The nurse is reviewing the medical record of a client diagnosed with depression and notes that the client has been prescribed mirtazapine. The nurse interprets this information, identifying this agent as which type?

Correct Answer: D

Rationale: The correct answer is D: Alpha-2 antagonist. Mirtazapine is classified as a noradrenergic and specific serotonergic antidepressant (NaSSA), which acts as an alpha-2 adrenergic receptor antagonist. This mechanism of action increases the release of norepinephrine and serotonin in the brain, leading to its antidepressant effects. Selective serotonin reuptake inhibitors (SSRIs) inhibit the reuptake of serotonin, cyclic antidepressants primarily inhibit reuptake of norepinephrine and serotonin, and norepinephrine dopamine reuptake inhibitors (NDRIs) inhibit the reuptake of norepinephrine and dopamine. Thus, choices A, B, and C are incorrect in this context.

Correct Answer: C

Rationale: The correct answer is C because NCLEX drag-and-drop test items typically show a split computer screen where candidates can drag and drop items into different categories or sequences. This format allows for interactive and hands-on assessment of the test taker's understanding and application of concepts. This feature helps simulate real-world scenarios and test critical thinking skills. Choices A, B, and D are incorrect: A: They can use every answer option if designed to do so. B: They can test prioritization by requiring candidates to organize information or actions in a specific order. D: They do not make up 50 percent of test items; the percentage varies, and they are just one of the item types used in the NCLEX exam.

Correct Answer: A

Rationale: Solution-focused brief therapy differs from other cognitive therapies by focusing on the functional aspects of the patient rather than solely on problems. This approach emphasizes strengths and solutions, aiming to help clients identify and build on their existing resources to achieve their goals. By focusing on the positive and functional aspects, solution-focused brief therapy promotes a forward-looking and goal-oriented approach. In contrast, other therapies may focus more on challenging the existence of problems (choice B), recognizing change as constant (choice C), or delving into past experiences (choice D).

Correct Answer: A

Rationale: The correct answer is A: Perform weight bearing exercises. Weight bearing exercises help to strengthen bones, which is crucial for individuals with osteoporosis to prevent fractures. By engaging in weight bearing exercises, such as walking or lifting weights, the client can improve bone density and reduce the risk of fractures. Avoid crossing the legs beyond the midline (B) is not directly related to preventing injury in osteoporosis. Avoiding sitting in one position for prolonged periods (C) is important for preventing pressure sores but not specifically related to preventing injury in osteoporosis. Splinting the affected area (D) may be used in certain cases for support but does not address the primary preventive measure of strengthening bones through weight bearing exercises.

Correct Answer: C

Rationale: The correct answer is C because the child expressing sadness and having trouble sleeping may indicate underlying emotional or mental health issues. This information can help the nurse assess the child's well-being and provide appropriate support. Incorrect Answers: A: "I can't get along with my parents" - This statement may suggest conflict in the parent-child relationship but does not directly indicate the child's emotional state. B: "I yell at my parents a lot" - This statement implies behavioral issues rather than emotional distress. D: "I refuse to do what my parents tell me to" - This statement indicates defiance or disobedience but does not necessarily reflect the child's emotional well-being. In summary, choice C is correct as it provides valuable insight into the child's emotional state, whereas the other choices focus on different aspects of the parent-child relationship or behavior.

Correct Answer: B

Rationale: The correct answer is B because presenting information in a calm manner using simple language helps the patient with moderate anxiety better understand preoperative information. This approach acknowledges the patient's anxiety and promotes effective communication. Choice A is incorrect because it addresses postoperative care rather than preoperative information. Choice C is incorrect as it focuses on recovery rather than addressing the patient's anxiety and understanding of preoperative information. Choice D is incorrect because it encourages expression of feelings rather than directly addressing the patient's understanding of preoperative information.

Correct Answer: C

Rationale: The correct answer is C because schizophrenia is widely believed to have a biological basis, supported by research showing genetic and neurological factors. This response helps the spouse understand that the disorder is not solely caused by childhood events but rather by underlying biological mechanisms. The other choices are incorrect because A oversimplifies the cause of mental disorders, B does not address the biological aspect of schizophrenia, and D does not provide relevant information about the disorder's cause.

Correct Answer: D

Rationale: The correct answer is D because Shelter Plus Care offers both supportive services and long-term housing, which is crucial for homeless populations to achieve stability and independence. Safe Havens, on the other hand, primarily focus on providing immediate shelter and support services but not long-term housing. A is incorrect because Safe Havens actually offer more intensive services to a smaller population. B is incorrect because Safe Havens typically have a smaller capacity than 100 people. C is incorrect because Safe Havens do not typically provide long-term housing, only short-term shelter.

Correct Answer: A

Rationale: The correct answer is A: Depression often begins after a major loss. Losing dad was a major loss. Rationale: Natasha's sudden loss of her husband is a significant life event that can trigger major depressive disorder. The stress and grief from the loss can lead to the development of depression. Summary of other choices: B: Bereavement and depression are not the same problem. While bereavement can lead to depression, they are distinct experiences. C: Mourning is a normal process of grieving and not considered pathological behavior. D: Antidepressant medications can be effective in treating depression, including depression triggered by a major loss.