An adult in the emergency department states, 'I feel restless. Everything I look at wavers. Sometimes I’m outside my body looking at myself. I hear colors. I think I’m losing my mind.' Vital signs are slightly elevated. The nurse should suspect a(n):

Correct Answer: D

Rationale: The correct answer is D, D-lysergic acid diethylamide (LSD) ingestion. LSD causes visual disturbances, dissociation, heightened sensory perceptions, and altered sense of reality, matching the client's symptoms. Vital signs being slightly elevated are consistent with LSD use. Schizophrenic episodes (A) involve long-term symptoms, not acute onset. Cocaine overdose (B) would present with more severe vital sign changes. PCP intoxication (C) typically causes aggression and hallucinations, not the described symptoms.

Correct Answer: D

Rationale: The correct answer is D: Prevention of seizures. Methamphetamine overdose can lead to seizures due to its effects on the central nervous system. Preventing seizures is crucial to avoid further complications. A: Administration of naloxone is used for opioid overdoses, not methamphetamine. B: Vitamin B12 and folate supplements may be beneficial for long-term recovery but are not the priority in the acute care of a methamphetamine overdose. C: Restoring nutritional integrity is important but not the immediate priority when managing a methamphetamine overdose. In summary, preventing seizures should be the priority focus of care for a patient with a methamphetamine overdose as it directly addresses a life-threatening complication of the overdose.

Correct Answer: C

Rationale: The correct answer is C because the primary factor that makes an event a crisis is the ineffectiveness of one's usual coping strategies. When an event overwhelms an individual's ability to cope with it using their usual strategies, it can lead to a crisis. Choice A is incorrect because the type of loss alone does not determine if an event is a crisis. Choice B is incorrect as the nature of stress is subjective and can vary among individuals. Choice D is incorrect because the preexistence of a stress-related mental illness is not necessarily a prerequisite for an event to be considered a crisis.

Correct Answer: C

Rationale: The correct answer is C because recommending changes to a client's care plan based on information from randomized controlled research trials directly aligns with evidence-based practice. This action involves using the best available evidence to inform and improve client care, which is a key principle of evidence-based practice. By utilizing research trials, the nurse ensures that interventions are based on proven effectiveness rather than assumptions or personal beliefs. Option A is incorrect because subscribing to a journal alone does not guarantee application of evidence-based practice. Option B involves participation in a research study, which may not directly translate to immediate improvement in client care. Option D focuses on recruiting clients for a research project rather than directly applying evidence to individual client care plans.

Correct Answer: B

Rationale: The correct answer is B because the client not relapsing in three years indicates a positive outcome from the family's involvement in psychoeducational programming. This suggests that the family's support has contributed to the client's stability and well-being. Choice A is incorrect as living with parents alone does not demonstrate the effectiveness of psychoeducational programming. Choice C is incorrect as supplementing disability income does not directly show the client's improvement. Choice D is also incorrect as providing transportation to a job does not specifically relate to the client's schizophrenia treatment outcome.