Which of the following is an expected history associated with Wernicke-Korsakoff syndrome?
Current rehabilitation for opiate addiction.
Personal history of alcohol use disorder.
Family history of Alzheimer's disease.
Undergoing current treatment for HIV.
The Correct Answer is B
Choice A reason:
Current rehabilitation for opiate addiction, while significant, is not typically associated with Wernicke-Korsakoff syndrome. Opiate addiction primarily affects the brain's reward system and pain pathways and does not usually lead to the specific nutritional deficiencies seen in Wernicke-Korsakoff syndrome.
Choice B reason:
A personal history of alcohol use disorder is strongly associated with Wernicke-Korsakoff syndrome. Chronic alcohol consumption can lead to poor nutritional intake and absorption, particularly of thiamine (vitamin B1), which is crucial for brain function. The deficiency of thiamine is the primary cause of Wernicke-Korsakoff syndrome, leading to damage in the central and peripheral nervous systems.
Choice C reason:
A family history of Alzheimer's disease is not directly related to Wernicke-Korsakoff syndrome. While both conditions affect memory and cognitive function, Wernicke-Korsakoff syndrome is specifically related to thiamine deficiency, often due to alcohol misuse, rather than the genetic factors associated with Alzheimer's disease.
Choice D reason:
Undergoing current treatment for HIV is not an expected history specifically associated with Wernicke-Korsakoff syndrome. Although individuals with HIV may experience cognitive impairments, these are generally related to the virus's effects on the brain rather than the nutritional deficiencies that characterize Wernicke-Korsakoff syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Determining the cause of the client's anxiety is important for long-term management and treatment planning. Understanding the underlying factors contributing to the anxiety can help in developing effective interventions. However, in a crisis situation, this is not the highest priority. Immediate safety concerns take precedence over identifying the cause.
Choice B Reason:
Identifying the client's coping skills is valuable for helping the client manage anxiety in the long term. Knowing what coping mechanisms the client has can guide the nurse in providing appropriate support and interventions. However, during an acute crisis, the immediate focus should be on ensuring the client's safety and stabilizing their condition.
Choice C Reason:
Protecting the client from injury to himself is the highest priority in a crisis intervention for acute anxiety. Clients experiencing severe anxiety may be at risk of self-harm or other dangerous behaviors. Ensuring the client's physical safety is the first and foremost concern. Once the client is safe, other interventions can be implemented to address the anxiety and its underlying causes.
Choice D Reason:
Ensuring that the client feels safe is crucial in managing acute anxiety. Creating a safe and supportive environment can help reduce the client's anxiety levels. However, this action is secondary to protecting the client from immediate harm. Safety measures should be implemented first, followed by efforts to make the client feel secure and supported.
Correct Answer is A
Explanation
Choice A reason:
Primary prevention in community mental health is focused on reducing the incidence of mental disorders within the population. This proactive approach involves strategies and interventions designed to prevent the onset of mental health issues before they manifest. It includes enhancing individual resilience, fostering a supportive environment, and promoting mental well-being to lower the incidence and impact of mental health problems.
Choice B reason:
Services aimed at reducing the residual defects associated with severe and persistent mental illness fall under tertiary prevention. Tertiary prevention focuses on reducing the negative impact of an already established disease by restoring function and reducing disease-related complications.
Choice C reason:
Early identification of problems and prompt initiation of effective treatment are aspects of secondary prevention. Secondary prevention aims to reduce the impact of a disease that has already occurred, through early detection and appropriate treatment to halt or slow its progression.
Choice D reason:
Interventions aimed at minimizing early symptoms of psychiatric illness and directed toward reducing the prevalence and duration of the illness can be considered part of both secondary and tertiary prevention. These interventions work to alleviate the effects of an existing condition and prevent it from becoming more severe or prolonged.
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