A nurse is providing education about strategies for a safety plan for a female client who is a victim of intimate partner violence. Which strategies should be included in the safety plan? (Select all that apply.)

Plan an escape route to use if the abuser blocks the main exit.

Have a bag ready that has extra clothes for self and children.

Give the abuser the location of where you will be staying.

Establish a signal with family and friends to signify violence.

Purchase a gun to use for protection.

Answer and Explanation

Correct Answer : A,B,D

Choice A reason: Planning alternate escape routes is a core part of safety planning, ensuring the victim can exit safely even if blocked.

Choice B reason: Having an emergency bag ready allows quick departure and reduces risk of having to return to the abuser’s home.

Choice C reason: Giving the abuser information about location compromises safety and places the victim at greater risk.

Choice D reason: Establishing a signal with trusted individuals ensures the victim can get help quickly if violence escalates.

Choice E reason: Encouraging firearm purchase is not an appropriate nursing intervention due to safety risks and escalation potential. Safer protective strategies should be emphasized.

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Correct Answer is ["C","E"]

Explanation

Choice A reason: Propranolol is a beta-blocker primarily used for performance-related anxiety and physical symptoms like tremors or palpitations. It is not considered first-line or standard treatment for panic disorder.

Choice B reason: Clonidine is an alpha-2 adrenergic agonist used more often for hypertension, withdrawal syndromes, and sometimes ADHD. It is not a recommended pharmacologic option for panic disorder.

Choice C reason: Alprazolam, a benzodiazepine, is effective for acute management of panic attacks by rapidly reducing anxiety. However, it is generally used short-term due to risks of tolerance, dependence, and withdrawal.

Choice D reason: Buspirone is an anxiolytic used mainly for generalized anxiety disorder. It lacks efficacy in panic disorder and is not typically prescribed for it.

Choice E reason: Clonazepam, another benzodiazepine, is often used to manage panic disorder due to its longer half-life compared to alprazolam, making it effective in reducing frequency and severity of panic attacks.

A. They enhance dopamine transmission to improve cognitive function in schizophrenia. B. They block dopamine and serotonin receptors, reducing extrapyramidal side effects. C. They primarily block dopamine D2 receptors, leading to high rates of extrapyramidal symptoms. D. They selectively block only serotonin receptors, improving mood without affecting dopamine.

Correct Answer is B

Explanation

Choice A reason: Enhancing dopamine transmission is not the mechanism of antipsychotics; excessive dopamine is implicated in schizophrenia’s positive symptoms, so reducing—not enhancing—dopamine activity is key.

Choice B reason: Blocking both dopamine and serotonin receptors is characteristic of second-generation (atypical) antipsychotics. This dual action reduces extrapyramidal side effects while still targeting positive and negative symptoms.

Choice C reason: First-generation antipsychotics primarily block dopamine D2 receptors, which increases the risk for extrapyramidal side effects such as dystonia and parkinsonism.

Choice D reason: Selective serotonin receptor blockade is not the defining mechanism of second-generation antipsychotics. These medications act on both dopamine and serotonin systems.

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A nurse is providing education about strategies for a safety plan for a female client who is a victim of intimate partner violence. Which strategies should be included in the safety plan? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client recently diagnosed with panic disorder. The provider has prescribed pharmacologic treatment. Which of the following medications are commonly used in the treatment of panic disorder? (Select all that apply.)

Correct Answer is ["C","E"]

Explanation

A nurse is educating a client starting on risperidone. Which of the following statements best explains the unique pharmacological action of second-generation antipsychotics compared to first-generation antipsychotics?

Correct Answer is B

Explanation

A client recently diagnosed with cancer continues to miss follow-up appointments and states, "The doctors must have made a mistake—there’s no way I’m that sick." According to Freud’s psychoanalytic theory, which defense mechanism is the client most likely using?

A client is exhibiting signs of severe anxiety, including hyperventilation, restlessness, and difficulty concentrating. Which communication approach should the nurse use to effectively support the client during this crisis?

A nurse is providing education about strategies for a safety plan for a female client who is a victim of intimate partner violence. Which strategies should be included in the safety plan? (Select all that apply.)

The nurse is developing a plan of care for a 16-year-old client with bulimia nervosa. Which interventions would be included in the plan of care? (Select all that apply.)

A client receiving a first-generation antipsychotic develops symptoms of acute dystonia, including muscle spasms and neck stiffness. Which type of medication should the nurse anticipate administering to manage these side effects?

A nurse physically restrains a mentally ill client without obtaining proper consent or a physician's order, despite the client not posing an immediate threat to self or others. Which intentional tort could the nurse potentially be liable for?

Which of the following best describes the primary function of the parietal lobe of the brain?

A nurse is assessing a client diagnosed with schizophrenia who is exhibiting positive symptoms. Which of the following findings should the nurse expect? (Select all that apply.)