A nurse is caring for a client who has substance use disorder and is experiencing acute toxicity to sedatives, but has no history of schizophrenia spectrum disorders. Which of the following manifestations should the nurse expect the client to experience?

Severe hallucinations

Negative symptoms of psychosis

Prolonged hallucinations

Prolonged delusions

Answer and Explanation

The Correct Answer is A

A. Acute toxicity to sedatives, especially at high doses, can lead to various central nervous system effects, including severe hallucinations. Hallucinations can involve distorted perceptions of sensory experiences, such as seeing, hearing, or feeling things that are not present. These hallucinations may be vivid, intense, and disturbing, especially during acute intoxication.

B. Negative symptoms are more commonly associated with chronic psychotic disorders like schizophrenia rather than acute toxic reactions.

C. Prolonged hallucinations are less characteristic of acute toxicity and are more commonly seen in conditions like schizophrenia or certain drug-induced psychotic disorders.

D. Prolonged delusions typically characterize chronic psychotic disorders rather than acute toxic reactions.

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Correct Answer is B

Explanation

A. While it's important to gather relevant information about the assault, asking open-ended questions about the perpetrator may not be the most appropriate approach initially.

B. Speaking softly helps to convey empathy and can make the client feel more comfortable and less threatened.

C. Direct eye contact can be perceived as intrusive or threatening, especially for individuals who have experienced trauma such as sexual assault.

D. Sitting next to the client rather than directly across can create a more relaxed and less intimidating atmosphere. This approach can help establish a sense of partnership and support, making the client feel more at ease.

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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A nurse is caring for a client who has substance use disorder and is experiencing acute toxicity to sedatives, but has no history of schizophrenia spectrum disorders. Which of the following manifestations should the nurse expect the client to experience?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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