Which neurotransmitters would a nurse expect to be elevated in a client with a diagnosis of catatonic schizophrenia?

Correct Answer: B

Rationale: The correct answer is B: Dopamine. In catatonic schizophrenia, there is an excess of dopamine activity in the brain, leading to symptoms such as motor disturbances and disorganized behavior. Dopamine is a neurotransmitter associated with movement, pleasure, and motivation. Elevated serotonin (choice A) is more commonly linked to mood disorders like depression. GABA (choice C) is an inhibitory neurotransmitter and is not typically elevated in catatonic schizophrenia. Histamine (choice D) is not directly related to the symptoms of catatonic schizophrenia.

Correct Answer: C

Rationale: The correct answer is C: "Yes, it was a difficult relationship, but I think I have learned from the experience." This statement indicates acceptance because the wife acknowledges the difficulty of the relationship but also expresses personal growth and learning from it. Acceptance stage involves coming to terms with the reality of the situation and finding meaning or lessons in the experience. A: "If only we could have tried again, things might have worked out." - This statement suggests bargaining, which is a stage before acceptance where the individual is trying to negotiate or change the outcome. B: "I am so mad that the children and I had to put up with him as long as we did." - This statement reflects anger, another stage of grief where the individual may feel resentful or frustrated about the situation. D: "I have a difficult time getting out of bed most days." - This statement indicates symptoms of depression or denial, which are common in earlier stages of grief, not acceptance.

Correct Answer: C

Rationale: The correct answer is C: At 11 pm. This is based on the prescription stating the medication should be given every 6 hours. You administered the first dose at 5 pm, so the next dose should be given 6 hours later at 11 pm. Choices A and B are incorrect because medication administration should be based on the prescribed schedule, not solely on patient request or pain level. Choice D, at 12 pm, is incorrect as it does not align with the 6-hour dosing interval specified in the prescription.

Correct Answer: B

Rationale: Correct Answer: B - Verify patient identification and informed consent Rationale: 1. Ensures the right patient is undergoing the intended procedure. 2. Validates patient's understanding and agreement to the procedure. 3. Legal and ethical requirement to prevent errors and ensure patient safety. Summary: A: Important but assessing consciousness can be done after patient identification. C: Vital signs are crucial but can be assessed after verifying patient identity. D: Checking for personal items is important but secondary to confirming patient identity.

Correct Answer: C

Rationale: The correct answer is C: Wash hands. This is the first step in any nursing intervention to prevent infection. Washing hands before examining the incision wound and changing the dressing helps reduce the risk of introducing harmful bacteria. By washing hands, the nurse maintains aseptic technique and minimizes the chance of contaminating the wound. Choice A is incorrect because observing the dressing and drainage comes after washing hands to ensure a clean environment. Choice B is unnecessary for a routine wound dressing change. Choice D is incorrect because requesting the client to expose the wound should only be done after ensuring proper hand hygiene.