A patient was hospitalized for 24 hours after a reaction to a psychotropic medication. While planning discharge, the nurse learned the patient received a notice of eviction immediately prior to admission. Select the nurse’s most appropriate action.
Arrange for social services to address the patient’s housing needs
Contact the landlord to discuss the eviction situation further
Determine whether the adverse medication reaction was genuine
Delay discharge until the patient’s mental status improves
The Correct Answer is A
Choice A reason: Arranging social services addresses the patient’s eviction, a social determinant of health impacting mental stability. This holistic approach supports recovery by ensuring housing stability, aligning with psychiatric nursing’s focus on comprehensive care, making this the correct choice.
Choice B reason: Contacting the landlord directly exceeds the nurse’s role and may violate privacy. It does not address the patient’s immediate housing needs or mental health, making it less appropriate than coordinating with social services for professional support.
Choice C reason: Questioning the medication reaction’s validity is inappropriate without evidence and distracts from addressing the eviction. It undermines trust and does not support discharge planning, making this choice irrelevant to the patient’s current needs.
Choice D reason: Delaying discharge without clinical justification risks unnecessary hospitalization. The eviction requires social support, not prolonged admission, as mental status improvement is not specified as a concern, making this choice incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: MAOIs inhibit monoamine oxidase, increasing catecholamine levels. Consuming tyramine-rich foods or certain drugs can cause excessive norepinephrine release, leading to a hypertensive crisis with severe blood pressure elevation. This life-threatening condition requires strict dietary and drug restrictions, making this the correct nursing consideration.
Choice B reason: Hypoglycemia is unrelated to MAOIs, which primarily affect neurotransmitter metabolism, not glucose regulation. MAOIs do not interact with insulin or glucose pathways, and dietary restrictions focus on tyramine, not sugars. This condition is not a risk associated with MAOI use, making this choice incorrect.
Choice C reason: Hypotensive shock is not a primary risk of MAOIs. While orthostatic hypotension can occur, the more critical concern is hypertensive crisis due to tyramine interactions. Hypotensive shock is unrelated to MAOI pharmacology or dietary restrictions, making this an incorrect choice for nursing instructions.
Choice D reason: Cardiac dysrhythmias are not a primary risk of MAOI-related food or drug interactions. While cardiovascular effects like hypertension can occur, the specific risk is hypertensive crisis, not arrhythmias. This choice does not accurately reflect the primary concern of MAOI use, making it incorrect.
Correct Answer is A
Explanation
Choice A reason: Basic-level nurses, such as LPNs or RNs, can teach coping skills, a standard intervention within their scope. This involves education on stress management, aligning with psychiatric nursing roles to support patient and family well-being, making this the correct choice.
Choice B reason: Treating major depressive disorder requires advanced skills, like prescribing or managing complex therapies, which is beyond a basic-level nurse’s scope. This is typically reserved for advanced practice nurses or physicians, making this choice incorrect.
Choice C reason: Prescribing antidepressants is restricted to advanced practice nurses or physicians, not basic-level nurses. This task involves medical decision-making outside the scope of RNs or LPNs, making it unsafe and inappropriate, thus incorrect.
Choice D reason: Assessing suicide risk requires advanced clinical judgment, often reserved for advanced practice nurses or psychiatrists. While basic-level nurses can observe and report, formal assessment exceeds their scope, making this choice incorrect for their role.
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