A nurse is discussing with a newly licensed nurse the mental health resources available to meet the needs of a client who has schizoaffective disorder, no transportation, and lives at home with their parents. Which of the following resources should the nurse identify as meeting the needs for the client?

Partial Hospitalization Programs (PHP)

Assertive Community Treatment

Crisis Stabilization/Observation Units

Intensive Outpatient Programs (IOPs)

Answer and Explanation

The Correct Answer is B

A. Partial Hospitalization Programs (PHP): While PHP offers structured programs during the day, it typically requires the client to be able to attend regularly. Given that the client has no transportation, this may not be a feasible option.
B. Assertive Community Treatment (ACT): ACT is a comprehensive, community-based service designed for individuals with severe mental health disorders, such as schizoaffective disorder. It offers home visits, transportation, and 24/7 support, which would be ideal for this client.
C. Crisis Stabilization/Observation Units: These units are designed for short-term stays during a crisis but are not long-term solutions for clients with ongoing needs like those of a client with schizoaffective disorder. They are more suited for acute stabilization rather than continuous care.
D. Intensive Outpatient Programs (IOPs): IOPs require the client to attend scheduled sessions, which may be difficult without transportation. Although they provide intensive treatment, they may not fully address the need for at-home and community-based support for this client.

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Correct Answer is A

Explanation

A. Decrease in blood pressure: A decrease in blood pressure is a positive sign that the treatment for serotonin syndrome is effective. Treatment typically includes discontinuing the causative medication and providing supportive care to normalize vital signs, including blood pressure.

B. Muscle rigidity: Muscle rigidity is a hallmark sign of serotonin syndrome and indicates that the condition is still present or not yet effectively treated. Successful treatment should reduce muscle rigidity over time.

C. Hyperreflexia: Hyperreflexia (overactive reflexes) is also a common symptom of serotonin syndrome. If the treatment is effective, hyperreflexia should resolve as serotonin levels normalize in the body.

D. Altered mental status: Altered mental status is another indicator of serotonin syndrome. Improvement in serotonin syndrome would be evidenced by a return to normal cognitive function, so persistence of altered mental status suggests that treatment has not yet been fully effective.

A. Occupational therapy B. Palliative care C. Respite care D. Hospice care

Correct Answer is C

Explanation

A. Occupational therapy: Occupational therapy focuses on helping clients improve their ability to perform daily activities. While beneficial for individuals with Alzheimer's, it does not specifically address the partner’s need for temporary relief from caregiving duties.
B. Palliative care: Palliative care focuses on providing relief from symptoms and improving the quality of life for clients with serious illnesses. While appropriate for end-of-life care, it may not address the partner’s immediate need for respite from caregiving.
C. Respite care: Respite care provides temporary relief for caregivers by allowing them to take a break while ensuring their loved one continues to receive appropriate care. This is the most appropriate referral for the partner, who is seeking time for themselves.
D. Hospice care: Hospice care is focused on end-of-life care, offering comfort and support for clients with terminal illnesses. It is not the best option in this case, as the client is not necessarily at the end of life but has Alzheimer's disease, which is a progressive condition.

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client following treatment for serotonin syndrome caused by an antidepressant medication. Which of the following findings indicates the treatment has been effective?

Correct Answer is A

Explanation

A nurse is performing a home visit on a client who has Alzheimer's disease and their partner. The partner states, "I wish I had some time to myself and run errands, but I need to be here all the time." Which of the following referrals should the nurse recommend to the client's partner?

Correct Answer is C

Explanation

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