely diagnosis?

Correct Answer: C

Rationale: The correct answer is C: brief psychotic disorder. This diagnosis is most likely because the client is experiencing hallucinations and delusions for less than a month with no history of mood disorder, medical conditions, or substance misuse. Brief psychotic disorder is characterized by a sudden onset of psychotic symptoms lasting less than a month. Schizophrenia (A) requires symptoms to be present for at least six months. Schizoaffective disorder (B) involves a combination of mood disorder symptoms along with psychotic symptoms. Catatonia (D) is a symptom seen in various psychiatric disorders but is not a primary diagnosis. Therefore, based on the client's presentation and history, brief psychotic disorder is the most likely diagnosis.

Question 8 of 9

A nurse is participating in a neighborhood health fair and is screening participants for depression. Which individual would the nurse anticipate as being at increased risk for depression?

Correct Answer: A

Rationale: The correct answer is A. The middle-aged man caring for his disabled mother is at increased risk for depression due to caregiver stress, emotional strain, and social isolation. Caregiving responsibilities can lead to feelings of overwhelm and burnout, impacting mental health. Choice B may also experience stress, but typically single parenting does not carry the same level of physical care needs and constant vigilance as caregiving for a disabled individual. Choice C, being single with no children, may face challenges but not necessarily higher risk of depression compared to caregiving. Choice D, the young adult living with parents and unemployed, may face financial and career-related stress, but typically does not involve the same level of emotional and physical strain as caregiving for a disabled individual.

Question 9 of 9

A group of nursing students is reviewing information about other psychotic disorders. The students demonstrate understanding of this information when they identify which disorder as involving an inducer?

Correct Answer: C

Rationale: Shared psychotic disorder (Choice C) involves an inducer, which is a person already experiencing a psychotic disorder and influences another person to develop similar delusions. This condition is characterized by the transmission of delusional beliefs from one individual (inducer) to another (recipient). Brief psychotic disorder (Choice A) is a short-term psychotic episode without an inducer. Schizophreniform disorder (Choice B) is a separate psychotic disorder with its own set of criteria. Psychotic disorder attributable to a substance (Choice D) is caused by substance use rather than involving an inducer.

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