A woman comes into the Emergency Department in a severe state of anxiety following a car accident. The appropriate nursing intervention is to:

Put the client in a quiet room

Teach the client deep breathing

Remain with the client

Encourage the client to talk about their feelings and concerns

Answer and Explanation

The Correct Answer is C

Choice A reason:
Putting the client in a quiet room can help reduce external stimuli and may be beneficial in managing anxiety. However, it does not address the immediate need for support and reassurance. The presence of a nurse can provide a sense of safety and help the client feel more secure during a highly anxious state.
Choice B reason:
Teaching the client deep breathing techniques is an effective strategy for managing anxiety. However, in the immediate aftermath of a traumatic event, the client may not be able to focus on learning new techniques. Providing immediate support and reassurance is more critical at this stage.
Choice C reason:
Remaining with the client is the most appropriate immediate intervention. The nurse’s presence can provide comfort, reassurance, and a sense of safety, which are crucial in managing acute anxiety. This approach helps to stabilize the client and allows for further assessment and intervention once the client is calmer.
Choice D reason:
Encouraging the client to talk about their feelings and concerns is an important part of anxiety management, but it may not be the best immediate intervention in a severe state of anxiety. Initially, the client may need more direct support and reassurance before they are able to articulate their feelings effectively. Once the client is calmer, discussing their feelings can be beneficial.

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Correct Answer is A

Explanation

Choice A reason:
Extrapyramidal symptoms (EPS) are a common adverse effect of haloperidol, a first-generation antipsychotic. EPS includes symptoms such as tremors, rigidity, bradykinesia, and tardive dyskinesia. These symptoms result from the drug’s effect on the dopaminergic pathways in the brain.
Choice B reason:
Intractable hiccups are not a known adverse effect of haloperidol. This symptom is more commonly associated with other conditions or medications, but not with antipsychotic drugs like haloperidol.
Choice C reason:
Excessive salivation is not typically associated with haloperidol. Antipsychotic medications can cause dry mouth rather than excessive salivation. This symptom is more commonly seen with other medications or conditions.
Choice D reason:
Fever is not a common adverse effect of haloperidol. While fever can occur in the context of neuroleptic malignant syndrome (a rare but serious reaction to antipsychotics), it is not a typical side effect of haloperidol use. The primary concern with haloperidol is the development of extrapyramidal symptoms.

A. Impaired interpersonal relationships B. Inability to initiate activities C. Disorganized behavior D. Antisocial personality E. Hallucinations F. Lack of emotional expression

Correct Answer is ["C","E","F"]

Explanation

Choice A reason:

Impaired interpersonal relationships can be a consequence of schizophrenia, but it is not a specific diagnostic criterion in the DSM-5. The criteria focus on more direct symptoms of the disorder.

Choice B reason:

Inability to initiate activities may be related to negative symptoms of schizophrenia, such as avolition, but it is not explicitly listed as a diagnostic criterion in the DSM-5. The criteria include more specific symptoms like disorganized behavior and hallucinations.

Choice C reason:

Disorganized behavior is one of the core symptoms of schizophrenia according to the DSM-5. It includes behaviors that are inappropriate or not goal-directed, reflecting a disruption in normal functioning.

Choice D reason:

Antisocial personality is a separate diagnosis and not a criterion for schizophrenia. Schizophrenia and antisocial personality disorder are distinct conditions with different diagnostic criteria.

Choice E reason:

Hallucinations are a key symptom of schizophrenia. They involve perceiving things that are not present, such as hearing voices or seeing things that others do not see. Hallucinations are one of the primary positive symptoms of schizophrenia.

Choice F reason:

Lack of emotional expression, also known as affective flattening, is a negative symptom of schizophrenia. It involves a reduced ability to express emotions and is a significant criterion in the diagnosis of schizophrenia.

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A woman comes into the Emergency Department in a severe state of anxiety following a car accident. The appropriate nursing intervention is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia and is taking haloperidol. The nurse should monitor for which of the following adverse effects of haloperidol?

Correct Answer is A

Explanation

A nurse is reviewing the DSM-5 diagnostic criteria for schizophrenia. Which of the following symptoms must be present for a client to be diagnosed with schizophrenia? (Select all that apply.)

Correct Answer is ["C","E","F"]

Explanation

A nurse is caring for a client who has a mental illness. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?

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

On review of the client’s record, the nurse notes that the admission was voluntary. Based on this information, the nurse plans care anticipating which client behavior?

A nurse is planning care for a client who has paranoid schizophrenia. Which of the following interventions should be included in the plan of care?

During group therapy, the nurse observes that a client is pacing, agitated, and presenting with aggressive gestures. The client’s speech pattern is rapid, and affect is belligerent. Based on the observations, the nurse’s immediate priority of care is to:

When applying the biopsychosocial model to a client with a mental health problem, the nurse addresses which psychological domain?

The charge nurse is talking with another nurse who states, “I feel like my clients have no interest in their care and do not care that I am trying to help.” Which response should the charge nurse make?