A health care provider prescribed long-acting antipsychotic medication injections every 3 weeks at the clinic for a client with a history of medication nonadherence.
For this plan to be successful, which factor will be of critical importance?
Nutrition services in the client's neighborhood.
The level of trust between the client and nurse.
The attitude of significant others toward the client.
The availability of transportation to the clinic.
The Correct Answer is D
Choice A rationale
While nutrition is important for overall health, it is not the most critical factor for the success of a scheduled medication injection plan. The primary issue addressed is medication nonadherence, which is directly related to the client receiving the prescribed dose. Access to food, while a social determinant of health, does not directly impact the client's ability to get to the clinic for the specific purpose of receiving their injection on time.
Choice B rationale
A trusting relationship between the client and nurse is crucial for effective care and communication. However, for a long-acting injection administered every three weeks, the most immediate and practical barrier to success is not the interpersonal dynamic but the logistical challenge of physically getting to the clinic. Without reliable transportation, trust alone cannot ensure the client receives the medication as scheduled.
Choice C rationale
The attitudes of significant others can influence a client's motivation and support system, which can be beneficial for treatment adherence. However, the attitudes of others do not directly resolve the practical problem of attending a scheduled clinic appointment. Even with a supportive family, if the client cannot physically get to the clinic for their injection, the plan will ultimately fail due to the lack of a reliable means of transportation.
Choice D rationale
The availability of transportation is the most critical factor because the entire treatment plan hinges on the client's ability to consistently travel to the clinic every three weeks. Without reliable transportation, the client cannot receive the long-acting injection, which directly leads to medication nonadherence. This logistical barrier is a fundamental and practical requirement that must be met for the plan to be successful in addressing the client's history of nonadherence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The sympathetic nervous system is a branch of the autonomic nervous system responsible for the "fight-or-flight" response. When the client experiences severe anxiety, the sympathetic nervous system is stimulated. This activation leads to a cascade of physiological changes including an increased heart rate, elevated blood pressure, and pupil dilation, preparing the body to respond to a perceived threat or stressor.
Choice B rationale
The parasympathetic nervous system is responsible for the "rest-and-digest" response. It works antagonistically to the sympathetic nervous system, promoting relaxation and conserving energy. Its activation would lead to a decrease in heart rate and blood pressure, and would not be stimulated in a state of severe anxiety.
Choice C rationale
The vagus nerve is the tenth cranial nerve and is a major component of the parasympathetic nervous system. While it plays a crucial role in regulating heart rate and digestion, its primary function is to promote rest and relaxation. Therefore, it would not be stimulated during a state of severe anxiety.
Choice D rationale
The limbic system is a complex set of structures in the brain that plays a major role in emotion, motivation, and memory. While it is involved in the experience of anxiety, it is not part of the autonomic nervous system. The limbic system is the central processing unit for emotional responses, which then trigger the autonomic nervous system.
Correct Answer is D
Explanation
Choice A rationale
Elevated blood pressure and excessive sleeping are examples of physiological responses to stress. While psychological stress is the initial trigger, these physical manifestations represent the body's physiological reaction to that stressor. Elevated blood pressure is a sympathetic nervous system response, and excessive sleeping can be a physical coping mechanism or a symptom of depression, which is a physiological state.
Choice B rationale
A racing heart rate is a classic physiological response to stress, mediated by the sympathetic nervous system's release of catecholamines like adrenaline. Avoiding others, while driven by a psychological state (fear or anxiety), is a behavioral response. Therefore, this pairing includes one physiological and one behavioral response, not two purely psychological ones. The prompt asks for a pair of psychological responses.
Choice C rationale
Headaches and tense muscles are both physiological manifestations of stress. Headaches can be tension-related due to muscle constriction, and tense muscles are a direct result of the fight-or-flight response, preparing the body for action. These are physical symptoms that occur as a result of the psychological stressor but are not psychological responses themselves, as they are changes within the body's tissues and systems.
Choice D rationale
Self-doubt and apprehension are cognitive and emotional responses, respectively, which are both classified as psychological. Self-doubt is a thought process involving uncertainty about one's abilities, while apprehension is an emotional state of anxiety or fear about a future event. This pair correctly identifies two internal, mental states that are direct psychological manifestations of stress, distinct from physiological or behavioral reactions.
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