Which client is the nurse most likely to admit to an inpatient facility for self-destructive behaviors?

Correct Answer: B

Rationale: The correct answer is B because clients diagnosed with Borderline Personality Disorder (BPD) are more likely to engage in self-destructive behaviors such as self-harm or suicidal ideation, requiring inpatient admission for safety. Clients with antisocial personality disorder (A) typically exhibit behaviors that violate the rights of others, not self-destructive behaviors. Clients with schizoid personality disorder (C) avoid social interactions and are unlikely to engage in self-destructive behaviors. Clients with paranoid personality disorder (D) exhibit distrust and suspiciousness but are not typically associated with self-destructive behaviors.

Correct Answer: B

Rationale: The correct answer is B because a child with separation anxiety disorder often has a close relationship with a parent who also has an anxiety disorder, leading to increased risk of developing separation anxiety. This is because anxiety disorders can have a genetic component, influencing the child's predisposition to anxiety. Option A is incorrect as antisocial behaviors are not typically associated with separation anxiety disorder. Option C is incorrect because a child's temperament is not directly linked to the development of separation anxiety disorder. Option D is incorrect as inconsistent parenting styles may contribute to other behavioral issues but are not specific to separation anxiety disorder.

Correct Answer: A

Rationale: The correct answer is A because evaluating a 3-year-old's behavior based on developmental norms is essential for understanding age-appropriate behavior. This approach considers the child's stage of development and helps differentiate between normal behaviors and potential concerns. Choice B is incorrect because jumping to conclusions about ADHD without considering developmental norms may lead to misdiagnosis. Choice C is incorrect as assuming early stages of ASD without proper evaluation can be premature. Choice D is incorrect because labeling the child with ODD based solely on behavior may overlook developmental factors. Overall, choice A is the most appropriate as it emphasizes the importance of understanding behavior in the context of developmental norms.

Correct Answer: D

Rationale: Step 1: Atomoxetine is a selective norepinephrine reuptake inhibitor (SNRI), which is a crucial pharmacological mechanism in treating ADHD. Step 2: By inhibiting norepinephrine reuptake, atomoxetine increases its availability in the brain, improving attention and impulse control in individuals with ADHD. Step 3: This mechanism differentiates atomoxetine from methylphenidate, which primarily works by increasing dopamine and norepinephrine levels. Step 4: Understanding the specific mechanism of action of atomoxetine is essential in educating on its role in managing ADHD symptoms. Summary: Choices A, B, and C are incorrect as they provide irrelevant or inaccurate information not pertinent to atomoxetine's pharmacological action in treating ADHD.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Seizures. Flumazenil is a benzodiazepine receptor antagonist used to reverse the effects of benzodiazepine overdose, such as oxazepam. By blocking the action of benzodiazepines, flumazenil can precipitate the rapid onset of withdrawal symptoms, including seizures, in individuals who are dependent on benzodiazepines like oxazepam. Option B) Shivering, Option C) Anxiety, and Option D) Chest pain are incorrect because they are not commonly associated with the administration of flumazenil in this context. Shivering, anxiety, and chest pain are not typical adverse effects of flumazenil in the setting of benzodiazepine overdose reversal. From an educational perspective, understanding the potential adverse effects of medications used in overdose situations is crucial for nurses and healthcare providers. This knowledge helps ensure patient safety and effective management of drug toxicity cases. By grasping the specific actions of antidotes like flumazenil and the potential risks they pose, healthcare professionals can make informed decisions and provide appropriate care to patients experiencing medication overdoses.