When assessing a patient who has ingested flunitrazepam (Rohypnol), the nurse would expect:

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Question 1 of 5

When assessing a patient who has ingested flunitrazepam (Rohypnol), the nurse would expect:

Correct Answer: D

Rationale: The correct answer is D: anterograde amnesia. Flunitrazepam is a benzodiazepine known for causing memory loss, specifically anterograde amnesia, where the person has difficulty forming new memories after ingestion. This is due to the drug's effects on the hippocampus and frontal cortex. Acrophobia (fear of heights), hypothermia, and hallucinations are not typically associated with flunitrazepam ingestion. Therefore, D is the expected outcome when assessing a patient who has ingested flunitrazepam.

Question 2 of 5

The nurse best engages in self-analysis that will benefit a specific nurse-client relationship when:

Correct Answer: B

Rationale: The correct answer is B because it demonstrates reflective practice by focusing on self-awareness and identifying potential barriers to effective care. This approach allows the nurse to address personal biases, limitations, and areas for growth, leading to improved nurse-client relationships. Choice A is incorrect as it suggests suppressing negative feelings, which may hinder self-awareness and authenticity in the relationship. Choice C is incorrect as it avoids self-analysis and seeks external solutions, which may not address the root of the issue. Choice D is incorrect as it prioritizes avoiding conflict over establishing healthy boundaries, which is essential for therapeutic relationships.

Question 3 of 5

The goal of crisis intervention has been met when a mother who lost her job:

Correct Answer: C

Rationale: The correct answer is C because the goal of crisis intervention is to help the individual cope with the crisis and move towards a positive resolution. In this case, the mother describing her new job as better than the old one indicates that she has successfully transitioned from the crisis of losing her job to a positive outcome. Choice A is incorrect because just beginning a job search does not guarantee a successful resolution. Choice B is incorrect as resolving anger towards the employer is not the primary goal of crisis intervention. Choice D is incorrect because accepting a job that requires moving may not necessarily mean it is a better job than the previous one.

Question 4 of 5

The nurse demonstrates an appropriate use of outcome measurements on a mental health unit when:

Correct Answer: B

Rationale: The correct answer is B because reassigning a client's activity level based on his demonstration of disregard of appropriate social boundaries demonstrates using outcome measurements effectively in mental health care. This shows that the nurse is monitoring the client's behavior and adjusting the care plan accordingly to promote positive outcomes. A is incorrect because requiring a caregiver to attend a discharge planning meeting does not directly relate to outcome measurements for the client's mental health progress. C is incorrect because providing clean linen according to a schedule does not demonstrate the use of outcome measurements for mental health assessment and intervention. D is incorrect because permitting the son to bring ethnic foods does not directly relate to monitoring and adjusting the client's care plan based on observed behaviors.

Question 5 of 5

Which nursing intervention best demonstrates an understanding of the effects of mental illness in the creation of secondary at-risk populations?

Correct Answer: B

Rationale: Step-by-step rationale for why choice B is correct: 1. Mental illness can impact parenting skills. 2. Assessing parenting skills of a father with OCD is crucial to understand potential risks to the child. 3. OCD may affect parenting abilities, leading to neglect or inappropriate care. 4. By assessing parenting skills, nurses can identify and address risks to the child's well-being. Summary of why other choices are incorrect: A: Educating junior high students on drug abuse is important but does not directly address at-risk populations created by mental illness. C: Assessing friends for signs of eating disorders is relevant but does not focus on understanding the impact of mental illness on caregiving roles. D: Providing information on behavior modification to parents is helpful but does not directly assess the impact of mental illness on parenting skills.

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