A nurse is educating a client about mental illness and the client asks, "Why do some people who take medications experience resolution of clinical manifestations of their mental illness while other people experience relapses or worsening clinical manifestations?" Which of the following statements should the nurse make?

"Adhering to a medication regimen will likely cure mental illness."

"It's uncommon to experience manifestations after a few days of medication treatment."

"The willpower of the client determines manifestations remission."

"The brain's ability to adapt is very Individual and plays a role in symptom severity."

Answer and Explanation

The Correct Answer is D

D. Mental illness is complex and multifactorial, and the response to medication can vary widely among individuals. While medication can be effective in alleviating symptoms for many people, factors such as genetic predisposition, neurobiological differences, environmental influences, and individual variability in brain function and structure can all impact treatment response.

A. While medication adherence is important for managing mental illness, it is rarely a cure on its own. Mental illness often requires ongoing treatment and management.

B. Some individuals may experience rapid improvement with medication, while others may take longer to see results or may require adjustments to their treatment plan.

C. Mental illness is not solely determined by willpower, and implying that it is oversimplifies the complex nature of these conditions.

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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. Frontotemporal lobar degeneration B. Traumatic brain injury C. HIV infection D. Prion disease

Correct Answer is D

Explanation

A. Frontotemporal lobar degeneration (FTLD), also known as frontotemporal dementia (FTD), is a type of dementia characterized by progressive degeneration of the frontal and temporal lobes of the brain. It is not typically associated with sleep and appetite changes.

B. TBI can cause changes in sleep patterns and concentration difficulties but it is not typically associated with lack of appetite as a primary symptom.

C.While it can lead to neurocognitive disorders, the symptoms might not be as prominent as in other forms of dementia, especially in the early stages.

D. Prion diseases are rare neurodegenerative disorders caused by abnormal protein folding in the brain. These diseases can manifest with a variety of cognitive and neurological symptoms, but lack of sleep, lack of appetite, and difficulties with concentration are not typically prominent features of prion diseases.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for a client who experienced sexual assault. Which of the following communication strategies should the nurse use?

Correct Answer is B

Explanation

A nurse is caring for a client who is experiencing lack of sleep, lack of appetite, and difficulties with concentration. Which of the following types of dementia should the nurse expect this client to have?

Correct Answer is D

Explanation

A nurse is caring for a client who describes extreme fear of having or acquiring a disease. The client is also exhibiting behaviors like repeated body checking. The nurse should identify that the client is exhibiting manifestations of which of the following disorders?

A nurse is caring for a client who has asthma and allergies. The client asks the nurse about environmental influences they should avoid. The nurse should inform the client to avoid which of the following?

A community health nurse is preparing an educational activity that addresses the domains of learning. The nurse should know that the affective domain focuses on which of the following?

A nurse is discussing borderline personality disorder and the risk for self-harm with a newly licensed nurse. Which of the following situations should the nurse identify as the highest risk for self-harm?

A staff nurse reports an observation of a coworker injecting themselves with a syringe in the bathroom. The coworker admits to stealing narcotics from the medication room. The staff nurse should take which of the following courses of action?

A nurse is caring for a client who recently gave birth. The nurse notices the newborn is displaying manifestations of opioid withdrawal. The nurse should recognize the newborn's manifestations as signs of which of the following conditions?

A nurse is providing care for a client who has schizophrenia. The client is unemployed and unhoused. Which of the following concepts regarding themselves should the nurse be aware of?

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?