A nurse is caring for a client in an adolescent unit. What is the nurse's priority when caring for a client with Asperger's disorder?

Promoting social skills and communication development

Administering medications to manage symptoms

Implementing strict routines and schedules

Providing sensory stimulation to reduce hyperactivity

Answer and Explanation

The Correct Answer is A

A. Promoting social skills and communication development: This is a priority because individuals with Asperger's disorder often struggle with social interactions and communication. Interventions focus on improving these skills to enhance their quality of life and ability to function in society.

B. Administering medications to manage symptoms: While medications may be prescribed for co-occurring conditions (e.g., anxiety, ADHD), they are not typically the primary intervention for core symptoms of Asperger's disorder.

C. Implementing strict routines and schedules: Routine and structure can be beneficial for individuals with Asperger's disorder but are not the primary focus compared to social and communication skills.

D. Providing sensory stimulation to reduce hyperactivity: Sensory issues can be part of Asperger's disorder, but it is not the priority over social and communication development.

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Correct Answer is B

Explanation

A. Administer diazepam: This is not a first-line treatment for delirium and could exacerbate confusion or sedation, potentially worsening delirium.

B. Obtain a medical history: Delirium is often caused by underlying medical conditions such as infections, electrolyte imbalances, or medication side effects. Obtaining a medical history is crucial for identifying and treating the underlying cause, making it the priority action.

C. Start intravenous fluids: While IV fluids might be necessary in cases of dehydration or electrolyte imbalances, identifying the underlying cause of delirium through medical history is more urgent.

D. Raise 3 of the 4 side rails of the bed: This action may help prevent falls but does not address the underlying cause of delirium. Moreover, the use of side rails can sometimes increase the risk of injury or entrapment.

A. Implementing stress management workshops for employees in a workplace. B. Promoting mental health awareness and education in the community. C. Providing counseling and therapy to individuals with diagnosed mental health disorders. D. Conducting mental health screenings in schools to identify students at risk for mental health issues.

Correct Answer is C

Explanation

A. Implementing stress management workshops for employees in a workplace. This is a form of primary prevention, as it aims to prevent the development of mental health issues by reducing stress and promoting well-being among employees before problems arise . Therefore, this choice is incorrect.

B. Promoting mental health awareness and education in the community. This is another form of primary prevention. It aims to increase knowledge and awareness to prevent the onset of mental health issues by educating the public on how to maintain mental wellness and identify early signs of mental health problems . Therefore, this choice is incorrect.

C. Providing counseling and therapy to individuals with diagnosed mental health disorders. This is an example of tertiary prevention. It involves managing and treating existing mental health disorders to prevent further deterioration and to help individuals achieve the highest possible level of functioning and quality of life . This choice is correct.

D. Conducting mental health screenings in schools to identify students at risk for mental health issues. This represents secondary prevention, as it focuses on early identification and intervention for individuals at risk of developing mental health issues, aiming to prevent the progression of the disorder. Therefore, this choice is incorrect.

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A nurse is caring for a client in an adolescent unit. What is the nurse's priority when caring for a client with Asperger's disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for an older adult client who is experiencing delirium. Which of the following should be the priority action by the nurse?

Correct Answer is B

Explanation

A new student nurse is learning about Mental health. Which of the following should be stated as representation of a nursing intervention at the tertiary level of prevention in mental health?

Correct Answer is C

Explanation

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