A mental health nurse is providing preventive care for a group of clients in the community. Which of the following actions by the nurse demonstrates a secondary prevention strategy?

Leading a group discussion with several clients who have schizophrenia and are dealing with tardive dyskinesia

Screening college students who demonstrate manifestations of depressive disorder

Training volunteers in an adult day care facility to communicate effectively with clients who have cognitive impairments

Teaching personal coping skills to a group of adults whose parents have Alzheimer's disease

Answer and Explanation

The Correct Answer is B

A. Leading a group discussion with several clients who have schizophrenia and are dealing with tardive dyskinesia: This activity involves providing support and education to individuals already experiencing a mental health condition and its associated complications. It falls under tertiary prevention, which focuses on minimizing the impact of established disease through treatment and rehabilitation.

B. Screening college students who demonstrate manifestations of depressive disorder: Screening individuals for depressive disorder symptoms, especially in a population known to be at risk (e.g., college students), aims to identify mental health issues early and intervene promptly. This falls under secondary prevention, which involves early detection and treatment to prevent the progression of a condition.

C. Training volunteers in an adult day care facility to communicate effectively with clients who have cognitive impairments: This activity focuses on improving communication and interaction skills with clients who have cognitive impairments. It falls under tertiary prevention, aiming to improve the quality of life and function of individuals already affected by cognitive impairment.

D. Teaching personal coping skills to a group of adults whose parents have Alzheimer's disease: This activity aims to empower individuals with coping skills to manage the stress and challenges associated with having a parent with Alzheimer's disease. It falls under tertiary prevention, focusing on minimizing the negative consequences of an already existing condition.

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Correct Answer is B

Explanation

A. Paranoid personality disorder: Individuals with paranoid personality disorder tend to be distrustful, suspicious, and perceive others as malevolent or intending harm. They may exhibit hypervigilance and have difficulty confiding in others.

B. Histrionic personality disorder: Histrionic personality disorder is characterized by excessive emotionality and attention-seeking behavior. Individuals with this disorder may engage in seductive or provocative behavior to gain attention and may display shallow or rapidly shifting emotions.

C. Narcissistic personality disorder: Narcissistic personality disorder is characterized by a pervasive pattern of grandiosity, a need for admiration, and a lack of empathy for others. Individuals with this disorder often have an inflated sense of self-importance and may exploit others to achieve their own goals.

D. Antisocial personality disorder: Antisocial personality disorder is characterized by a disregard for the rights and feelings of others, a lack of empathy or remorse, and a pattern of irresponsible and often criminal behavior. While individuals with antisocial personality disorder may engage in manipulative behaviors, they do so for personal gain rather than seeking attention or admiration.

A. Voice alteration B. Neck pain C. Memory deficit D. Headache

Correct Answer is C

Explanation

A. Voice alteration: Voice alteration is not a typical adverse effect of electroconvulsive therapy (ECT). ECT primarily affects brain function and is not expected to cause changes in vocal function.

B. Neck pain: Neck pain is a potential adverse effect of ECT, particularly related to the positioning of the client during the procedure or muscle stiffness following the seizure induction. It is important to monitor for and address any discomfort or pain experienced by the client.

C. Memory deficit: Memory deficits, particularly short-term memory loss, are common adverse effects of ECT. These deficits are typically temporary and tend to improve over time following completion of the ECT treatment course.

D. Headache: Headache is a potential adverse effect of ECT, particularly following the seizure induction. It may occur due to the physiological effects of the procedure and typically resolves relatively quickly following the completion of the ECT session.

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A mental health nurse is providing preventive care for a group of clients in the community. Which of the following actions by the nurse demonstrates a secondary prevention strategy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who exhibits excessive attention-seeking behaviors, including acting flirtatious and seductive. The nurse should identify these behaviors as manifestations of which of the following personality disorders?

Correct Answer is B

Explanation

A nurse is caring for a client who has undergone electroconvulsive therapy (ECT). The nurse should monitor the client for which of the following adverse effects of ECT?

Correct Answer is C

Explanation

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