A 28-year-old client is admitted to the psychiatric unit following a motor vehicle accident. The client reports experiencing recurrent flashbacks, intrusive thoughts, and hypervigilance. The nurse suspects the client is experiencing symptoms of PTSD. Which assessment finding further supports this suspicion?

Binge eating and weight gain

Nightmares, difficulty concentrating, and irritability

Purging the last meal

Decreased energy and fatigue

Answer and Explanation

The Correct Answer is B

A. Binge eating and weight gain are more commonly associated with eating disorders or other psychological conditions, not PTSD.

B. Nightmares, difficulty concentrating, and irritability are key symptoms of PTSD, reflecting the psychological impact of trauma. These are consistent with the intrusive and arousal symptoms associated with PTSD.

C. Purging is associated with eating disorders, not PTSD.

D. Decreased energy and fatigue are common symptoms of depression, not specifically indicative of PTSD, although they can be seen in both conditions.

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Correct Answer is C

Explanation

A. Lorazepam is a benzodiazepine used for anxiety and agitation, but it is not typically used to treat mania.

B. Fluvastatin is a statin medication used to manage cholesterol, not a treatment for mania.

C. Carbamazepine is a mood stabilizer commonly used to treat mania in clients with bipolar disorder, helping to reduce the severity of manic episodes.

D. Propranolol is a beta-blocker used to manage symptoms of anxiety, but it is not used to treat the manic phase of bipolar disorder.

A. Naloxone B. Diphenhydramine C. Protamine D. Flumazenil

Correct Answer is D

Explanation

A. Naloxone is an opioid antagonist used to reverse opioid overdoses, not benzodiazepines.

B. Diphenhydramine is an antihistamine, not an antagonist for benzodiazepines.

C. Protamine is used to reverse the effects of heparin (an anticoagulant), not benzodiazepines.

D. Flumazenil is a benzodiazepine antagonist used to reverse the effects of benzodiazepine overdose or sedation.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing medications for a newly admitted client who has bipolar disorder and is experiencing mania. Which of the following client prescriptions should the nurse realize is expected to reduce the client's mania?

Correct Answer is C

Explanation

A charge nurse is teaching a group of nurses about the antagonist action of medications. The nurse should include in the teaching that which of the following antagonist medications is used for benzodiazepines?

Correct Answer is D

Explanation

Inability to leave one's home because of avoidance of severe anxiety suggests the existence of which anxiety disorder?

A client who has bipolar disorder approaches the nurse and reveals fresh, self-inflicted, superficial cuts going up and down his right arm. Which of the following actions should the nurse take first?

A nurse is caring for a client who has been diagnosed with obsessive compulsive disorder (OCD) and is constantly picking up after others in the day room. The nurse should recognize that the client uses this behavior to do which of the following?

A patient diagnosed with bipolar disorder is prescribed lithium carbonate. Which laboratory result should prompt the nurse to hold the medication and notify the healthcare provider?

A nurse is caring for a client who has bipolar disorder and is in the manic phase. The client says he is bored. Which of the following activities is appropriate for the nurse to suggest to this client?

A nurse is preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client's discharge plan?

A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements?

A mother (G1 P1 T1 PO AO L1) diagnosed with postpartum depression expresses feelings of hopelessness. Which nursing diagnosis is the priority?