A nurse is caring for a client who is prescribed a selegiline transdermal patch. Which of the following manifestations should the nurse anticipate the prescription will improve?

Depression

Anxiety

Tardive dyskinesia

Bipolar mania

Answer and Explanation

The Correct Answer is A

A. Depression: Selegiline transdermal patches are indicated for the treatment of major depressive disorder. As a selective monoamine oxidase-B (MAO-B) inhibitor, it increases the availability of neurotransmitters such as dopamine, which can improve depressive symptoms in adults.

B. Anxiety: While selegiline may have indirect effects on mood, it is not primarily indicated for treating anxiety disorders. Anxiety may require other pharmacologic or therapeutic interventions specifically targeted to anxiety symptoms.

C. Tardive dyskinesia: Tardive dyskinesia is a movement disorder often associated with long-term antipsychotic use. Selegiline does not treat or prevent tardive dyskinesia; it is not indicated for movement disorder management in this context.

D. Bipolar mania: Selegiline is not indicated for the management of bipolar disorder or acute manic episodes. Treating mania typically involves mood stabilizers or antipsychotics rather than MAO-B inhibitors.

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Correct Answer is A

Explanation

A. "You seem like you're feeling hopeless.": This response acknowledges the client’s emotional state and invites further discussion, which is essential in managing suicidal ideation. It validates the client’s feelings while opening a therapeutic dialogue that helps the nurse assess risk, provide support, and ensure safety.

B. "Suicide is not the answer to your problems.": This response can feel dismissive and may shut down communication. It offers a directive rather than exploring the client’s feelings, which may increase the client’s sense of isolation. Effective therapeutic communication focuses on understanding before offering guidance.

C. "Did you take your medications today?": Asking about medication adherence shifts the focus away from the client's emotional distress. While medication compliance is important, it does not address the immediate expression of suicidal thoughts or support emotional exploration.

D. "Don't worry. Everything will be just fine.": Offering false reassurance minimizes the client's feelings and can worsen distress. It closes communication and prevents the nurse from gathering important information about the client’s level of suicidal risk, which is critical in this situation.

A. Assault B. Negligence C. False imprisonment D. Battery

Correct Answer is C

Explanation

A. Assault: Assault involves the threat or attempt to cause harm that makes the client fear imminent injury. Hiding the client’s car keys does not involve a threat or intimidation, so it does not meet the criteria for assault.

B. Negligence: Negligence involves failing to provide the standard of care, resulting in harm. While hiding the keys is inappropriate, it is an intentional act rather than a failure to act, so it is not classified as negligence.

C. False imprisonment: False imprisonment occurs when a person is intentionally restrained or confined without legal authority or consent. By hiding the client’s car keys to prevent them from leaving, the AP is restricting the client’s freedom of movement, fulfilling the criteria for false imprisonment.

D. Battery: Battery involves intentional physical contact that is harmful or offensive. Hiding car keys does not involve direct physical contact with the client, so it does not constitute battery.

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A nurse is caring for a client who is prescribed a selegiline transdermal patch. Which of the following manifestations should the nurse anticipate the prescription will improve?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A mental health nurse is caring for a client who recently attempted to self-harm. The client states, "I wish I were dead." Which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse is caring for a client who wants to leave the facility against medical advice. In an attempt to prevent the client from leaving, an assistive personnel (AP) has hidden the client's car keys. Which of the following torts is the AP committing by hiding the client's car keys?

Correct Answer is C

Explanation

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