Which of the following mediation is a first generation antipsychotic?

Correct Answer: C

Rationale: The correct answer is C: thiothixene. Thiothixene is a first-generation antipsychotic due to its high affinity for dopamine D2 receptors. First-generation antipsychotics primarily target dopamine receptors in the brain to reduce psychotic symptoms. Risperidone (A) and olanzapine (B) are second-generation antipsychotics that target both dopamine and serotonin receptors. Cariprazine (D) is a third-generation antipsychotic that acts as a partial agonist at dopamine D2 receptors. Thiothixene is the only first-generation antipsychotic among the choices, making it the correct answer.

Correct Answer: D

Rationale: The correct answer is D because administering medication to reduce withdrawal symptoms is crucial in managing alcohol withdrawal safely and effectively. Medications such as benzodiazepines can help prevent severe withdrawal symptoms like seizures and delirium tremens. It is essential to have medical supervision to monitor the patient's condition and adjust medication as needed. Choice A is incorrect because abrupt alcohol cessation can lead to dangerous withdrawal symptoms. Choice B is important but alone may not be sufficient for managing severe alcohol withdrawal symptoms. Choice C is incorrect as isolating the patient can increase feelings of loneliness and exacerbate withdrawal symptoms.

Correct Answer: B

Rationale: The correct answer is B: Sexual dysfunction. SSRIs can cause sexual side effects such as decreased libido, delayed ejaculation, and erectile dysfunction due to their impact on serotonin levels. Weight loss (A) is less common as SSRIs are more likely to cause weight gain. Increased appetite (C) is also less likely, as SSRIs can sometimes lead to decreased appetite. Hypertension (D) is not a common side effect of SSRIs.

Correct Answer: C

Rationale: The correct answer is C: Providing support with mobility and communication as needed. This is the most appropriate intervention to promote the patient's rehabilitation after a stroke. Supporting the patient with mobility exercises and communication helps improve physical and cognitive function, which are crucial aspects of stroke recovery. By assisting with mobility, the nurse can help prevent complications such as muscle weakness or contractures. Communication support can aid in language recovery and overall cognitive function. Incorrect choices: A: Encouraging independence in activities of daily living may be important, but focusing solely on this aspect may not address the specific needs of stroke recovery. B: While a high-protein diet can be beneficial for recovery, it is not the most crucial intervention for promoting rehabilitation after a stroke. D: Focusing on past abilities alone may not address the current limitations and needs of the patient post-stroke.

Correct Answer: C

Rationale: The correct answer is C because encouraging the patient to engage in small activities and gradually increase participation aligns with the principles of cognitive-behavioral therapy (CBT) for depression. This intervention helps the patient combat feelings of hopelessness and low energy by promoting a sense of accomplishment and increasing activity levels. It also addresses poor concentration by breaking tasks into manageable steps. Choice A is incorrect because administering a sedative medication does not address the underlying issues of depression and may mask symptoms temporarily without providing long-term benefits. Choice B is incorrect because while providing reassurance is important, it alone may not be sufficient to address the patient's symptoms. Choice D is incorrect because promoting rest and limiting stimulation may exacerbate feelings of isolation and further contribute to the patient's low energy and hopelessness.