A nurse on a mental health unit is caring for a client whose plan of care includes learning work-related skills. Which of the following members of the interprofessional team is appropriate for this client?

Occupational therapist

Psychiatrist

Social worker

Psychologist

Answer and Explanation

The Correct Answer is A

Choice A reason:
Occupational therapists are trained to help individuals develop or regain the skills needed for daily living and working. They are particularly adept at assisting clients with work-related skills, making them an ideal choice for this client's plan of care.

Choice B reason:
While psychiatrists are essential for diagnosing and treating mental health conditions, their role is less focused on teaching work-related skills and more on managing the client's psychiatric treatment.

Choice C reason:
Social workers provide valuable support in connecting clients with community resources and supporting their psychosocial needs. However, they do not typically specialize in teaching work-related skills.

Choice D reason:
Psychologists may work with clients to address cognitive or emotional barriers to employment, but they do not typically provide hands-on training in work-related skills as occupational therapists do.

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Correct Answer is D

Explanation

Choice A reason:

Acute dystonia is characterized by sudden muscle contractions that can cause abnormal postures. While it is an adverse effect of antipsychotic medications, the symptoms typically include muscle spasms, stiffness, and oculogyric crisis, but not necessarily fever and diaphoresis.

Choice B reason:

Tardive dyskinesia is a late-onset movement disorder associated with prolonged use of antipsychotic medications. It presents with repetitive, involuntary, and purposeless movements, such as grimacing, tongue movements, and lip smacking. Fever and blood pressure changes are not typical features of tardive dyskinesia.

Choice C reason:

Pseudoparkinsonism is an adverse effect of antipsychotic medications that mimics the symptoms of Parkinson's disease, such as tremor, rigidity, bradykinesia, and postural instability. However, it does not usually present with fever or diaphoresis.

Choice D reason:

Neuroleptic malignant syndrome (NMS) is a life-threatening neurologic emergency associated with the use of antipsychotic medications. It is characterized by mental status changes, muscle rigidity, fever, and autonomic dysfunction, such as blood pressure changes and diaphoresis. NMS requires immediate medical attention and discontinuation of the offending agent.

A. "Perhaps you should discuss this with your physician." B. "Of course, you aren't going to die, at least not in the immediate future." C. "Tell me more about these fears of dying from a heart attack." D. "I recommend you exercise daily and avoid smoking to decrease your risk."

Correct Answer is C

Explanation

Choice A Reason:
While suggesting the client discuss their concerns with their physician is a valid response, it may not provide the immediate emotional support the client is seeking. It's important for the nurse to address the client's current anxiety and provide reassurance before referring them to their physician.

Choice B Reason:
This response dismisses the client's fears and may come across as insensitive. It's crucial to acknowledge the client's emotions and provide a supportive environment where they feel heard and understood.

Choice C Reason:
Encouraging the client to express their fears allows the nurse to provide emotional support and helps in understanding the client's perspective. This approach fosters a therapeutic relationship and can help alleviate the client's anxiety.

Choice D Reason:
While recommending lifestyle changes is beneficial for overall health, this response does not address the client's immediate emotional needs. The nurse should first provide support for the client's expressed fears before discussing lifestyle modifications.

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A nurse on a mental health unit is caring for a client whose plan of care includes learning work-related skills. Which of the following members of the interprofessional team is appropriate for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications and who suddenly became ill. The findings include blood pressure changes, fever, and diaphoresis. The nurse should recognize that which of the following adverse effects may be occurring?

Correct Answer is D

Explanation

A client diagnosed with end-stage renal disease tells the nurse he is afraid of dying from a heart attack. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

The nurse is caring for a client diagnosed with schizophrenia. Which of the following should the nurse identify as findings consistent with schizophrenia? (Select all that apply.)

A nurse overhears a client diagnosed with schizophrenia talking to herself. The client keeps stating, "The flakalas are here. The flakalas are here." The nurse should recognize the client's use of the word "flakala" as an example of which of the following alterations in speech?

A nurse is teaching about physiological responses to stress with a group of clients. The nurse should identify that which of the following changes reflect long-term physiological responses to stress? (Select all that apply)

A nurse in a psychiatric unit is caring for several clients. Which of the following clients should the nurse recommend for group therapy?

A charge nurse overhears another nurse talking with a client who has schizophrenia. Suddenly the client yells, "I am the devil! I am God! Open the gate for me!" Which of the following replies by the nurse requires intervention?

A nurse is developing a care plan for a newly admitted client who has schizophrenia and experiences frequent hallucinations and paranoid delusions. Which of the following actions should the nurse plan to take?

A home health nurse drives up to the house of her client, who has schizophrenia with manic episodes. The client is sitting on his front porch with a shotgun in his arms. Which of the following actions should the nurse take?