A patient who has attempted suicide has an underlying diagnosis of depression. Which of the following would the nurse anticipate being ordered for the patient?

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Question 1 of 5

A patient who has attempted suicide has an underlying diagnosis of depression. Which of the following would the nurse anticipate being ordered for the patient?

Correct Answer: A

Rationale: The correct answer is A: Selective serotonin reuptake inhibitor (SSRI). SSRIs are commonly prescribed for depression due to their effectiveness in improving mood and reducing suicidal ideation. They are considered first-line treatment for depression. Mood stabilizers (B) are typically used for bipolar disorder, not major depressive disorder. Tricyclic antidepressants (C) have more side effects and are not as commonly prescribed as SSRIs. Atypical antipsychotics (D) are often used as adjunctive therapy for depression with psychotic features, but SSRIs are the primary treatment choice for depression without psychotic symptoms.

Question 2 of 5

The nurse is planning to explain the purpose of the behavioral therapy technique of self-monitoring to a client with bulimia nervosa. The nurse would emphasize keeping a diary to record which of the following?

Correct Answer: C

Rationale: The correct answer is C: Environmental stimuli. Self-monitoring in behavioral therapy for bulimia nervosa involves tracking external triggers like locations, people, or activities that may lead to binge eating. This helps the client identify patterns and develop strategies to cope with or avoid these triggers. Choice A (Feelings of hunger) focuses on internal cues, which are not the primary target of self-monitoring in bulimia nervosa. Choice B (Efforts at distraction) is not typically recorded in a self-monitoring diary but may be addressed through other therapeutic techniques. Choice D (Rigid rules about eating) is more related to cognitive restructuring rather than self-monitoring of environmental stimuli.

Question 3 of 5

The nurse is counseling a family whose 4-year-old child has mild mental retardation. The nurse is working with the family on realistic long-term goals. Which of the following would be most appropriate?

Correct Answer: C

Rationale: The correct answer is C: Achieving independent functioning of the child as an adult. This is the most appropriate long-term goal as it focuses on empowering the child to lead a fulfilling and independent life despite their condition. It emphasizes working towards maximizing the child's potential and enhancing their quality of life. A: Locating suitable residential placement for the child is not the most appropriate long-term goal as it does not focus on the child's independence and potential growth. B: Finding a foster home for the child is not suitable as it does not address the child's long-term development and independence. D: Preventing the onset of psychiatric disorders in the child is important but may not be the most relevant long-term goal as it does not directly address the child's mental retardation or focus on their independent functioning as an adult.

Question 4 of 5

A client with schizophrenia and substance abuse disorder is admitted to a detoxification program. The client has been prescribed neuroleptic medications for schizophrenia. When caring for this client, the nurse would implement interventions to reduce the client's risk for relapse, integrating knowledge that relapse frequently is secondary to which of the following?

Correct Answer: C

Rationale: The correct answer is C: Medication non-adherence. In clients with schizophrenia and substance abuse disorder, medication non-adherence is a common cause of relapse. Neuroleptic medications are crucial in managing schizophrenia symptoms, and stopping or not taking them as prescribed can lead to symptom exacerbation and relapse. Poor social skills (choice A) and lack of vocational skills (choice B) can contribute to challenges in managing the disorders but are not direct causes of relapse. Dysfunctional family systems (choice D) can impact the client's support system but are not the primary reason for relapse in this scenario.

Question 5 of 5

Which belief will best support a nurse's efforts to provide patient advocacy during a multidisciplinary patient care planning session?

Correct Answer: D

Rationale: Step-by-step rationale for why answer D is correct: 1. Assessment findings in mental illness reflect a person's cultural patterns: This belief acknowledges the importance of cultural considerations in understanding and addressing mental health issues. 2. By recognizing cultural patterns in assessment findings, the nurse can provide more personalized and effective care. 3. Understanding cultural influences can help the nurse advocate for patient-centered care during multidisciplinary care planning. 4. This belief aligns with the principles of cultural competence and patient advocacy in healthcare. Summary: - Choice A is incorrect as mental illnesses can have biological, psychological, and social determinants in addition to cultural factors. - Choice B is incorrect as it generalizes specific disorders without considering individual and cultural variations. - Choice C is incorrect as symptoms can manifest differently across cultures due to various factors beyond just the disorder itself.

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