Which medication classification would the nurse recognize as effective in the treatment of Tourette's disorder?

Correct Answer: A

Rationale: The correct answer is A: Antipsychotic medications. Antipsychotics, like haloperidol or risperidone, are recognized as effective in treating Tourette's disorder due to their ability to reduce tics and other symptoms by modulating dopamine activity. Other options such as antimanic medications (B), tricyclic antidepressants (C), and MAOIs (D) are not typically used as first-line treatments for Tourette's. Antimanic medications are more commonly used for bipolar disorder, tricyclic antidepressants may exacerbate tics, and MAOIs have limited evidence for effectiveness in Tourette's.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Tertiary prevention. Tertiary prevention focuses on managing and minimizing the impact of a disease or condition that is already present. In the case of a 60-year-old post CVA (cerebrovascular accident) patient taking tissue plasminogen activator (TPA), this medication is used to dissolve blood clots and improve blood flow in patients who have had a stroke. TPA is typically administered as part of acute care to prevent further damage from the stroke, making it an example of tertiary prevention in this context. Options A) Primary prevention and B) Secondary prevention are not applicable in this case. Primary prevention aims to prevent the disease from occurring in the first place through interventions such as lifestyle modifications or immunizations. Secondary prevention focuses on early detection and treatment to halt or slow the progression of a disease before it causes significant harm. Educationally, understanding the levels of prevention is crucial for healthcare professionals to provide comprehensive care to patients. It helps nurses and other healthcare providers in implementing appropriate interventions based on the stage of the disease or condition. This knowledge enables them to tailor their care plans to address the specific needs of each patient, leading to better outcomes and improved quality of care.

Correct Answer: A

Rationale: In the context of discussing terminating the nurse-client relationship, Nurse Tony should first broach this topic during the termination phase when discharge plans are being made (Option A). This phase is the most appropriate as it allows for a structured and gradual ending of the therapeutic relationship, ensuring that the client is adequately prepared for the transition and can access continued support if needed. The working phase (Option B) is focused on interventions and goal achievement, making it less suitable for initiating discussions about termination. In the orientation phase (Option C), the relationship is still being established, so discussing termination prematurely may disrupt the trust-building process. Additionally, waiting for the client to bring up termination during the working phase (Option D) may delay the process and potentially lead to abrupt endings without proper closure. Educationally, understanding the timing of discussing termination in a therapeutic relationship is crucial for nursing professionals. It involves ethical considerations, client autonomy, and ensuring a smooth transition out of care. By addressing this topic during the termination phase, nurses can uphold professional boundaries, respect client autonomy, and facilitate a positive closure to the relationship, ultimately promoting the client's well-being and continuity of care.

Correct Answer: A

Rationale: The correct answer is A) Psychiatric nurses use complex communication skills as well as critical thinking to solve multidimensional problems. This response is the best choice because it highlights the unique skill set required in mental health nursing. Mental health nurses indeed utilize a wide range of clinical nursing skills, including therapeutic communication, critical thinking, and problem-solving to address the complex needs of individuals with mental health issues. These nurses work with patients facing diverse challenges such as psychiatric disorders, emotional crises, and behavioral issues, requiring a specialized set of skills to provide effective care and support. Option B is incorrect because it inaccurately suggests that psychiatric nursing is safer than other specialties, which is a subjective claim not supported by evidence. All nursing specialties carry inherent risks, and safety is an important consideration across the healthcare spectrum. Option C is incorrect as it focuses on technological aspects of nursing care, which, although important, do not address the specific concern raised by the student regarding the loss of clinical nursing skills in mental health nursing. Option D is incorrect as it perpetuates a misconception that psychiatric nurses do not encounter pain and suffering in their practice. Mental health nurses work with individuals experiencing significant emotional distress, trauma, and psychological pain, and they play a crucial role in helping patients navigate these challenges. In an educational context, it is essential to emphasize the diverse skill set required in mental health nursing and dispel myths or misconceptions that may undermine the value and complexity of this nursing specialty. By highlighting the range of skills and expertise needed in psychiatric nursing, educators can promote a more comprehensive understanding of this vital area of healthcare practice.

Correct Answer: C

Rationale: In the context of Theories of Health Behavior Change, it is important to understand culture-bound syndromes, which are disorders that are specific to certain cultural groups. In this case, "Running amok" is an example of a culture-bound syndrome. The correct answer, option C, "Running amok," is a culture-bound syndrome observed in Southeast Asia, particularly Malaysia and the Philippines. It is characterized by a sudden outburst of violent and aggressive behavior. Understanding culture-bound syndromes like "Running amok" is crucial in healthcare to provide culturally sensitive care and avoid misdiagnosis or misunderstanding of symptoms. Option A, Epilepsy, is a neurological disorder characterized by unpredictable seizures and is not a culture-bound syndrome. Option B, Schizophrenia, is a mental disorder that affects a person's thinking, feeling, and behavior, and is not specific to any culture. Option D, Major depressive disorder, is a common mental health condition found across different cultures and is not culture-bound. Educationally, knowing about culture-bound syndromes highlights the importance of cultural competence in healthcare. Healthcare providers need to be aware of these syndromes to deliver effective and respectful care to individuals from diverse cultural backgrounds. Understanding cultural nuances in health behaviors and beliefs is essential for promoting health behavior change within specific cultural contexts.