Which realistic goal should be included in this client’s plan of care?

Correct Answer: C

Rationale: The correct answer is C because it focuses on a specific, measurable, achievable, relevant, and time-bound goal related to the client's care plan. By not requiring zolpidem for sleep by discharge, it indicates progress in managing sleep without medication dependency. Option A is incorrect as it sets an unrealistic goal of having no flashbacks, which may not be achievable in a short timeframe. Option B is vague and subjective, as feeling a full range of emotions is difficult to measure and may not be directly related to the client's treatment goals. Option D is counterproductive as refraining from discussing the traumatic event may hinder the client's progress in therapy.

Correct Answer: D

Rationale: The correct answer is D: Hepatic enzymes. Lovastatin is a statin medication that can potentially cause liver damage. Monitoring hepatic enzymes, such as AST and ALT, is crucial to assess liver function and detect any signs of hepatotoxicity. Elevations in these enzymes may indicate liver injury and warrant further evaluation or discontinuation of the medication. A: Blood urea nitrogen is not directly affected by lovastatin and is more commonly monitored for kidney function. B: Complete blood count is not specific to monitoring for lovastatin-related side effects. C: Cardiac enzymes are not typically monitored in patients taking lovastatin unless there are specific cardiac concerns. In summary, monitoring hepatic enzymes is essential in patients taking lovastatin to ensure early detection of potential liver damage.

Correct Answer: B

Rationale: The correct answer is B: parietal lobe. The parietal lobe is primarily responsible for processing mathematical calculations and spatial reasoning. Damage to this area can lead to difficulties with mathematical tasks. The frontal lobe is more associated with higher cognitive functions like decision-making and planning. The temporal lobe is involved in memory and language processing. The occipital lobe is responsible for processing visual information. Therefore, the parietal lobe is the most likely area involved in the patient's difficulty with mathematical calculations.

Correct Answer: A

Rationale: The correct answer is A: "It’s thought that the immune system is negatively affected by high stress." This answer aligns with the current understanding in psychoneuroimmunology that high levels of stress can indeed weaken the immune system, making individuals more susceptible to illnesses like cancer. Chronic stress can lead to dysregulation of the immune system, increasing inflammation and impairing immune responses. Choice B is incorrect because there is substantial evidence supporting the impact of stress on the immune system. Choice C is inaccurate as numerous studies have demonstrated the link between stress and physical health outcomes. Choice D is misleading as various types of stress, not just grief and depression, can contribute to physical illness. Therefore, the correct answer is A as it accurately reflects the relationship between stress and the immune system, which is crucial in understanding the potential impact of stress on the development of cancer.

Correct Answer: A

Rationale: The correct answer is A: diazepam (Valium). Diazepam is a benzodiazepine that is commonly used for its anxiolytic properties. It works by enhancing the effects of a neurotransmitter called GABA in the brain, leading to a calming effect. In the given situation of a patient panicking after receiving traumatic news, diazepam can help reduce anxiety and promote relaxation. Summary of why the other choices are incorrect: B: zolpidem (Ambien) is a sedative-hypnotic primarily used for treating insomnia, not anxiety or panic. C: phenobarbital is a barbiturate with sedative and anticonvulsant properties, but it is not commonly used for acute anxiety or panic attacks. D: cyclobenzaprine (Flexeril) is a muscle relaxant and does not have anxiolytic properties to help with panic or anxiety.