Which individual diagnosed with a mental illness may require an emergency or involuntary admission?

Throws a heavy plate at a waiter due to command hallucinations

Stays in their room during outpatient therapy sessions

Requests to speak with a mental health nurse

Plays cards alone during group therapy

Answer and Explanation

The Correct Answer is A

Choice A reason: Command hallucinations directing harmful actions, like throwing a plate, indicate a severe psychotic state posing imminent danger to others. This meets criteria for emergency or involuntary admission to ensure safety and stabilize the mental illness, making this the correct choice.

Choice B reason: Staying in their room during outpatient therapy suggests withdrawal but not imminent danger. Outpatient settings allow autonomy, and this behavior does not warrant emergency admission unless accompanied by severe risk, making this choice incorrect for involuntary intervention.

Choice C reason: Requesting to speak with a nurse indicates engagement with care, not a crisis requiring emergency admission. It reflects a desire for support, not danger to self or others, making this choice inappropriate for involuntary hospitalization in mental health settings.

Choice D reason: Playing cards alone during group therapy suggests social withdrawal, not an acute crisis. This behavior does not indicate imminent danger or severe mental instability requiring emergency admission, making it incorrect compared to violent actions driven by hallucinations.

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Correct Answer is C

Explanation

Choice A reason: The orientation phase focuses on establishing group norms, trust, and goals, not addressing termination. Discussing endings at this stage could disrupt group cohesion and engagement, as members are building relationships, making this choice incorrect for introducing termination.

Choice B reason: The working phase emphasizes active therapeutic work, such as addressing conflicts and goals. Termination is not the focus, as members are engaged in processing issues. Introducing termination here could distract from ongoing work, making this choice incorrect.

Choice C reason: The termination phase is designed to address group closure, reviewing progress and preparing for separation. Discussing termination aligns with this phase’s focus on processing endings and transitioning, a key aspect of group therapy dynamics, making this the correct choice.

Choice D reason: The pre-group phase involves planning and recruitment, not therapeutic activities like addressing termination. This phase sets the stage for group formation, not closure, making it inappropriate for discussing termination, rendering this choice incorrect.

A. Monitor for weight gain and metabolic changes B. Watch for movement disorders like tardive dyskinesia C. Report any signs of infection immediately D. Expect improved mood within days

Correct Answer is B

Explanation

Choice A reason: Weight gain and metabolic changes are side effects of clozapine, primarily due to its antihistaminic and serotonergic effects, not its dopaminergic action. Dopamine blockade is more associated with movement disorders, making this choice incorrect for teaching related to dopaminergic effects.

Choice B reason: Clozapine’s strong dopaminergic effect, particularly D2 receptor blockade, can cause extrapyramidal symptoms like tardive dyskinesia, a movement disorder. Patient education must emphasize monitoring for abnormal movements, as these are significant risks in antipsychotic therapy, making this the correct choice.

Choice C reason: Infection risk, particularly agranulocytosis, is a serious clozapine side effect but is unrelated to its dopaminergic action. It stems from bone marrow suppression, requiring blood monitoring, not dopamine-related teaching, making this choice incorrect for the question’s focus.

Choice D reason: Improved mood is not a direct result of clozapine’s dopaminergic effect, which primarily addresses psychotic symptoms. Mood changes occur over weeks and involve multiple receptors, not just dopamine, making this choice incorrect for dopaminergic-focused teaching.

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Which individual diagnosed with a mental illness may require an emergency or involuntary admission?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In which phase of group therapy should the nurse plan to first address termination?

Correct Answer is C

Explanation

A patient begins therapy with clozapine medication. What teaching should the nurse provide related to the drug’s strong dopaminergic effect?

Correct Answer is B

Explanation

Which of the following are examples of a nurse using non-therapeutic communication techniques? (Select all that apply)

Silence can be a helpful therapeutic tool for group participants by giving each an opportunity to contemplate what has transpired, weigh alternatives, and formulate ideas. Which statement best supports this?

A nurse is assessing a newly hospitalized patient. Select the best example of the communication technique of "offering self."

A fearful patient has an increased heart rate and blood pressure. The nurse suspects increased activity of which neurotransmitter?

Which finding best indicates that the goal "demonstrate a healthy self-concept" has been achieved for an adult?

A nurse knows operant conditioning is part of the treatment plan to encourage speech in a child who is nearly mute. Which technique should the nurse apply?

Which individual diagnosed with a mental illness may require an emergency or involuntary admission?

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.