A nurse is discussing complementary therapies with a group of clients. The nurse should identify that massage therapy is indicated for the treatment of which of the following mental health disorders?
Depression
Bipolar disorder
Schizophrenia
Obsessive compulsive disorder
The Correct Answer is A
A. Depression: Massage therapy has been shown to reduce cortisol levels and increase serotonin and dopamine activity, which are neurotransmitters involved in mood regulation. Through tactile stimulation and relaxation, massage can decrease stress, anxiety, and depressive symptoms. It is commonly used as a complementary therapy alongside standard treatments such as psychotherapy and pharmacologic management.
B. Bipolar disorder: Bipolar disorder involves alternating episodes of mania and depression that require careful pharmacologic stabilization. Massage therapy does not address the underlying neurochemical dysregulation associated with mood cycling. During manic phases, increased stimulation may even exacerbate agitation or restlessness.
C. Schizophrenia: Schizophrenia is a chronic psychotic disorder characterized by hallucinations, delusions, and impaired thought processes. Treatment centers on antipsychotic medications and psychosocial interventions. Massage therapy does not target the core psychotic symptoms and may increase discomfort or paranoia in some clients.
D. Obsessive compulsive disorder: Obsessive compulsive disorder is driven by intrusive thoughts and repetitive behaviors related to anxiety. Treatments include cognitive behavioral therapy with exposure and response prevention and pharmacologic therapy. Massage therapy may provide relaxation but does not directly address compulsive or obsessive symptom patterns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Vomiting: Vomiting is not a common adverse effect of electroconvulsive therapy (ECT). While anesthesia or premedication may occasionally cause nausea, it is not a typical expected response directly related to the ECT procedure itself.
B. Confusion: Transient confusion and short-term memory loss are common and expected adverse effects after ECT. Clients may experience disorientation immediately post-treatment, usually resolving within minutes to hours, and this is considered part of the normal recovery process.
C. Incontinence: Urinary or fecal incontinence is not typically associated with ECT. Motor control is usually intact post-procedure, and incontinence would indicate an unrelated neurological or medical issue.
D. Tinnitus: Ringing in the ears is not an expected effect of ECT. Auditory changes are not commonly reported, and if present, they should prompt further evaluation for other causes unrelated to the therapy.
Correct Answer is D
Explanation
A. Tachycardia: Opioid intoxication typically causes bradycardia rather than tachycardia due to central nervous system depression and increased parasympathetic activity. Elevated heart rate is more commonly associated with stimulant use or withdrawal states, not opioid intoxication.
B. Mental alertness: Opioids depress the central nervous system, leading to drowsiness, sedation, or stupor. Mental alertness is not consistent with opioid intoxication; instead, clients often present with decreased responsiveness and impaired cognition.
C. Hyperreflexia: Opioid intoxication generally causes decreased reflexes due to CNS depression. Hyperreflexia is more characteristic of stimulant intoxication or opioid withdrawal, not acute opioid toxicity.
D. Pinpoint pupils: Miosis, or constricted pupils, is a classic sign of opioid intoxication. Opioids stimulate the parasympathetic system via the Edinger-Westphal nucleus, causing the pupils to constrict. This is a reliable clinical indicator of opioid effects and is used in assessment of intoxication.
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