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B rationale: Encouraging the client to focus on the positive aspects of life may be helpful in some situations, but it does not address the immediate safety concern.

C rationale: Reassuring the client that everything is going to work out may provide temporary relief, but it does not address the immediate safety concern.

D rationale: Allowing the client time alone to self-reflect is not appropriate in this situation as it could increase the risk of self-harm.

B rationale: High blood pressure is not typically a direct cause of a depressed mood. It is a physical health condition that needs to be managed, but it does not directly cause depression.

C rationale: An elevated heart rate is not typically a direct cause of a depressed mood. It is a physical symptom that can be associated with many different conditions, but it does not directly cause depression.

D rationale: Renal dysfunction is not typically a direct cause of a depressed mood. It is a physical health condition that needs to be managed, but it does not directly cause depression.

B rationale: High blood pressure is not typically a direct cause of a depressed mood. It is a physical health condition that needs to be managed, but it does not directly cause depression.

C rationale: An elevated heart rate is not typically a direct cause of a depressed mood. It is a physical symptom that can be associated with many different conditions, but it does not directly cause depression.

D rationale: Renal dysfunction is not typically a direct cause of a depressed mood. It is a physical health condition that needs to be managed, but it does not directly cause depression.

A rationale: Opiate withdrawal is a condition that occurs when a person stops using opiates after prolonged use. It is characterized by symptoms such as restlessness, muscle and bone pain, insomnia, diarrhea, vomiting, and cold flashes. The AIMS assessment is not typically used for this condition.

C rationale: Alcohol withdrawal is a condition that can occur when a person who has been drinking too much alcohol every day suddenly stops drinking alcohol. Symptoms can include tremors, anxiety, nausea and vomiting, headaches, increased heart rate, and seizures. The AIMS assessment is not typically used for this condition.

D rationale: Lithium toxicity, also known as lithium overdose, can occur if you take too much lithium, a mood-stabilizing medication. Symptoms can include hand tremor, increased thirst, increased urination, diarrhea, vomiting, weight gain, and impaired memory. The AIMS assessment is not typically used for this condition.

B rationale: Depersonalization is a symptom of panic disorder, but it is not the most common or expected finding. It involves feeling detached or disconnected from oneself, observing oneself from an outside perspective, or experiencing a sense of unreality.

C rationale: Voice tremors could be a symptom of panic level anxiety as it can be a result of the increased adrenaline in the body. However, it is not the most common or expected finding.

D rationale: Poor concentration can be a symptom of panic level anxiety. However, it is not the most common or expected finding. During a panic attack, the person is likely to be focused on their physical symptoms and their fear of what might happen.

B rationale: While it’s important to encourage clients to focus on the positive aspects of life, this should not be the first response when a client expresses suicidal ideation. The priority is to assess the risk and ensure the client’s safety.

C rationale: Reassuring the client that everything is going to work out may seem helpful, but it can also minimize the client’s feelings and potentially make them feel misunderstood. The priority is to assess the risk and ensure the client’s safety.

D rationale: Allowing the client time alone to self-reflect is not the appropriate action when a client expresses suicidal ideation. The client should not be left alone, as they may be at risk of self-harm.

B rationale: Lace-up tennis shoes are allowed as they do not pose a risk to the client’s safety.

C rationale: Nylon socks are allowed as they do not pose a risk to the client’s safety.

D rationale: Cotton underwear is allowed as it does not pose a risk to the client’s safety.

B rationale: Children who don’t feel close to their guardians and don’t feel like they can talk to them about their feelings are at a higher risk of developing mental health disorders.

C rationale: Families that include young caregivers or single parents often face more stress and instability, which can increase the risk of adverse childhood experiences.

D rationale: Families that are isolated from other people, such as extended family, friends, and neighbors, often lack social support, which can increase the risk of adverse childhood experiences.

A rationale: Physical harm is not a necessary condition for developing a trauma-related disorder. Emotional and psychological trauma can also lead to these disorders.

B rationale: Genetics can predispose individuals to trauma-related disorders, but it is not the sole cause. Environmental factors, such as experiencing or witnessing a traumatic event, play a significant role.

D rationale: While chemical imbalances in the brain can be associated with trauma-related disorders, they are typically a result of the disorder rather than the cause.

B rationale: Justified vs. unjustified is not a relevant concept in this context as it pertains to moral or ethical judgments, not stress responses.

C rationale: Good vs. bad is also not relevant in this context as it’s a subjective judgment, not a measure of stress response.

D rationale: Right vs. wrong is not relevant in this context as it pertains to moral or ethical judgments, not stress responses.

A rationale: The Adaptive Phase is when the body first recognizes stress, but it has not yet started to respond.

B rationale: The Resistance Phase is when the body begins to respond to the stressor.

D rationale: The Alarm Phase is the initial phase of the GAS, but it does not explain the recurring manifestations of influenza.

A rationale: Avoiding foods that contain tyramine is important when taking monoamine oxidase inhibitors, not antipsychotics like clozapine.

B rationale: Limiting fluid intake is not typically necessary when taking antipsychotics.

D rationale: Routine red blood cell count laboratory work is not typically necessary when taking antipsychotics like clozapine.

A rationale: A child’s perception of their parent being mean because they can’t have a dog does not qualify as an adverse childhood experience (ACE). ACEs are traumatic events that can have lasting, negative effects on health and well-being.

C rationale: Failing a test, while potentially stressful, is not considered an ACE. It’s a common part of academic life and does not typically result in long-term trauma.

D rationale: Forgetting lunch at home is not considered an ACE. While it may be an inconvenience, it does not constitute a traumatic event.

B rationale: A vulnerability gene is not solely responsible for the development of a specific mental illness. Mental illnesses are typically the result of a combination of genetic, environmental, and psychological factors.

C rationale: A vulnerability gene does not determine an individual’s resilience to stress. Resilience is a complex trait influenced by multiple genes and environmental factors.

D rationale: A vulnerability gene does not determine an individual’s likelihood of recovering from mental illness. Recovery is influenced by a variety of factors, including treatment, support systems, and individual resilience.

A rationale: Schizophrenia is typically not diagnosed in school-age children. Symptoms may begin to appear in late adolescence, but diagnosis usually occurs in adulthood.

B rationale: Schizophrenia is not typically diagnosed in preschoolers. Symptoms of schizophrenia are rarely seen in children this young.

D rationale: While schizophrenia can be diagnosed in older adulthood, it is less common. Most individuals with schizophrenia are diagnosed earlier in life.

A rationale: This statement indicates restlessness, which is not typically associated with depression.

C rationale: High blood pressure is not a symptom of depression.

D rationale: Increased alertness and focus are not typical symptoms of depression.

B rationale: Diphenhydramine is an antihistamine and is not used to treat tardive dyskinesia.

C rationale: Naloxone is used to reverse opioid overdose, not tardive dyskinesia.

D rationale: Fluoxetine is an antidepressant and does not treat tardive dyskinesia.

B rationale: One ECT treatment is usually not enough to effectively treat depression.

C rationale: A pre-ECT workup is typically required before the procedure.

D rationale: Patients are usually required to fast before ECT due to the use of general anesthesia.

B rationale: This statement suggests a condition known as post-traumatic stress disorder (PTSD), which is characterized by symptoms that last longer than 1 month and cause significant impairment or distress.

C rationale: Frequent flashbacks of childhood physical abuse also suggest PTSD, not acute stress disorder.

D rationale: The feeling of leaving one’s body when hearing people yelling or fighting is indicative of a dissociative disorder, not acute stress disorder.

A rationale: Depersonalization is a symptom of PTSD, but it involves feeling detached from oneself, not reenacting traumatic events.

C rationale: Omen formation is a belief that there were warning signs predicting the trauma. It’s not related to the child’s behavior.

D rationale: Time skewing involves a shift in the perception of time during the recall of the traumatic event. It’s not demonstrated in this scenario.

A rationale: While anyone can get cancer, it’s not specifically linked to schizophrenia.

B rationale: Osteoarthritis is a degenerative joint disease. It’s not a common comorbidity with schizophrenia.

C rationale: Alzheimer’s disease is a type of dementia. It’s not typically associated with schizophrenia.

A rationale: Mood stabilizers are used for bipolar disorder, not for symptoms like delusions and hallucinations.

B rationale: Benzodiazepines are used for anxiety and panic disorders. They don’t treat psychotic symptoms.

D rationale: SSRIs are used for depression and some anxiety disorders. They don’t treat psychotic symptoms.

A rationale: Ignoring the client’s lack of self-care is not therapeutic. It’s important to address hygiene issues with clients who have schizophrenia.

B rationale: This approach is confrontational and does not respect the client’s autonomy or dignity.

D rationale: This statement is judgmental and confrontational, which is not therapeutic.