A nurse is assisting in teaching a client at a prenatal clinic. The client shares that they have family members diagnosed with schizophrenia and wants to know how they can reduce their baby's risk of developing schizophrenia. Which of the following information should the nurse include?

Restrict calories to maintain weight.

Abstain from getting pregnant until later in life.

Avoid contracting a viral infection

Limit iron intake.

Answer and Explanation

The Correct Answer is C

A. Restrict calories to maintain weight: Restricting calories is not a recommended practice during pregnancy. Adequate nutrition is essential for the health of both the mother and the developing baby, and weight management should be approached with a focus on healthy eating rather than calorie restriction.
B. Abstain from getting pregnant until later in life: While age can be a factor in the risk of certain conditions, there is no definitive evidence that waiting to become pregnant significantly reduces the risk of the baby developing schizophrenia. The focus should be on overall health and prenatal care rather than solely on age.
C. Avoid contracting a viral infection: Certain viral infections during pregnancy, particularly in the first and second trimesters, may increase the risk of developmental disorders, including schizophrenia. Therefore, taking precautions to avoid infections (such as practicing good hygiene and getting vaccinations) is a relevant recommendation for reducing potential risks.
D. Limit iron intake: Adequate iron intake is important during pregnancy to support both the mother’s health and the baby’s development. Limiting iron is not advisable and could lead to anemia or other complications during pregnancy.

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Correct Answer is A

Explanation

A. Splitting: This mechanism is commonly seen in clients with borderline personality disorder. It involves viewing people or situations in black-and-white terms, categorizing them as all good or all bad. This can create division among the healthcare team, as team members may be viewed differently by the client depending on their current mood or interactions, leading to conflicts and confusion within the team.
B. Regression: This defense mechanism involves reverting to behaviors of an earlier developmental stage. While it may occur in borderline personality disorder, it does not typically create division among healthcare team members like splitting does.
C. Reaction formation: In this case, individuals behave in a way that is opposite to their true feelings. Although it can occur in various contexts, it is not as commonly associated with creating division within the healthcare team.
D. Denial: This mechanism involves refusing to accept reality or facts. While present in borderline personality disorder, it does not specifically lead to division among team members in the same way.

A. Opiate withdrawal B. Lithium toxicity C. Tardive dyskinesia D. Alcohol withdrawal

Correct Answer is C

Explanation

A. Opiate withdrawal: The Abnormal Involuntary Movement Scale (AIMS) test is not used to assess opiate withdrawal. Opiate withdrawal symptoms typically involve physical and psychological effects, such as anxiety, muscle aches, and gastrointestinal distress, which are evaluated using different assessment tools.
B. Lithium toxicity: The AIMS test is not applicable for assessing lithium toxicity. Symptoms of lithium toxicity can include tremors, confusion, and gastrointestinal issues, but these require different assessment methods rather than the AIMS scale.
C. Tardive dyskinesia: The AIMS test is specifically designed to evaluate and monitor involuntary movements associated with tardive dyskinesia, a potential side effect of long-term use of antipsychotic medications. This scale helps identify abnormal movements in clients and aids in managing their treatment effectively.
D. Alcohol withdrawal: The AIMS test is not intended for assessing alcohol withdrawal. Alcohol withdrawal is typically evaluated using clinical scales that focus on symptoms such as tremors, sweating, agitation, and hallucinations, rather than the involuntary movements assessed by the AIMS test.

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A nurse is assisting in teaching a client at a prenatal clinic. The client shares that they have family members diagnosed with schizophrenia and wants to know how they can reduce their baby's risk of developing schizophrenia. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has borderline personality disorder. Which of the following defense mechanisms is commonly used by clients who have this disorder and has the potential to create division amongst the healthcare team?

Correct Answer is A

Explanation

A nurse in a mental health facility is reinforcing teaching to a newly licensed nurse about how to perform an Abnormal Involuntary Movement Scale (AIMS) test on a client. The charge nurse should identify that the AIMS test is used for which of the following conditions?

Correct Answer is C

Explanation

A nurse is discussing medication used for maintaining alcohol abstinence with a client who is undergoing this type of treatment. Which of the following statements by the client indicates an understanding of their prescriptions?

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