A severely depressed, sullen client has been taking fluoxetine for 10 days. During the first outpatient visit, the client smiles excitedly and states, "I feel so much better now." How should the nurse interpret this behavior change? The:

client may have decided to carry out the suicide plan.

medication has potentiated serotonin syndrome.

medication dosage should be decreased.

client's behavioral change is normal and expected.

Answer and Explanation

The Correct Answer is D

D. This recognizes that the client's improvement in mood is a typical response to antidepressant medication and does not automatically suggest any negative outcomes such as suicidal ideation or serotonin syndrome.
A. It's important to be vigilant for signs of suicidal ideation but sudden improvements in mood can also occur as a positive response to antidepressant medication.
B. The client's description of feeling better does not align with the symptoms of serotonin syndrome, which include agitation, confusion, rapid heart rate, high blood pressure, and hyperthermia.
C. Antidepressant medications often take several weeks to reach their full therapeutic effect, so it's not unusual for some clients to experience an improvement in mood within the first few weeks of treatment.

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Correct Answer is B

Explanation

B. This is often a red flag that the client may not be free to act or speak on their own behalf, which is a common situation among victims of human trafficking.
A. A non-working cell phone alone may not be sufficient evidence to conclusively suspect human trafficking, as there could be various reasons for a phone not working.
C. Human traffickers often exploit victims by transporting them across state or international borders under false pretenses, such as offering a vacation or job opportunity. However, it's crucial to gather more information and assess the client's situation further before jumping to conclusions.
D. Language diversity is common in healthcare settings and may not always be indicative of trafficking.

A. The CAGE Questionnaire B. The Clinical Institute Withdrawal Assessment Scale C. The Abnormal Involuntary Movement Scale D. Opioid Risk Tool – OUD

Correct Answer is A

Explanation

A. he CAGE questionnaire is a widely used screening tool for alcohol use disorder (AUD). It consists of four questions that assess the client's alcohol consumption, attempts to cut down or control drinking, feelings of guilt about drinking, and whether alcohol use interferes with daily activities or responsibilities.
B. The CIWA is a tool used to assess the severity of alcohol withdrawal symptoms in individuals with alcohol dependence who are undergoing detoxification or withdrawal management. The CIWA is not specifically used for screening alcohol use disorder but rather for monitoring and managing alcohol withdrawal symptoms in individuals with known alcohol dependence.
C. The AIMS is a tool used to assess for the presence and severity of abnormal involuntary movements, particularly those associated with antipsychotic medications or conditions such as tardive dyskinesia. It is not used for screening alcohol use disorder.

D. The ORT-OUD is a screening tool specifically designed to assess the risk of opioid use disorder (OUD) in individuals who are prescribed opioid medications for chronic pain. It is not used for screening alcohol use disorder.

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A severely depressed, sullen client has been taking fluoxetine for 10 days. During the first outpatient visit, the client smiles excitedly and states, "I feel so much better now." How should the nurse interpret this behavior change? The:

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Naxlex Comprehensive Predictor Exams

A nurse is providing care for a client who is malnourished and appears exhausted. What data would cause the nurse to suspect the client is a victim of human trafficking? The client :

Correct Answer is B

Explanation

The nurse believes that a client being admitted for a surgical procedure may have a drinking problem. Which screening tool should the nurse use to further evaluate this possibility?

Correct Answer is A

Explanation

The nurse is caring for a client who is experiencing mania. The client is pacing, cannot sit, and has pressured speech. Which meal will the nurse provide to best meet the nutritional needs of this client?

A fifteen-year-old was referred to the adolescent mental health clinic after being arrested for prostitution. The client's parents reported that they have run away several times and is abusive towards them. The nurse should anticipate that the diagnosis will be:

A college student experienced a sexual assault when out on a date. After several weeks of crisis intervention therapy, which statement by the client would indicate to the nurse that the student is making progress?

An outpatient client taking paroxetine states he started taking St. John's Wort. The client calls the nurse with complaints of a high fever, muscle stiffness, and sweating. The nurse should advise the client to

During a routine health examination, the client tells the nurse about using a variety of herbal therapies for health maintenance. When discussing the use of herbs, the nurse cautions the client that: (SELECT ALL THAT APPLY)

The nurse is planning a psycho-education group for clients diagnosed with borderline personality disorder. The nurse understands that which aspect of group intervention is most essential initially to establish a trusting nurse-patient relationship?

A nurse is caring for a 10-year old child with Intellectual Developmental Disorder who has an IQ of 45. Which child capability would the nurse expect to observe? The child: