Nursing Elites

1. Which intervention focuses on managing a common characteristic of major depressive disorder associated with the older population?

• A. Conducting routine suicide screenings at a senior center.
• B. Identifying depression as a natural, but treatable outcome of aging.
• C. Identifying males as at a greater risk for developing depression.
• D. Stressing that most individuals experience only a single episode of major depression in a lifetime.

Correct answer: A

Rationale: Conducting routine suicide screenings at senior centers is crucial in managing major depressive disorder in the older population. Screening helps identify individuals at risk, allows for timely intervention, and contributes to the overall well-being of older adults.

2. A client diagnosed with generalized anxiety disorder (GAD) is receiving education from a healthcare provider. Which of the following statements by the client indicates a need for further teaching? Select all that apply.

• A. I should avoid caffeine because it can increase my anxiety.
• B. I can stop taking my medication once I feel better.
• C. Practicing deep breathing exercises can help reduce my anxiety.
• D. I should gradually face situations that cause me anxiety.

Correct answer: B

Rationale: The correct answer is B. The statement 'I can stop taking my medication once I feel better' indicates a need for further teaching. It is crucial for individuals with generalized anxiety disorder to continue taking their medication as prescribed even when they start feeling better. Discontinuing medication abruptly can lead to a recurrence of symptoms. It is essential to emphasize the importance of following the prescribed treatment plan and regularly consulting with a healthcare provider to assess the need for medication adjustments.

3. During pregnancy, a woman is in a relationship with a male who routinely abuses her. Her unborn child may engage in high-risk behavior as a teen as a result of:

• A. Maternal stress
• B. Parental nurturing
• C. Appropriate stress responses in the brain
• D. Memories of the abuse

Correct answer: A

Rationale: Maternal stress during pregnancy can have long-term effects on the child's behavior and stress responses. Research shows that exposure to high levels of stress hormones in the womb can influence the developing fetal brain and the child's future behavior, potentially leading to high-risk behaviors during adolescence.

4. A client is prescribed diazepam (Valium) for anxiety. Which statement by the client indicates a need for further teaching?

• A. I can drink alcohol while taking this medication.
• B. I should avoid drinking alcohol while taking this medication.
• C. I should take this medication only when I feel anxious.
• D. I can stop taking this medication when I feel better.

Correct answer: A

Rationale: The correct answer is A because clients should avoid alcohol while taking diazepam (Valium) due to potential interactions. Alcohol can increase the sedative effects of diazepam, leading to excessive drowsiness or respiratory depression. Choice B is correct as it reflects the need to avoid alcohol. Choice C is incorrect because diazepam is usually taken regularly, not just when feeling anxious. Choice D is incorrect as abruptly stopping diazepam can lead to withdrawal symptoms and should be done gradually under medical supervision.

5. Which of the following are cultural aspects of mental illness? Select one that doesn't apply.

• A. Local or cultural norms define pathological behavior.
• B. The higher the social class the greater the recognition of mental illness behaviors.
• C. Psychiatrists typically see patients when the family can no longer deny the illness.
• D. The greater the cultural distance from the mainstream of society, the greater the likelihood that the illness will be treated with sensitivity and compassion.

Correct answer: D

Rationale: The fewer ties that a group has with mainstream society, the greater the likelihood of a negative response by society to mental illness. Coercive treatments and involuntary hospitalizations are more common in this population.

Similar Questions