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 B
Explanation
Choice A reason: Role modeling involves demonstrating positive behaviors for others to emulate, often used in social learning. It does not involve applying negative stimuli like bitter substances to deter behaviors. Nail-biting treatment requires a direct intervention to discourage the habit, making this choice scientifically inappropriate.
Choice B reason: Aversion therapy uses an unpleasant stimulus, like a bitter substance, to create a negative association with an undesired behavior, such as nail-biting. This behavioral technique aims to reduce the behavior through conditioning, aligning with the described intervention, making this the correct choice for the therapy type.
Choice C reason: Milieu therapy focuses on creating a therapeutic environment to promote mental health, not targeting specific behaviors like nail-biting. It involves group dynamics and structured settings, not aversive stimuli. This approach is unrelated to the described intervention, making this choice incorrect.
Choice D reason: Desensitization therapy gradually exposes individuals to anxiety-provoking stimuli to reduce fear, commonly used for phobias. It does not involve aversive stimuli to deter behaviors like nail-biting. This therapy is unrelated to the described intervention, making it an incorrect choice for this scenario.
Correct Answer is C
Explanation
Choice A reason: GABA, an inhibitory neurotransmitter, reduces neuronal activity, not enhances cognitive functions like memory. Memory improvement is associated with cholinergic or glutamatergic systems, not GABA, making this choice incorrect for the expected effect of GABA potentiation.
Choice B reason: Fewer visual hallucinations are associated with antipsychotics affecting dopamine, not GABA. GABA’s inhibitory effects calm the brain but do not directly target psychotic symptoms like hallucinations, making this choice incorrect for the medication’s effect.
Choice C reason: GABA potentiation, as with benzodiazepines, enhances inhibitory effects, reducing neuronal excitability and calming the central nervous system. This directly alleviates anxiety, a primary therapeutic effect, aligning with GABA’s role in anxiety disorders, making this the correct choice.
Choice D reason: Increased alertness is contrary to GABA’s inhibitory effects, which promote sedation. Stimulants, not GABAergic drugs, enhance alertness, making this choice incorrect, as GABA potentiation leads to calming, not stimulating, effects on the brain.
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