Which assessment findings support a nurse’s suspicion that a patient has been using inhalants?

Correct Answer: D

Rationale: The correct answer is D because confusion, mouth ulcers, and ataxia are common assessment findings in individuals who have been using inhalants. Confusion and ataxia are neurological symptoms associated with inhalant use, while mouth ulcers can result from the toxic effects of inhalants on oral mucosa. These findings indicate central nervous system depression and potential damage from inhalant exposure. Choices A, B, and C are incorrect because they do not align with typical assessment findings of inhalant use. Perforated nasal septum and hypertension (A) are more commonly associated with chronic cocaine use. Drowsiness, euphoria, and constipation (B) are symptoms of opioid use. Pinpoint pupils and respiratory rate of 12 breaths per minute (C) are indicative of opioid overdose, not inhalant use.

Correct Answer: A

Rationale: The correct answer is A, "Have you ever lost a loved one before?" This question assesses the individual's prior experience with loss, providing insight into their coping mechanisms. It allows the individual to reflect on past experiences and potentially apply strategies used previously. Choice B is too direct and may not accurately predict coping ability. Choice C focuses on external support rather than individual coping skills. Choice D assumes positive memories are always accessible, which may not be the case in grief.

Correct Answer: D

Rationale: The correct answer is D because re-evaluating the validity of traditionally accepted psychiatric nursing care interventions aligns with evidence-based practice principles. By critically examining current practices and seeking evidence to support them, nurses can ensure that interventions are based on the best available evidence. A: Offering depression screening is important but does not specifically address evidence-based practice for psychiatric nursing. B: Pursuing an advanced practice degree is beneficial for individual growth but does not directly impact evidence-based practice for the field. C: Discussing nursing interventions with the care team is collaborative but may not necessarily focus on evidence-based practice specifically.

Correct Answer: B

Rationale: The correct answer is B because the development and use of psychotropic drugs allowed nurses to take on a more expanded role in caring for clients with mental health disorders. With these medications, nurses could now actively participate in medication administration, monitoring of side effects, educating clients on drug regimens, and collaborating with other healthcare professionals in treatment planning. This increased responsibility and involvement in the treatment process led to a more significant impact on patient outcomes and overall care quality. Choice A is incorrect because the availability of mental health therapies as an outpatient service is more influenced by various factors such as healthcare policies and funding rather than just the development of psychotropic drugs. Choice C is incorrect as the use of psychotropic drugs did not specifically create a lack of medical personnel that nurses needed to fill. Choice D is incorrect as the increase in the number of nurses was not solely due to the treatability of mental health clients but rather the expanded role that nurses took on in caring for these clients.

Correct Answer: C

Rationale: The correct answer is C because the response indicates a potential underlying fear of being harmed, which could suggest paranoia or anxiety related to mental health issues. This response shows a sense of vulnerability and a need for safety by avoiding potential harm. Choices A and D do not directly address any mental health concerns but rather focus on external factors and legalities. Choice B suggests a purposeful and temporary choice that does not indicate mental health issues. Therefore, the nurse should follow up on choice C to further assess the individual's mental well-being.