Nursing Elites

1. What is the most effective initial intervention for a patient experiencing a panic attack?

• A. Encourage the patient to discuss their feelings.
• B. Provide a quiet environment and stay with the patient.
• C. Administer prescribed medication immediately.
• D. Teach the patient relaxation techniques.

Correct answer: B

Rationale: During a panic attack, the most effective initial intervention is to provide a quiet environment and stay with the patient. This approach can help the patient feel safe and supported, which may help reduce the intensity and duration of the panic attack. Encouraging the patient to discuss their feelings may not be helpful during the acute phase of a panic attack as it can be overwhelming. Administering prescribed medication immediately is not typically the first-line intervention for panic attacks. Teaching relaxation techniques is beneficial in the long term but may not be the most effective immediate intervention during a panic attack.

2. Luc’s family comes home one evening to find him extremely agitated, and they suspect he is in a full manic episode. The family calls emergency medical services. While one medic is talking with Luc and his family, the other medic is counting something on his desk. What is the medic most likely counting?

• A. Hypodermic needles
• B. Fast food wrappers
• C. Empty soda cans
• D. Energy drink containers

Correct answer: D

Rationale: The medic is most likely counting energy drink containers. Energy drink containers could indicate high caffeine intake, which can exacerbate manic episodes by increasing agitation and exacerbating symptoms in individuals with mood disorders.

3. In an acute mental health facility, a nurse is communicating with a client. The client states, “I can’t sleep. I stay up all night.” The nurse responds, “You are having difficulty sleeping?” Which of the following therapeutic communication techniques is the nurse demonstrating?

• A. Offering general leads
• B. Summarizing
• C. Focusing
• D. Restating

Correct answer: D

Rationale: The nurse is using the restating technique, where the nurse paraphrases or repeats the main idea expressed by the client to show understanding and encourage further communication. Restating helps clarify the client's message and fosters a therapeutic relationship. Choice A, offering general leads, involves encouraging the client to continue talking with nonverbal or minimal verbal prompts. Summarizing (Choice B) involves condensing and organizing the client's message. Focusing (Choice C) involves centering the conversation on a key element or topic.

4. Which symptom is most characteristic of generalized anxiety disorder (GAD)?

• A. Fear of social situations
• B. Excessive worrying about various aspects of life
• C. Hallucinations
• D. Impulsive behaviors

Correct answer: B

Rationale: Excessive worrying about various aspects of life is a hallmark symptom of generalized anxiety disorder (GAD). In GAD, individuals experience excessive and uncontrollable worry about a wide range of everyday problems. This persistent worrying can lead to physical and emotional symptoms, impacting their daily functioning and quality of life. Fear of social situations, hallucinations, and impulsive behaviors are not typically associated with GAD.

5. Which of the following medications is commonly used to treat attention deficit hyperactivity disorder (ADHD)?

• A. Sertraline
• B. Diazepam
• C. Methylphenidate
• D. Clozapine

Correct answer: C

Rationale: Methylphenidate is the correct answer. It is a stimulant medication commonly used to treat ADHD. Methylphenidate works by increasing the activity of certain chemicals in the brain that are involved in attention and impulse control. Sertraline is an antidepressant used for depression, anxiety, and other conditions, not ADHD. Diazepam is a benzodiazepine mainly prescribed for anxiety, muscle spasms, and seizures, not ADHD. Clozapine is an antipsychotic medication used for schizophrenia when other medications are ineffective, not for ADHD.

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