A nurse is caring for an adult client who is receiving treatment for alcohol use disorder. The client is upset because his partner has refused to visit him in the treatment facility. Which of the following actions by the client should indicate to the nurse that the client is using regression as a defense mechanism?

The client states that he has developed sudden hearing loss

The client states that his partner will not visit because they are too busy with their job

The client yells obscenities at the nurse

The client stomps his fees and throws objects of the bedside table

Answer and Explanation

The Correct Answer is D

A. The client states that he has developed sudden hearing loss: This could potentially be an example of somatization, where psychological distress is expressed through physical symptoms. However, sudden hearing loss alone might not specifically indicate regression.

B. The client states that his partner will not visit because they are too busy with their job: This statement does not directly suggest regression. It appears to be an explanation or justification for the partner's behavior.

C. The client yells obscenities at the nurse: Yelling obscenities could indicate frustration or anger, but it does not necessarily suggest regression. It could be a response to the current situation rather than a regressive behavior.

D. The client stomps his feet and throws objects off the bedside table: This behavior could indicate regression. Stomping feet and throwing objects are more characteristic of childish or immature behavior, which suggests a regression to an earlier stage of emotional development.

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Correct Answer is A

Explanation

A. The client has a serotonin deficiency

This choice suggests a biological risk factor for major depressive disorder (MDD). Serotonin is a neurotransmitter associated with mood regulation, and alterations in its levels or function can contribute to the development of depressive symptoms. A deficiency in serotonin is considered a significant biological risk factor for MDD.

B. The client has acute bronchitis

Acute bronchitis, an inflammation of the bronchial tubes typically caused by viral infections, is not directly associated with major depressive disorder. While physical health issues can impact mental health and exacerbate depressive symptoms, acute bronchitis is not a recognized risk factor for MDD.

C. The client has an elevated calcium level

Elevated calcium levels are not typically considered a risk factor for major depressive disorder. While imbalances in electrolytes like calcium can have physiological effects on the body, they are not directly linked to the development of depression.

D. The client is an only child

Being an only child is a demographic characteristic and is not considered a direct risk factor for major depressive disorder. While family dynamics and relationships can influence mental health, being an only child alone is not causally related to the development of depression.

A. "This medication will help control my child's aggressive behavior." B. “This medication can cause my child to have low blood sugar.” C. “This medication demonstrates won't require my child to have routine lab tests." D. “This medication might need to be increased if my child has muscle spasms."

Correct Answer is A

Explanation

A. "This medication will help control my child's aggressive behavior.": This statement demonstrates an understanding of the teaching. Risperidone is often prescribed to help manage aggressive behaviors and irritability in individuals with ASD.

B. “This medication can cause my child to have low blood sugar.”: This statement is not accurate. While risperidone can cause side effects such as weight gain and metabolic changes, low blood sugar is not a common side effect associated with this medication.

C. “This medication won't require my child to have routine lab tests.": This statement is incorrect. Routine monitoring, including blood tests, may be necessary while taking risperidone to monitor for potential side effects such as changes in blood sugar, cholesterol levels, and liver function.

D. “This medication might need to be increased if my child has muscle spasms.": This statement is partially accurate. Muscle spasms or extrapyramidal symptoms can be side effects of risperidone. However, the medication would typically be adjusted or possibly decreased if these side effects occur, rather than increased.

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a newly admitted client who has major depressive disorder. Which of the following findings should the nurse identify as a risk factor for this condition?

Correct Answer is A

Explanation

A nurse is teaching the guardian of a school-age child who has autism spectrum disorder about a new prescription for risperidone. Which of the following statements by the guardian an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is assessing a client who reports using cocaine 1 hr ago. Which of the following findings should the nurse expect?

A nurse is caring for a client who is receiving haloperidol 2 mg IM every 6 hr. Available is haloperidol 5 mg/mL. How many mu should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

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A nurse is conducting a child maltreatment screening of a family who has a toddler. Which of the following findings should the nurse identify as an indicator of possible child neglect?

A home health nurse is caring for a client who reports feeling tired and being unable to grocery shop. Which of the following responses by the nurse is an example of therapeutic communication?

A nurse is caring for a client who reports a history of frequent alcohol consumption. Which of the following questions should the nurse ask when screening for alcohol use disorder?

A nurse is providing teaching to the caretakers of a client who has Alzheimer's disease with mild cognitive decline. The client is beginning to experience sleep disturbances. Which of the following instructions should the nurse include?