Joy has entered the chemical dependency unit for treatment of alcohol dependency. Which of the following client’s possession will the nurse most likely place in a locked area?
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Solution
Antiseptic wash
Option C: Antiseptic mouthwash often contains alcohol & should be kept in a locked area, unless labeling clearly indicates that the product does not contain alcohol.
Tina with a histrionic personality disorder is melodramatic and responds to others and situations in an exaggerated manner. Nurse Trish would recommend which of the following activities for Tina?
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Solution
Role-playing
Option B: The nurse would use role-playing to teach the client appropriate responses to others and in various situations. This client dramatizes events, drawn attention to self, and is unaware of and does not deal with feelings. The nurse works to help the client clarify true feelings & learn to express them appropriately.
Nurse John is talking with a client who has been diagnosed with antisocial personality about how to socialize during activities without being seductive. Nurse John would focus the discussion on which of the following areas?
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Solution
Explaining the negative reactions of others toward his behavior
Option D: The nurse would explain the negative reactions of others towards the client’s behaviors to make the clients aware of the impact of his seductive behaviors on others.
Which statement about an individual with a personality disorder is true?
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Solution
The individual typically remains in the mainstream of society, although he has problems in social and occupational roles
Option C: An individual with personality disorder usually is not hospitalized unless a coexisting Axis I psychiatric disorder is present. Generally, these individuals make marginal adjustments and remain in society, although they typically experience relationship and occupational problems related to their inflexible behaviors. Personality disorders are chronic lifelong patterns of behavior; acute episodes do not occur. Psychotic behavior is usually not common, although it can occur in either schizotypal personality disorder or borderline personality disorder. Because these disorders are enduring and evasive and the individual is inflexible, prognosis for recovery is unfavorable. Generally, the individual does not seek treatment because he does not perceive problems with his own behavior. Distress can occur based on other people’s reaction to the individual’s behavior.
When planning care for Dory with schizotypal personality disorder, which of the following would help the client become involved with others?
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Solution
Participating solely in group activities
Option C: Attending activity with the nurse assists the client to become involved with others slowly. The client with schizotypal personality disorder needs support, kindness & gentle suggestion to improve social skills & interpersonal relationship.
Nurse Hazel invites new client’s parents to attend the psycho educational program for families of the chronically mentally ill. The program would be most likely to help the family with which of the following issues?
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Solution
Developing a support network with other families
Option A: Psychoeducational groups of families develop a support network. They provide education about the biochemical etiology of psychiatric disease to reduce, not increase family guilt.
A client is suffering from catatonic behaviors. Which of the following would the nurse use to determine that the medication administered PRN has been most effective?
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Solution
The client initiates simple activities without direction
Option B: Although all the actions indicate improvement, the ability to initiate simple activities without directions indicates the most improvement in the catatonic behaviors.
Jon, a suspicious client, states that “I know you nurses are spraying my food with poison as you take it out of the cart.” Which of the following would be the best response of the nurse?
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Solution
Allowing the client to be the first to open the cart and get a tray
Option D: Allowing the client to be the first to open the cart & take a tray presents the client with the reality that the nurses are not touching the food & tray, thereby dispelling the delusion.
When developing the plan of care for a client receiving haloperidol, which of the following medications would nurse Monet anticipate administering if the client developed extrapyramidal side effects?
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Solution
Benztropine mesylate (Cogentin)
Option C: The drug of choice for a client experiencing extrapyramidal side effects from haloperidol (Haldol) is benztropine mesylate (cognetin) because of its anticholinergic properties.
Which of the following activities would Nurse Trish recommend to the client who becomes very anxious when thoughts of suicide occur?
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Solution
Using exercise bicycle
Option A: Using exercise bicycle is appropriate for the client who becomes very anxious when thoughts of suicide occur.