A severely depressed, sullen client has been taking fluoxetine for 10 days. During the first outpatient visit, the client smiles excitedly and states, "I feel so much better now." How should the nurse interpret this behavior change? The:

client may have decided to carry out the suicide plan.

medication has potentiated serotonin syndrome.

medication dosage should be decreased.

client's behavioral change is normal and expected.

Answer and Explanation

The Correct Answer is D

D. This recognizes that the client's improvement in mood is a typical response to antidepressant medication and does not automatically suggest any negative outcomes such as suicidal ideation or serotonin syndrome.
A. It's important to be vigilant for signs of suicidal ideation but sudden improvements in mood can also occur as a positive response to antidepressant medication.
B. The client's description of feeling better does not align with the symptoms of serotonin syndrome, which include agitation, confusion, rapid heart rate, high blood pressure, and hyperthermia.
C. Antidepressant medications often take several weeks to reach their full therapeutic effect, so it's not unusual for some clients to experience an improvement in mood within the first few weeks of treatment.

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Correct Answer is A

Explanation

A. Neglect occurs when a caregiver fails to provide for a child's basic needs, such as food, shelter, clothing, medical care, education, or emotional support. In this scenario, the child's statement about not eating for days and feeling worried because their parents are away suggests a lack of provision for basic needs, indicating possible neglect.
B. Sexual abuse involves inappropriate sexual behavior or contact imposed upon a child by an adult or older child. There is no indication of sexual abuse in the child's statement about not eating for days and feeling worried because their parents are away.
C. Financial abuse typically involves the misuse or withholding of a child's financial resources by a caregiver. While financial abuse can manifest in various forms, such as stealing a child's money or preventing access to resources, there is no direct mention of financial abuse in the child's statement.
D. Bullying involves repeated aggressive behavior intended to intimidate, harm, or exert control over another individual. There is no indication of bullying in the child's statement to the school nurse.

A. Anchovies B. Alcoholic beverages C. Grapefruit juice D. Spinach

Correct Answer is B

Explanation

B. Clients taking disulfiram should avoid all forms of alcohol, including alcoholic beverages such as beer, wine, and spirits. Consuming alcohol while taking disulfiram can lead to a severe and potentially life-threatening reaction known as the disulfiram-alcohol reaction.
A. Anchovies are not specifically contraindicated with disulfiram.
C. Grapefruit juice is not typically contraindicated with disulfiram.
D. Spinach is not specifically contraindicated with disulfiram. There is no known interaction between disulfiram and spinach.

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A severely depressed, sullen client has been taking fluoxetine for 10 days. During the first outpatient visit, the client smiles excitedly and states, "I feel so much better now." How should the nurse interpret this behavior change? The:

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Naxlex Comprehensive Predictor Exams

While talking to the school nurse, a child in third grade states, "My parents are away and I have not eaten for days. I am worried that my parents forgot about me and my little brother." The nurse would suspect what type of abuse?

Correct Answer is A

Explanation

The nurse is providing discharge instructions to the client taking disulfiram. Which of the following items should the nurse teach the client to avoid?

Correct Answer is B

Explanation

Several children are seen in the ER for treatment of illnesses and injuries daily. The situation that would cause the nurse to have a high suspicion of child abuse would be:

A client diagnosed with bipolar disorder is experiencing a severe depressive episode. Which client behavior would alert the nurse to the highest priority intervention? The client:

An adolescent diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) is having difficulty maintaining concentration in the inpatient milieu. Which nursing intervention would help improve the client's task performance?

A client plans to go to an acupuncturist for complementary treatment of alcoholism. He asks the nurse to explain how acupuncture works. The most accurate response would be "Acupuncture is a traditional Chinese medical treatment. The Chinese believe that:

The nurse is caring for a client who is experiencing mania. The client is pacing, cannot sit, and has pressured speech. Which meal will the nurse provide to best meet the nutritional needs of this client?

A fifteen-year-old was referred to the adolescent mental health clinic after being arrested for prostitution. The client's parents reported that they have run away several times and is abusive towards them. The nurse should anticipate that the diagnosis will be:

When doing an admission assessment of a client with a history of alcoholism, the most important factor(s) to assess is/are:

A client with a history of a suicide attempt has been discharged and is being followed in an outpatient clinic. What is/are the most appropriate nursing intervention(s)? (SELECT ALL THAT APPLY)