A nurse is discussing complementary therapies with a group of clients. The nurse should identify that massage therapy is indicated for the treatment of which of the following mental health disorders?

Depression

Bipolar disorder

Schizophrenia

Obsessive compulsive disorder

Answer and Explanation

The Correct Answer is A

A. Depression: Massage therapy has been shown to reduce cortisol levels and increase serotonin and dopamine activity, which are neurotransmitters involved in mood regulation. Through tactile stimulation and relaxation, massage can decrease stress, anxiety, and depressive symptoms. It is commonly used as a complementary therapy alongside standard treatments such as psychotherapy and pharmacologic management.

B. Bipolar disorder: Bipolar disorder involves alternating episodes of mania and depression that require careful pharmacologic stabilization. Massage therapy does not address the underlying neurochemical dysregulation associated with mood cycling. During manic phases, increased stimulation may even exacerbate agitation or restlessness.

C. Schizophrenia: Schizophrenia is a chronic psychotic disorder characterized by hallucinations, delusions, and impaired thought processes. Treatment centers on antipsychotic medications and psychosocial interventions. Massage therapy does not target the core psychotic symptoms and may increase discomfort or paranoia in some clients.

D. Obsessive compulsive disorder: Obsessive compulsive disorder is driven by intrusive thoughts and repetitive behaviors related to anxiety. Treatments include cognitive behavioral therapy with exposure and response prevention and pharmacologic therapy. Massage therapy may provide relaxation but does not directly address compulsive or obsessive symptom patterns.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Poor feeding: Newborns experiencing neonatal abstinence syndrome (NAS) often have neurologic irritability and gastrointestinal dysfunction caused by withdrawal from in utero exposure to opioids or other substances. Poor feeding, along with vomiting, diarrhea, and excessive sucking, is a common manifestation.

B. Weak cry: Infants with NAS typically have a high-pitched, shrill, or incessant cry due to central nervous system hyperactivity. A weak or soft cry is not characteristic and may suggest other neurologic conditions rather than withdrawal.

C. Hypotonia: NAS usually presents with hypertonia, jitteriness, and tremors. Hypotonia is not a typical finding; decreased muscle tone may indicate a different neurologic or metabolic disorder.

D. Absent Moro reflex: The Moro reflex is generally intact or exaggerated in infants with NAS because of increased neuromuscular irritability. An absent reflex is more consistent with severe neurologic impairment rather than substance withdrawal.

A. Initiate NPO status B. Maintain IV fluids. C. Maintain strict intake and output. D. Weigh the child daily. E. Instruct the guardian about proper hand hygiene. F. Check the child's temperature rectally. G. Monitor laboratory values.

Correct Answer is ["B","C","D","E","G"]

Explanation

A. Initiate NPO status: The child is already unable to tolerate oral intake due to vomiting, but routine NPO status is not always necessary unless prescribed. With mild to moderate dehydration, oral rehydration may be attempted if tolerated, and withholding all fluids could worsen fluid deficit.

B. Maintain IV fluids: The child demonstrates signs of moderate dehydration, including weight loss, sunken eyes, delayed skin turgor, and reduced urine output. IV fluid therapy is necessary to restore intravascular volume, correct electrolyte imbalances, and prevent progression to hypovolemic shock.

C. Maintain strict intake and output: Accurate monitoring of fluid intake and urine/stool output is critical to assess hydration status and guide IV fluid replacement. The child’s ongoing diarrhea and low urine output indicate the need for close tracking to prevent further fluid deficit.

D. Weigh the child daily: Daily weight measurement is an objective and sensitive indicator of hydration status in pediatric clients. The child’s 0.5 kg (1 lb) weight loss over 24 hours reflects significant fluid loss and helps guide ongoing fluid management.

E. Instruct the guardian about proper hand hygiene: The child has a confirmed Escherichia coli infection, which is highly transmissible via the fecal–oral route. Educating the guardian about proper handwashing helps prevent spread to others and reinforces infection control practices.

F. Check the child's temperature rectally: Rectal temperature measurement is invasive and may increase discomfort or risk of injury, especially in a drowsy or irritable toddler. Oral or axillary methods are safer and sufficient for routine monitoring.

G. Monitor laboratory values: Electrolytes, BUN, creatinine, and other relevant labs are crucial to assess the severity of dehydration, renal perfusion, and metabolic disturbances. Trends in these values guide fluid and electrolyte replacement and indicate improvement or deterioration.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is discussing complementary therapies with a group of clients. The nurse should identify that massage therapy is indicated for the treatment of which of the following mental health disorders?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with planning care for a newborn who is experiencing neonatal abstinence syndrome. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is assisting with the care of a 2-year-old child. Which of the following actions should the nurse take when assisting with the implementation of the plan of care? Select all that apply.

Correct Answer is ["B","C","D","E","G"]

Explanation

A nurse is contributing to the plan of care for a newborn who is experiencing heroin withdrawal. The nurse should anticipate a prescription for which of the following medications?

A nurse is planning to reinforce teaching with a preschooler who is about to undergo an incision and drainage for cellulitis on the left arm. Which of the following techniques should the nurse use?

A nurse is reinforcing teaching about smoking cessation with a client who has chronic bronchitis and has smoked two packs of cigarettes per day for 30 years. Which of the following client statements indicates an understanding of the teaching?

A nurse is collecting data from a child who has acute glomerulonephritis. Which of the following findings should the nurse expect?

A nurse is performing a nutritional screening for a client. Which of the following statements by the client indicates the need for further data collection?

A nurse is assisting in the preparation of an in-service for a group of unit nurses about ethical principles. Which of the following nursing actions should the nurse include as an example of fidelity?

A nurse is reinforcing discharge teaching with a client who is postoperative following laser surgery for open-angle glaucoma. Which of the following statements by the client indicates an understanding of the instructions?