A 70-year-old patient arrives at the clinic with bruises on the arms and reports frequent arguments with family members. Which initial action would best demonstrate clinical judgment?
Document the bruises and advise the patient to avoid arguments
Ask the family members about the cause of the bruises during the next visit
Refer the patient to a social worker immediately
Perform a comprehensive assessment to determine the cause of the bruises and evaluate the patient’s living situation
The Correct Answer is D
Choice A reason: Documenting and advising to avoid arguments is insufficient without assessing abuse. Bruises may indicate trauma, elevating cortisol and stress responses. Scientifically, this approach fails to address potential abuse’s neurobiological impact, risking ongoing harm and delaying protective interventions for the elderly patient’s safety.
Choice B reason: Asking family about bruises risks alerting potential abusers, compromising safety. Scientifically, premature confrontation may increase stress, elevating cortisol and worsening trauma-related symptoms. A comprehensive assessment is needed first to confirm abuse, ensuring interventions address the patient’s neurobiological and psychological needs safely.
Choice C reason: Immediate social worker referral is premature without assessment. Bruises and arguments suggest abuse, impacting stress hormones. Scientifically, referral without evaluating the situation risks misaligned interventions, delaying protection and failing to address trauma’s neurobiological effects, like amygdala hyperactivity, critical for elderly patient safety.
Choice D reason: A comprehensive assessment identifies abuse causes and evaluates safety. Bruises may reflect trauma, elevating cortisol and amygdala activity. Scientifically, this guides targeted interventions, addressing neurobiological stress responses and ensuring protection. It prioritizes safety, supporting psychological and physical well-being in potential abuse cases.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: One tablet (25 mg) underdoses the prescribed 50 mg per dose. Quetiapine, an antipsychotic, modulates dopamine and serotonin for conditions like schizophrenia or bipolar disorder. Scientifically, insufficient dosing fails to stabilize neural activity, risking persistent psychotic symptoms, as inadequate receptor blockade does not address neurotransmitter imbalances, compromising treatment efficacy.
Choice B reason: Four tablets (100 mg) per dose significantly exceed the prescribed 50 mg, risking toxicity. Quetiapine overdosing can cause sedation, hypotension, or cardiac arrhythmias due to excessive dopamine and serotonin receptor antagonism. Scientifically, precise dosing is critical to avoid adverse effects while ensuring therapeutic efficacy for mental health stabilization.
Choice C reason: Two tablets (50 mg) match the prescribed dose, ensuring therapeutic dopamine and serotonin modulation. Scientifically, accurate Quetiapine dosing stabilizes neural activity, effectively managing psychotic or mood symptoms. This prevents symptom exacerbation or toxicity, supporting mental health recovery by optimizing receptor antagonism without adverse effects.
Choice D reason: Three tablets (75 mg) per dose overdose the patient, increasing side effect risks. Quetiapine’s effects on dopamine and serotonin can lead to excessive sedation or cardiovascular issues if overdosed. Scientifically, maintaining therapeutic levels prevents neurological complications, ensuring safe and effective treatment for psychiatric conditions.
Correct Answer is ["2"]
Explanation
Step 1 is: 50 mg ÷ 25 mg
Step 2 is: (50 ÷ 25) = 2
Final answer = 2 tablets
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