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:

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Question 1 of 5

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 2 of 5

What is a key resource for finding databases and evidence-based practice resources in nursing?

Correct Answer: B

Rationale: The correct answer is B because nursing forums and professional organizations' websites are reliable sources for finding databases and evidence-based practice resources in nursing. These platforms are specifically curated to provide accurate and up-to-date information for healthcare professionals. They are peer-reviewed and endorsed by experts in the field, ensuring credibility and relevance. In contrast, popular search engines like Google may yield unreliable or outdated information, personal blogs lack authority and validation, and entertainment websites are not relevant to evidence-based practice in nursing.

Question 3 of 5

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 4 of 5

A depressed client discussing marital problems with the nurse says,"What will I do if my husband asks me for a divorce?" Which response by the nurse would be an example of therapeutic communication?

Correct Answer: C

Rationale: Rationale: Option C is an example of therapeutic communication because it encourages the client to explore the underlying reasons for their fear of divorce, promoting self-reflection and insight. By asking what has happened to make the client think this way, the nurse demonstrates empathy and helps the client process their emotions. Options A, B, and D are incorrect because they either deflect the client's concerns (B), focus on overly questioning the client (A), or dismiss the client's feelings (D), which can hinder the therapeutic relationship and fail to address the client's emotional needs.

Question 5 of 5

When a new bill introduced in Congress reduces funding for care of persons diagnosed with mental illness, a group of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled?

Correct Answer: C

Rationale: The correct answer is C: Advocacy. The nurses have fulfilled the role of advocacy by actively supporting and promoting the interests of persons diagnosed with mental illness through writing letters to their elected representatives in opposition to the bill that reduces funding for their care. Advocacy involves speaking up on behalf of others to influence decisions and policies that affect their well-being. Summary: A: Recovery - This choice is incorrect as recovery refers to the process of restoring health or functioning after an illness or injury, which is not the primary focus of the nurses' actions in this scenario. B: Attending - This choice is incorrect as attending typically refers to being present or participating in an event, which does not accurately describe the nurses' actions of writing letters to oppose the bill. D: Evidence-based practice - This choice is incorrect as evidence-based practice involves using current research and evidence to inform decision-making in healthcare, which is not the main role exhibited by the nurses in this scenario.

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