A nurse uses Maslow's hierarchy of needs to plan care for a client with psychosis. Which problem will receive priority?

Needs to be taught about medication action and side effects.

Refuses to eat or bathe.

Is reluctant to participate in unit social activities.

Reports feelings of alienation from family.

Answer and Explanation

The Correct Answer is B

A. Needs to be taught about medication action and side effects: This problem relates to the client's need for information and understanding about their medication regimen, including its action and potential side effects. While education about medication is important, it may not be the top priority when considering Maslow's hierarchy of needs.

B. Refuses to eat or bathe: This problem directly impacts the client's physiological needs for food and hygiene, which are foundational in Maslow's hierarchy. Therefore, addressing the client's refusal to eat or bathe would take priority over other concerns.

C. Is reluctant to participate in unit social activities: This problem pertains to the client's social and emotional needs, which are higher-level needs in Maslow's hierarchy. While social activities can contribute to the client's well-being, they are not as critical as addressing immediate physiological needs.

D. Reports feelings of alienation from family: This problem relates to the client's sense of belongingness and love, which are also higher-level needs in Maslow's hierarchy. While addressing feelings of alienation is important for the client's overall well-being, it is not as urgent as addressing physiological needs.

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Correct Answer is D

Explanation

A. Psychiatric Nurse: Psychiatric nurses primarily focus on providing direct care to patients with mental health disorders, including medication management, psychoeducation, and therapeutic interventions. While they may participate in interpreting test results and contributing to the overall care plan, their role in psychological test interpretation and therapy design is typically more supportive or collaborative within the interdisciplinary team.

B. Psychiatrist: Psychiatrists are medical doctors specializing in mental health. They are trained to diagnose mental health disorders, prescribe medication, and provide psychotherapy. While they may interpret psychological test results as part of their diagnostic process, their main focus is on medical management, including medication adjustments and monitoring.

C. Recreation Therapist: Recreation therapists focus on using recreational and leisure activities as therapeutic interventions to improve patients' physical, emotional, cognitive, and social functioning. They may not typically be involved in interpreting psychological test results or designing specific therapies related to bipolar disorder.

D. Psychologist: Psychologists specialize in psychological testing, assessment, and psychotherapy. They are trained to interpret psychological tests and assessments, such as those completed for the client with bipolar disorder, and participate actively in designing psychotherapeutic interventions based on these assessments.

A. Gamma-aminobutyric acid (GABA) and acetyicholine B. Glutamate and histamine C. Norepinephrine and serotonin D. Serotonin and acetylcholine

Correct Answer is C

Explanation

A. Gamma-aminobutyric acid (GABA) and acetylcholine: GABA is an inhibitory neurotransmitter that helps regulate neuronal excitability. It is not typically implicated in depression. Acetylcholine plays a role in cognitive functions and muscle contractions but is not primarily associated with depression.

B. Glutamate and histamine: Glutamate is the primary excitatory neurotransmitter in the central nervous system, and its imbalance has been linked to various neurological disorders, but it is not directly implicated in depression. Histamine, known for its role in allergic responses and wakefulness, is not typically associated with depression.

C. Norepinephrine and serotonin: Both norepinephrine and serotonin are monoamine neurotransmitters that play crucial roles in mood regulation. Decreased levels of these neurotransmitters have been strongly linked to depression. Norepinephrine is involved in the body's stress response and arousal, while serotonin is involved in mood, sleep, appetite, and other functions.

D. Serotonin and acetylcholine: Serotonin, as mentioned earlier, is significantly implicated in depression due to its role in regulating mood and emotional states. Acetylcholine, while important for cognitive functions and muscle control, is not primarily associated with depression.

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A nurse uses Maslow's hierarchy of needs to plan care for a client with psychosis. Which problem will receive priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The interdisciplinary team is planning care for a client with bipolar disorder that had some psychological tests completed. The nurse recognizes which discipline of the team will interpret the results of those tests and participate in the design of therapies for the client?

Correct Answer is D

Explanation

A nurse is caring for a client with a diagnosis of depression. A decrease in which of the following neurotransmitters has been implicated in depression?

Correct Answer is C

Explanation

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