A nurse is caring for a client who recently gave birth. The nurse notices the newborn is displaying manifestations of opioid withdrawal. The nurse should recognize the newborn's manifestations as signs of which of the following conditions?
Neonatal abstinence syndrome
Substance use disorder
Fetal alcohol syndrome
Tolerance
The Correct Answer is A
A. Neonatal abstinence syndrome (NAS) occurs in newborns who have been exposed to opioids or other addictive substances while in the womb, typically due to maternal substance use during pregnancy.
B. The term "substance use disorder" typically refers to the condition in the person who is using the substance, rather than the manifestations experienced by the newborn.
C. Fetal alcohol syndrome (FAS) occurs in infants born to mothers who consumed alcohol during pregnancy. It is characterized by a range of physical, cognitive, and behavioral abnormalities, including growth deficiencies, facial abnormalities, and intellectual disabilities.
D. Tolerance refers to the body's decreased response to a substance due to repeated exposure. While tolerance can develop in both the mother and the fetus when opioids are used during pregnancy, the manifestations observed in the newborn, such as irritability, tremors, and feeding difficulties, are not indicative of tolerance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Interpersonal therapy (IPT) focuses on improving interpersonal relationships and social functioning, which is crucial for individuals with avoidant personality disorder. This therapy helps clients work through feelings of inadequacy, sensitivity to criticism, and fear of rejection, aiming to enhance their ability to connect with others and improve their social skills.
B. Antipsychotic medications are primarily used to treat psychotic disorders such as schizophrenia and bipolar disorder with psychotic features. They are not the first-line treatment for avoidant personality disorder.
C. While DBT is useful for emotional regulation and has applications in various personality disorders, it is primarily designed for borderline personality disorder and may not be the first choice for avoidant personality disorder.
D Dialectical behavior therapy (DBT) is a type of cognitive-behavioral therapy (CBT) that emphasizes acceptance and change strategies.
Correct Answer is D
Explanation
D. In the immediate aftermath of a sexual assault, the primary focus of the SANE nurse is to ensure the safety and well-being of the client. This includes providing a safe and supportive environment for the client, assessing and treating any physical injuries, addressing immediate medical needs, and offering emotional support and crisis intervention.
A, B, and C involve aspects of legal procedures and involvement of law enforcement, but they may not be appropriate or feasible for every client in every situation. Additionally, the decision to involve law enforcement or pursue legal action should be made in collaboration with the client and should prioritize their safety, autonomy, and well-being.
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