A nurse is caring for a client who has been brought into an emergency department of a large hospital. The client's family state that the client "took some kind of drugs." The client is dizzy, has recently vomited, and is experiencing paranoia, yelling, "Stay away from me! You are going to kill me!" The client alternates yelling with mumbling and gesturing. Their eyes are darting back and forth as they are talking to the wall. The nurse should suspect the client has used which of the following substances?

Anabolic steroids

Opioids

Stimulants

Hallucinogens

Answer and Explanation

The Correct Answer is D

D. The client's symptoms, including paranoia, perceptual disturbances (such as seeing things that aren't there), erratic behavior, and disorientation, are consistent with the effects of hallucinogens. Hallucinogens are a class of drugs that alter perception, mood, and cognitive processes.

A. Anabolic steroids are synthetic variations of the male sex hormone testosterone. They are primarily used to promote muscle growth and enhance athletic performance.

B Opioids are a class of drugs that include prescription pain relievers, such as oxycodone and morphine, as well as illegal drugs like heroin.

C. Stimulants, such as cocaine and amphetamines, can cause symptoms such as paranoia, agitation, and hallucinations, particularly at high doses or with chronic use. However, the client's symptoms of darting eyes, paranoia, yelling, mumbling, and gesturing are more suggestive of hallucinogen use rather than stimulant use.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

C. Reinforcing teaching with vulnerable clients about strategies to prevent illness and promote health is the most immediate and direct action the nurse can take. Education empowers

individuals to make informed decisions about their health and well-being, potentially preventing illness and reducing the need for healthcare services.

A. This action focuses on improving access to care but may not directly address the immediate health needs of vulnerable clients.

B. Protecting the rights and well-being of clients without housing is important, but it may take time to implement legislative changes and see the effects.

D. While advocating for policy change and advising elected officials on the needs of vulnerable populations is important for systemic change, it may not directly address the immediate health needs of vulnerable clients

A. Interpersonal therapy B. Antipsychotic medications C. Dialectical behavior therapy D. Antidepressant medications

Correct Answer is A

Explanation

A. Interpersonal therapy (IPT) focuses on improving interpersonal relationships and social functioning, which is crucial for individuals with avoidant personality disorder. This therapy helps clients work through feelings of inadequacy, sensitivity to criticism, and fear of rejection, aiming to enhance their ability to connect with others and improve their social skills.

B. Antipsychotic medications are primarily used to treat psychotic disorders such as schizophrenia and bipolar disorder with psychotic features. They are not the first-line treatment for avoidant personality disorder.

C. While DBT is useful for emotional regulation and has applications in various personality disorders, it is primarily designed for borderline personality disorder and may not be the first choice for avoidant personality disorder.

D Dialectical behavior therapy (DBT) is a type of cognitive-behavioral therapy (CBT) that emphasizes acceptance and change strategies.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for clients who are members of vulnerable populations. Which of the following core function assurance actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is caring for a client who has avoidant personality disorder. Which of the following types of therapy should the nurse anticipate for the client?

Correct Answer is A

Explanation

A community health nurse is conducting a presentation about modifiable risk factors at a local community center. A community member asks a question and the nurse does not know the answer. Which of the following actions should the nurse take?

A nurse on an inpatient mental health unit is caring for a client who is experiencing panic level anxiety. Which of the following findings should the nurse expect?

A nurse is educating a group of clients about addiction. The nurse should include that which of the following factors increases the potential for addiction?

A nurse in an outpatient facility is teaching a client about the development of mental illness. Which of the following statements by the nurse describes the role of a vulnerability gene?

A nurse is caring for a client who has dementia. Which of the following requests should the nurse make to determine the client's social cognition?

A nurse on a mental health unit is planning care for a client who has a new diagnosis of non- suicidal self-harm (NSSH). Which of the following interventions should the nurse include in the plan?

A nurse is assessing a 10-year-old child who has an autism spectrum disorder. Which of the following findings are expected?