The nurse is teaching about obstacles to maintaining recovery. Which of the following statements would indicate to the nurse a greater risk for relapse? (Select all that apply.)

"I don't have a problem, I can quit when, where and how I want to."

"I am not going to let my family and friends know I have an addiction and give them this burden."

"I will start Alcoholic Anonymous meetings in two weeks when I am settled after discharge."

"I know I am an addict, and it will take hard work and a higher power to help me."

"I don't know how I am going to get through this but will take it one day at a time with my family."

Answer and Explanation

Correct Answer : A,B

A. "I don't have a problem, I can quit when, where and how I want to." This statement reflects denial and overconfidence, which are common obstacles to recovery. It suggests a lack of recognition of the seriousness of the addiction.

B. "I am not going to let my family and friends know I have an addiction and give them this burden." This statement indicates a reluctance to seek support from loved ones, which can hinder the recovery process. Keeping the addiction, a secret can lead to isolation and make it more
challenging to maintain recovery.

C. "I will start Alcoholic Anonymous meetings in two weeks when I am settled after discharge." This statement shows proactive planning and willingness to engage in support groups, which can be a positive step towards recovery.

D. "I know I am an addict, and it will take hard work and a higher power to help me." This statement reflects self-awareness and a recognition of the effort required for recovery. The
mention of a higher power suggests a willingness to engage in a spiritual or faith based approach to recovery, which can be beneficial for some individuals.

E. "I don't know how I am going to get through this but will take it one day at a time with my family." This statement acknowledges the challenges ahead and expresses a willingness to take recovery one step at a time with the support of family. It reflects a realistic and hopeful approach to the recovery process.

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Correct Answer is A

Explanation

A) Correct. Tardive dyskinesia is a side effect of long-term neuroleptic (antipsychotic) treatment. It is characterized by involuntary, repetitive movements, particularly of the face and tongue. This condition is more commonly seen in clients who have been on neuroleptics for extended periods.

B) Incorrect. Discontinuing neuroleptic treatment may lead to withdrawal symptoms or symptom recurrence, but it does not directly increase the risk of developing tardive dyskinesia.

C) Incorrect. Neuroleptic malignant syndrome (NMS) is a different side effect associated with neuroleptic medications, characterized by hyperthermia, autonomic dysregulation, altered mental status, and generalized muscle rigidity.

D) Incorrect. Monoamine oxidase inhibitors (MAOIs) are a different class of medications and are not associated with the development of tardive dyskinesia.

A. Placing the client on one-on-one observation while monitoring for suicidal ideations B. Conducting 15minute checks to ensure safety C. Encouraging the client to verbalize feelings related to suicide D. Completing a room search to ensure there are no harmful objects available to the client.

Correct Answer is A

Explanation

A. Placing the client on one-on-one observation while monitoring for suicidal ideations Given that the client is experiencing auditory hallucinations commanding self harm and is refusing to commit to a safety plan, one-on-one observation is necessary to ensure the client's safety. This

intervention provides constant monitoring and allows for immediate intervention if self harm is attempted.

B. Conducting 15minute checks to ensure safety While conducting regular safety checks is
important, in this case, more continuous monitoring is required due to the severity of the client's symptoms.

C. Encouraging the client to verbalize feelings related to suicide While encouraging communication is essential, in this urgent situation, immediate safety measures take precedence.

D. Completing a room search to ensure there are no harmful objects available to the client
Ensuring the environment is safe is important, but it should be done in conjunction with one-on- one observation to provide the highest level of safety for the client.

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The nurse is teaching about obstacles to maintaining recovery. Which of the following statements would indicate to the nurse a greater risk for relapse? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What client population is at risk of developing tardive dyskinesia?

Correct Answer is A

Explanation

A client diagnosed with major depressive disorder with psychotic features hears voices commanding self harm. The client refuses to commit to developing a plan for safety. What should be the nurse's priority intervention at this time?

Correct Answer is A

Explanation

The nurse states in report that the client is experiencing positive symptoms of schizophrenia. What symptoms would the nurse receiving report expect to observe?

A nurse is providing teaching for a client who has schizophrenia and a new prescription for risperidone. Which of the following statements should the nurse include in the teaching?

A client diagnosed with bipolar disorder has recently started taking lamotrigine as part of their medication regimen. Which of the following would be an essential teaching point to include regarding the medication?

A female client staggers to day treatment smelling strongly of alcohol. She uses the defense mechanism "rationalization" when approached by the nurse and questioned about her recent alcohol consumption. How is this expressed?

A nurse is caring for a client diagnosed with schizophrenia following a recent suicide attempt. Which of the following actions should the nurse take?

During the admission process, an elderly client is asked to present their license for identification purposes. The client gives the admission personnel their glasses. This is an example of which of the following symptoms of dementia?

When assessing a client immediately following electroconvulsive therapy (ECT), the nurse expects what side effect in a client?