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

Answer and Explanation

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.

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Correct Answer is C

Explanation

C Encouraging the client to identify the emotions they feel immediately before performing the self-harm behavior is an important intervention. It can help the client develop insight into triggers and underlying emotions that contribute to the behavior. Identifying and addressing these emotions can be a crucial step in developing healthier coping mechanisms.

A. It is crucial to convey the potential risks associated with self-harm and emphasize the importance of seeking help and safer coping strategies.

B. Non-suicidal self-harm is a significant concern that requires attention and appropriate intervention. While NSSH does not necessarily indicate immediate suicidal intent, it can indicate significant distress

D. NSSH does not necessarily indicate suicidal intent, and placing the client in constant observation without clinical justification may be intrusive and undermine therapeutic rapport.

A. "it is a gene variant that increases the risk for development of a specific mental illness." B. "it is a gene variant that is responsible for an individual's resilience to stress." C. "It is a gene variant that is responsible for the development of a specific mental illness. D. it is a gene variant that determines an individual's likelihood of recovering from mental illness.

Correct Answer is A

Explanation

A. Vulnerability genes are genetic variants or factors that increase an individual's susceptibility or predisposition to developing a particular mental illness or disorder. These genes do not directly cause the illness but can increase the likelihood of its development when combined with environmental factors or stressors.

B. Resilience genes are genetic variations that confer resilience or the ability to adapt and cope effectively with stress, adversity, or traumatic experiences.

C. The effect of vulnerability genes is influenced by various factors, including environmental influences, lifestyle factors, and gene-environment interactions.

D. Vulnerability genes are associated with an increased risk of developing a specific mental illness rather than determining an individual's likelihood of recovering from mental illness.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a mental health unit is planning care for a client who has a new diagnosis of non- suicidal self-harm (NSSH). Which of the following interventions should the nurse include in the plan?

Correct Answer is C

Explanation

A nurse in an outpatient facility is teaching a client about the development of mental illness. Which of the following statements by the nurse describes the role of a vulnerability gene?

Correct Answer is A

Explanation

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