A female client with severe depression is about to be discharged from an inpatient mental health unit.
The client’s highest level of education is seventh grade, and she reads at a fifth-grade level.
The nurse is giving her discharge instructions.
Which instruction is most appropriate for this client?
This is the medicine for your depression, and you will take it every morning after you get up.
Your MAOI should be taken once a day at the same time each day.
Your MAOI should be taken q.d.
Your antidepressant should be taken in the morning or in the evening at the same time.
The Correct Answer is A
Choice A rationale
Given the client’s educational background and reading level, it’s important to provide instructions that are simple and straightforward. Telling the client when to take her medication in a clear, concise manner is most appropriate.
Choice B rationale
Using medical terms like “MAOI” (Monoamine Oxidase Inhibitor) could confuse the client, especially considering her educational background and reading level.
Choice C rationale
Using abbreviations like “q.d.”. (which stands for “quaque die”, meaning “once a day” in Latin) could also confuse the client.
Choice D rationale
While this instruction is accurate, it might be too complex for the client to understand.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Parents who were very lenient disciplinarians may not necessarily lead to conduct disorder in their children. While lack of discipline can contribute to some behavioral issues, it is not specifically associated with conduct disorder.
Choice B rationale
Harsh parental discipline and physical punishment can contribute to the development of conduct disorder. Children who experience harsh discipline may learn to use aggressive behavior as a way of dealing with conflict and may have difficulty developing pro-social behavior. This can lead to a pattern of violating the rights of others and societal norms, which is characteristic of conduct disorder.
Choice C rationale
Schizophrenia is a chronic mental disorder characterized by distortions in thinking, perception, emotions, language, sense of self, and behavior. While some individuals with conduct disorder may also have schizophrenia, the presence of schizophrenia does not necessarily indicate that an individual will develop conduct disorder.
Choice D rationale
Autism is a developmental disorder characterized by difficulties with social interaction and communication, and by restricted and repetitive behavior. It is not typically associated with the aggressive and rule-breaking behavior seen in conduct disorder.
Correct Answer is D
Explanation
Choice A rationale
While compromise can be a part of a therapeutic environment, it is not the primary goal. The goal of a therapeutic environment is to facilitate healing and recovery, which often involves collaboration between the patient and healthcare providers.
Choice B rationale
Participation can be a part of a therapeutic environment, but it is not the primary goal. The goal of a therapeutic environment is to facilitate healing and recovery, which often involves collaboration between the patient and healthcare providers.
Choice C rationale
Education can be a part of a therapeutic environment, but it is not the primary goal. The goal of a therapeutic environment is to facilitate healing and recovery, which often involves collaboration between the patient and healthcare providers.
Choice D rationale
Collaboration is a key goal of a therapeutic environment. This involves working together with the patient to facilitate their healing and recovery.
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