A nurse is caring for an older adult client following the sudden death of their spouse. The client feels stuck in their ability to deal with work and family responsibilities. The nurse should recognize that the client is experiencing which type of crisis?

Adventitious

Maturational

Developmental

Situational

Answer and Explanation

The Correct Answer is D

Choice A Reason:
An adventitious crisis is not applicable here. This type of crisis is usually a result of a natural or man-made disaster, war, or major accident, which is not the case with the client's situation.

Choice B Reason:
Maturational crises are associated with life transitions or developmental stages, such as retirement or menopause. While the client is older, the crisis is not due to a normal life transition but rather an unexpected event.

Choice C Reason:
Developmental crises occur as a person moves through the stages of life. The client's crisis does not stem from a developmental issue but from an external event that has disrupted their life.

Choice D Reason:
Situational crises arise from external sources that an individual may face throughout life, such as the death of a loved one, loss of a job, or severe illness. The client's inability to cope with the sudden death of their spouse is a situational crisis.

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Correct Answer is C

Explanation

Choice A reason:

Bleeding is not commonly associated with the use of haloperidol. While antipsychotic medications can have a wide range of side effects, bleeding is not typically reported as an adverse effect of haloperidol.

Choice B reason:

Pancreatitis is not a recognized adverse effect of haloperidol. This condition involves inflammation of the pancreas and is more commonly associated with medications that affect the gastrointestinal system directly.

Choice C reason:

Dysrhythmias, or abnormal heart rhythms, are known adverse effects of haloperidol. This medication can affect the electrical activity of the heart, potentially leading to serious cardiac events.

Choice D reason:

Cataracts are not a direct adverse effect of haloperidol. While long-term use of some medications can increase the risk of developing cataracts, haloperidol is not specifically linked to this condition.

A. Schizophrenia can be cured with antidepressants. B. Schizophrenia typically first presents in adolescence or early adulthood. C. Antipsychotic medications can be used to manage symptoms of hallucinations and delusions. D. Some clients with schizophrenia have a higher risk of substance abuse disorders. E. Schizophrenia affects thoughts and perceptions.

Correct Answer is ["B","C","D","E"]

Explanation

Choice A Reason:

Schizophrenia cannot be cured with antidepressants. Antidepressants may be used to treat comorbid depression in individuals with schizophrenia, but they do not address the core symptoms of schizophrenia itself. Schizophrenia is a chronic condition that typically requires lifelong treatment with antipsychotic medications to manage symptoms.

Choice B Reason:

Schizophrenia typically first presents in adolescence or early adulthood. This is the period when symptoms such as hallucinations, delusions, and disorganized thinking often first become apparent. The onset of schizophrenia during this developmental stage can significantly impact an individual's social and vocational abilities.

Choice C Reason:

Antipsychotic medications are the cornerstone of schizophrenia treatment. They can be used to manage symptoms of hallucinations and delusions, which are known as positive symptoms of schizophrenia. These medications work by affecting neurotransmitters in the brain, particularly dopamine.

Choice D Reason:

Individuals with schizophrenia have a higher risk of substance abuse disorders. Substance use can exacerbate symptoms of schizophrenia and complicate the course of the illness. It is important for treatment plans to address any co-occurring substance use disorders.

Choice E Reason:

Schizophrenia significantly affects thoughts and perceptions. It can cause distorted thinking patterns, false beliefs, and sensory experiences that others do not share. These symptoms can be distressing and may lead to difficulties in distinguishing reality.

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A nurse is caring for an older adult client following the sudden death of their spouse. The client feels stuck in their ability to deal with work and family responsibilities. The nurse should recognize that the client is experiencing which type of crisis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client diagnosed with severe manifestations of schizophrenia and is prescribed haloperidol (Haldol) PRN for agitation. The nurse should recognize which of the following as adverse effects of haloperidol (Haldol)?

Correct Answer is C

Explanation

The nurse is caring for a client diagnosed with schizophrenia. Which of the following should the nurse identify as findings consistent with schizophrenia? (Select all that apply.)

Correct Answer is ["B","C","D","E"]

Explanation

A nurse is discussing culturally competent care at a nursing staff inservice. Which of the following information should the nurse include when discussing clients' cultures?

A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?

A charge nurse overhears another nurse talking with a client who has schizophrenia. Suddenly the client yells, "I am the devil! I am God! Open the gate for me!" Which of the following replies by the nurse requires intervention?

While in a therapeutic group, two clients get into a heated debate over politics that turns aggressive. The nurse makes the decision to have both patients removed from the group session. The nurse has demonstrated which leadership style?

A nurse in a psychiatric unit is admitting a client who attacked a neighbor. The nurse should know that the client can be kept in the hospital after the 72-hour hold is over for which of the following conditions?

A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications and who suddenly became ill. The findings include blood pressure changes, fever, and diaphoresis. The nurse should recognize that which of the following adverse effects may be occurring?

A nursing instructor teaches students about the purpose of using the nursing process in the care of psychiatric clients. Which of the following statements by a student indicates that learning has occurred?