Pablo is a homeless adult who has no family connection. Pablo passed out on the street and emergency medical services took him to the hospital where he expresses a wish to die. The physician recognizes evidence of substance use problems and mental health issues and recommends inpatient treatment for Pablo. What is the rationale for this treatment choice? Select all that apply.

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Classes of Psychotropic Medications Questions

Question 1 of 5

Pablo is a homeless adult who has no family connection. Pablo passed out on the street and emergency medical services took him to the hospital where he expresses a wish to die. The physician recognizes evidence of substance use problems and mental health issues and recommends inpatient treatment for Pablo. What is the rationale for this treatment choice? Select all that apply.

Correct Answer: B

Rationale: The correct answer is B: He requires stabilization of multiple symptoms. Inpatient treatment is necessary for Pablo because he is experiencing multiple symptoms related to substance use problems and mental health issues. Stabilization in a controlled environment is crucial to address his complex needs effectively. Other choices are incorrect: A is not directly related to the need for inpatient treatment; C and D do not address the primary reason for inpatient treatment, which is the stabilization of multiple symptoms.

Question 2 of 5

You teach Mr. R’s sister about important precautions associated with a new prescription. Afterward, she accurately summarizes major self-management strategies associated with this drug. Which step of the nursing process applies to her summarization?

Correct Answer: D

Rationale: The correct answer is D: Evaluation. Evaluation is the step in the nursing process where the nurse assesses the client's response to interventions and determines if the goals and outcomes have been met. In this scenario, the sister's accurate summarization of major self-management strategies shows that she understood the information provided by the nurse, which indicates successful teaching. This aligns with the evaluation step as it involves determining the effectiveness of the teaching intervention. Choice A: Assessment is incorrect because assessment involves collecting data about the client's health status, which is not demonstrated by the sister's summarization. Choice B: Analysis is incorrect as it involves interpreting and synthesizing data, which is not the focus of the sister's summarization. Choice C: Planning/outcomes identification is incorrect as it involves setting goals and outcomes, which have already been done prior to the sister's summarization.

Question 3 of 5

James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for day shift and anxiously reports, 'Last night, demons came to my room and tried to rape me.' Which response would be most therapeutic?

Correct Answer: C

Rationale: The correct answer is C because it demonstrates empathy, validation, and encourages further exploration of the patient's experiences. By acknowledging the patient's feelings and inviting them to share more, it fosters trust and a therapeutic relationship. Options A and B dismiss the patient's experience and may lead to further distress or lack of trust. Option D offers reassurance but lacks the depth of understanding and exploration needed in this situation.

Question 4 of 5

Which nursing assessments are directed at monitoring a patient's fight-or-flight response? Select all that apply.

Correct Answer: A

Rationale: The correct answer is A (Blood pressure) because monitoring blood pressure is essential in assessing the fight-or-flight response. During this response, the body releases stress hormones that can increase blood pressure. Heart rate (B) and respiratory rate (C) are also affected by the fight-or-flight response but are not as specific indicators as blood pressure. Abdominal pain (D) is not directly related to monitoring the fight-or-flight response.

Question 5 of 5

Your 39-year-old patient, Samantha, who was admitted with anxiety, asks you what the stress-relieving technique of mindfulness is. The best response is:

Correct Answer: C

Rationale: The correct answer is C because mindfulness involves focusing on the present moment without judgment. This helps individuals become aware of their thoughts, emotions, and surroundings. It encourages them to be fully engaged in each moment, leading to reduced stress and anxiety. Choice A involves meditation techniques, not mindfulness. Choice B describes progressive muscle relaxation, a different stress-relief technique. Choice D is unrelated to mindfulness, focusing on memory rather than present awareness. Overall, Choice C best aligns with the concept and practice of mindfulness.

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