Which nursing intervention related to self-care is most appropriate for a teenager diagnosed with moderate ID?

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Question 1 of 5

Which nursing intervention related to self-care is most appropriate for a teenager diagnosed with moderate ID?

Correct Answer: B

Rationale: The correct answer is B because providing simple directions and praising the client's independent self-care efforts is appropriate for a teenager with moderate ID. This approach promotes independence and self-esteem while offering necessary support. Choice A is incorrect as it does not encourage independence and may hinder the client's growth. Choice C is incorrect as complete autonomy may not be realistic or safe for the client. Choice D is incorrect as it can create dependency and hinder the client's development of self-care skills.

Question 2 of 5

Which side effect of aripiprazole would be of most concern to the nurse when assessing a 14-year-old client?

Correct Answer: D

Rationale: The correct answer is D: Tremor. Aripiprazole is an antipsychotic medication that can cause extrapyramidal side effects like tremor, especially in young clients. Tremor can impact daily activities and quality of life. Dizziness, headache, and nausea are common side effects of aripiprazole but are typically less concerning and may improve over time. Assessing for tremor is crucial in adolescents to prevent potential long-term effects.

Question 3 of 5

Why would a nurse establish goals for a client diagnosed with ADHD that allow the client to complete part of the task, rewarding each step completion with a break for physical activity?

Correct Answer: A

Rationale: The correct answer is A because breaking down tasks into smaller, manageable steps is beneficial for clients with ADHD who struggle with a short attention span. By setting short-term goals, the client is more likely to stay focused and motivated as they can see progress more frequently. This approach helps prevent the feeling of being overwhelmed by a large task. Choice B is incorrect because repetition of instructions is not directly related to breaking down tasks into smaller steps for better focus in ADHD clients. Choice C is incorrect because while the approach encourages independence, it does not specifically address the issue of managing a short attention span. Choice D is incorrect as it focuses on the client's ability to assimilate information rather than the strategy of setting achievable goals for individuals with ADHD.

Question 4 of 5

Which of the following classes of psychiatric medications is primarily used to treat bipolar disorder?

Correct Answer: B

Rationale: The correct answer is B) Mood stabilizers. In the treatment of bipolar disorder, mood stabilizers like lithium, valproate, and lamotrigine are the primary class of psychiatric medications used. These medications help to stabilize mood swings, prevent manic and depressive episodes, and regulate the highs and lows associated with bipolar disorder. Antidepressants (option A) are not typically used as the primary treatment for bipolar disorder because they can potentially trigger manic episodes in individuals with this condition. Anxiolytics (option C), such as benzodiazepines, are used to treat anxiety disorders and are not the first-line treatment for bipolar disorder. Stimulants (option D) are used to treat conditions like ADHD and are not suitable for managing bipolar disorder symptoms. In an educational context, understanding the appropriate classes of medications used to treat specific mental health disorders is crucial for healthcare professionals, especially those working in the fields of psychiatry, psychology, and mental health counseling. This knowledge ensures that appropriate and evidence-based treatment options are chosen for individuals with bipolar disorder, leading to better outcomes and improved quality of life.

Question 5 of 5

The nurse is caring for a client who experiences false sensory perceptions with no basis in reality. These perceptions are known as:

Correct Answer: B

Rationale: The correct answer is B) Hallucinations. Hallucinations are false sensory perceptions that occur without a stimulus, meaning the person perceives something that is not actually present. In the context of this question, the client is experiencing sensory perceptions that have no basis in reality, indicating hallucinations. Delusions (option A) are false beliefs that are firmly held despite evidence to the contrary. Loose associations (option C) refer to a thought disorder where a person's speech is disjointed and lacks logical connections. Neologisms (option D) are made-up words that have no meaning to others. In an educational context, understanding the difference between these terms is crucial for healthcare professionals, especially nurses, who may encounter patients experiencing various mental health symptoms. Recognizing and correctly identifying hallucinations can guide appropriate interventions and care for the client. It also highlights the importance of thorough assessment and knowledge of mental health conditions in nursing practice.

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