A nurse is providing in-home mental health care and determines that the care is effective when the client demonstrates which response?

Dependence on parents to participate in the client’s care

A need for continued intensive monitoring in the home

A decrease in admission frequency to inpatient psychiatric hospitals

A need for crisis intervention services on an ongoing basis

Answer and Explanation

The Correct Answer is C

Choice A reason:
Dependence on parents to participate in the client’s care indicates that the client is not progressing towards independence. Effective in-home mental health care aims to empower clients to manage their own health and reduce reliance on others. Therefore, this response does not demonstrate effective care.
Choice B reason:
A need for continued intensive monitoring in the home suggests that the client’s condition remains unstable and requires constant supervision. Effective care should lead to improved stability and a reduction in the need for intensive monitoring.
Choice C reason:
A decrease in admission frequency to inpatient psychiatric hospitals indicates that the client’s condition is stabilizing and that they are managing their mental health more effectively at home. This outcome demonstrates that the in-home mental health care is effective in reducing the need for hospitalization.
Choice D reason:
A need for crisis intervention services on an ongoing basis suggests that the client continues to experience frequent crises. Effective in-home mental health care should help the client develop coping strategies and support systems to manage their condition, reducing the need for frequent crisis interventions.

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Correct Answer is B

Explanation

Choice A reason:
Cognitive therapy focuses on changing negative thought patterns and behaviors through structured sessions with a therapist. While it is an effective treatment for many mental health conditions, it does not involve the structured daily routines described in the scenario. Cognitive therapy is typically conducted in individual or group sessions rather than through the daily activities of an inpatient unit.

Choice B reason:
Milieu therapy involves creating a therapeutic environment that supports the client’s recovery through structured daily routines and interactions with staff and peers. The emphasis on getting up at a certain time, attending meals, and taking medications on schedule is characteristic of milieu therapy. This approach helps clients develop healthy habits, social skills, and a sense of responsibility.

Choice C reason:
Family therapy involves working with the client and their family members to improve communication, resolve conflicts, and support the client’s recovery. While family therapy is an important component of comprehensive mental health care, it does not involve the structured daily routines described in the scenario. Family therapy sessions are typically scheduled separately from the client’s daily activities.

Choice D reason:
Electroconvulsive therapy (ECT) is a medical treatment that involves inducing controlled seizures to alleviate severe psychiatric symptoms. ECT is typically administered in a hospital setting under anesthesia and is not related to the structured daily routines described in the scenario. It is used for specific conditions, such as severe depression or treatment-resistant schizophrenia, and is not a form of therapy that involves daily activities.

A. Fasting blood glucose 120mg/dL B. Hypertension C. Asthma D. WBC count 3,300/mm³

Correct Answer is D

Explanation

Choice A reason:
Fasting blood glucose of 120 mg/dL is slightly elevated but does not contraindicate the use of chlorpromazine. This medication is primarily contraindicated in conditions that affect the central nervous system, cardiovascular system, or blood cell counts. Elevated blood glucose levels should be monitored, but they do not pose an immediate risk when starting chlorpromazine.

Choice B reason:
Hypertension is a condition that requires careful monitoring when a patient is on chlorpromazine, but it is not an absolute contraindication. Chlorpromazine can cause orthostatic hypotension, so blood pressure should be monitored regularly. However, hypertension alone does not prevent the use of this medication.

Choice C reason:
Asthma is not a contraindication for chlorpromazine. While respiratory conditions should be monitored, chlorpromazine does not have a direct adverse effect on asthma. The primary concerns with chlorpromazine involve its effects on the central nervous system and blood cell counts.

Choice D reason:
A WBC count of 3,300/mm³ indicates leukopenia, which is a significant contraindication for chlorpromazine. This medication can cause agranulocytosis, a severe reduction in white blood cells, making patients more susceptible to infections. Therefore, a low WBC count is a critical factor in deciding against the use of chlorpromazine.

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A nurse is providing in-home mental health care and determines that the care is effective when the client demonstrates which response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Jaden is admitted to an inpatient psychiatric unit. During her time on the unit, Jaden is expected to get up at a certain time, attend breakfast at a certain time, and arrive for her medications at the correct time. What form of therapy is incorporated into this unit?

Correct Answer is B

Explanation

A nurse is reviewing the medical record of a client who has a new prescription for chlorpromazine for the treatment of schizophrenia. Which of the following findings indicates a contraindication to chlorpromazine?

Correct Answer is D

Explanation

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A newly licensed nurse is applying prescribed wrist restraints on a client. Which of the following actions should the nurse take?

A nurse is developing a plan of care integrating Maslow’s hierarchy of needs. Which area would the nurse identify as the priority?