A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect?

Hypersomnia

Depression

Nystagmus

Dilated pupils

Answer and Explanation

The Correct Answer is D

Choice A reason: Hypersomnia is not typically associated with cocaine intoxication, which usually results in increased alertness and energy.

Choice B reason: Depression may occur as a come-down effect after the cocaine high, but it is not a direct symptom of intoxication.

Choice C reason: Nystagmus, or rapid involuntary movements of the eyes, can occur with cocaine intoxication.

Choice D reason: Dilated pupils are a common sign of cocaine intoxication due to its stimulant effects on the nervous system.

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Correct Answer is A

Explanation

Choice A reason: Dialectical behavior therapy (DBT) is a well-established treatment for borderline personality disorder, focusing on skills like mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness.

Choice B reason: While behavioral contracts can be part of treatment, they are not as central or evidence-based as DBT for borderline personality disorder.

Choice C reason: Bibliotherapy can be a supportive tool but is not a primary intervention for the complex needs of someone with borderline personality disorder.

Choice D reason: A safety plan is important, especially if there are concerns about self-harm or suicidal ideation, but it is not a comprehensive treatment approach like DBT.

A. "All of the other clients on this unit must follow the rules of the unit." B. "No one is paying attention to me, and I am so angry!" C. "Why do you think others on the unit are being friendly to me?" D. "I am just not sure what activity to do; will you tell me?"

Correct Answer is B

Explanation

Choice A reason: This statement does not typically correlate with histrionic personality disorder, which is characterized by attention-seeking behavior rather than a focus on rules.

Choice B reason: This statement reflects the attention-seeking and emotional behavior often associated with histrionic personality disorder.

Choice C reason: While this statement could indicate a need for validation, it is not as directly related to the dramatic or attention-seeking behaviors typical of histrionic personality disorder.

Choice D reason: Indecisiveness can be a trait of histrionic personality disorder, but the statement does not directly reflect the characteristic patterns of behavior such as the need for attention.

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A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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