A nurse is caring for an adolescent client who was sexually assaulted. The client is having difficulty remembering events related to the assault. Which of the following is the client likely experiencing?

Dissociative amnesia

Depersonalization/derealization

Dissociative identity disorder

Factitious disorder

Answer and Explanation

The Correct Answer is A

A. Dissociative amnesia involves difficulty remembering important personal information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forgetting. In the case of a client who has been sexually assaulted and is having difficulty remembering events related to the assault, dissociative amnesia is the likely experience.

B. Depersonalization/derealization disorder involves persistent feelings of detachment from oneself or one's surroundings. While this condition can occur in response to trauma, it typically involves a sense of detachment rather than memory loss.

C. Dissociative identity disorder (DID) involves the presence of two or more distinct personality states, each with its own pattern of perceiving and interacting with the world.

D. Factitious disorder involves the deliberate falsification or exaggeration of physical or psychological symptoms in oneself. It is not directly related to memory loss or difficulty remembering events.

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Correct Answer is C

Explanation

C. Tardive dyskinesia (TD) is a movement disorder characterized by involuntary, repetitive movements of the face, tongue, lips, and extremities, often as a side effect of long-term use of antipsychotic medications such as fluphenazine. Valbenazine is a medication approved for the treatment of tardive dyskinesia in adults

A. Diphenhydramine is an antihistamine medication with anticholinergic properties used in acute dystonia

B Naloxone is an opioid antagonist used to reverse opioid overdose by blocking the effects of opioids on opioid receptors. It is not indicated for the treatment of tardive dyskinesia.

D. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) antidepressant

A. Identify emotion of faces on cards B. Repeat a list of words C. Interpret a sequence of pictures D. Imitate gestures of learned movements

Correct Answer is A

Explanation

A. Social cognition refers to the ability to understand and interpret social cues, including emotions, intentions, and interpersonal interactions. Asking the client to identify emotions on faces depicted on cards assesses their ability to recognize and interpret facial expressions, which is a fundamental aspect of social cognition.

B. Repeating a list of words primarily assesses verbal memory and recall, which may be impaired in dementia but does not specifically target social cognition.

C. Interpreting a sequence of pictures may assess aspects of visual processing, memory, and problem-solving abilities but does not specifically target social cognition.

D. Imitating gestures of learned movements may assess motor skills and imitation abilities but does not specifically target social cognition.

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A nurse is caring for an adolescent client who was sexually assaulted. The client is having difficulty remembering events related to the assault. Which of the following is the client likely experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is taking fluphenazine and is experiencing tardive dyskinesia. Which of the following medications should the nurse anticipate the provider to prescribe for this client?

Correct Answer is C

Explanation

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?

Correct Answer is A

Explanation

A nurse is speaking with a client who experienced physical assault. Which of the following actions should the nurse take?

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A nurse is preparing a presentation about alcohol withdrawal. Which of the following findings should the nurse include in the presentation?

A nurse is caring for a client who is experiencing delusions, hallucinations, and alterations in speech. Which of the following medications should the nurse anticipate the provider to prescribe?

A nurse is discussing relapse potential with a group of clients and their families. The nurse should include which of the following statements about relapse prevention?

A home care nurse is speaking with a parent who saw their child playing with cleaning supplies. The parent is not sure if the child ingested anything. Which of the following actions should the nurse take first?