The nurse conducts a health history assessment for a client who is depressed. Which question should the nurse include to determine the client’s protective factors for suicide?
Do you have any positive therapeutic relationships?
Have you recently lost your job?
Do you ever use alcohol to help you feel better?
Have you ever been the victim of bullying?
The Correct Answer is A
Choice A reason: Positive therapeutic relationships are protective against suicide, enhancing serotonin-mediated emotional regulation and prefrontal cortex coping mechanisms. Social support reduces amygdala-driven despair, lowering suicide risk by fostering resilience and emotional stability in depressed clients.
Choice B reason: Job loss is a risk factor, not a protective factor, for suicide, increasing stress and cortisol levels, which exacerbate serotonin deficits and amygdala hyperactivity. This question does not identify protective elements that mitigate suicide risk in depression.
Choice C reason: Alcohol use is a risk factor, not protective, as it depresses serotonin and impairs prefrontal cortex judgment, increasing impulsivity and suicide risk. This question does not assess protective factors but rather identifies behaviors that heighten vulnerability.
Choice D reason: Bullying history is a risk factor, contributing to trauma and serotonin dysregulation, increasing suicide risk via amygdala hyperactivity. This question does not identify protective factors like social support that reduce suicide risk in depressed clients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Neuroleptic malignant syndrome is associated with antipsychotics, not SSRIs like paroxetine, causing muscle rigidity and hyperthermia via dopamine blockade. The client’s symptoms, including hyperreflexia and diarrhea, align with serotonin excess, not dopamine-related issues, making this condition unlikely.
Choice B reason: Agranulocytosis, a severe reduction in white blood cells, is unrelated to paroxetine’s mechanism. SSRIs increase serotonin, not affecting hematopoiesis. The client’s symptoms like hyperpyrexia and hyperreflexia indicate serotonin toxicity, not an immunological or bone marrow disorder.
Choice C reason: Acute dystonic reactions involve muscle spasms from antipsychotics’ dopamine antagonism, not SSRIs. Paroxetine’s serotonin increase causes hyperreflexia and hyperpyrexia, consistent with serotonin syndrome, not extrapyramidal symptoms, making this diagnosis inappropriate for the described clinical presentation.
Choice D reason: Serotonin syndrome results from excessive serotonin due to paroxetine, an SSRI, overstimulating 5-HT receptors, causing hyperreflexia, hyperpyrexia, and autonomic instability. These symptoms reflect serotonin-driven neural excitation, particularly in the brainstem and spinal cord, matching the client’s clinical presentation accurately.
Correct Answer is ["10"]
Explanation
Step 1: Identify the required dose and concentration.
Required dose = 320 mg
Concentration = 160 mg per 5 mL
Result at step 1 = 320 mg ÷ (160 mg ÷ 5 mL)
Step 2: Calculate the volume in milliliters.
First, determine the milligrams per mL:
160 mg ÷ 5 mL = 32 mg/mL
Result at step 2a = 32 mg/mL
Now, calculate the volume:
320 mg ÷ 32 mg/mL = 10 mL
Result at step 2b = 10 mL
Step 3: Round to the nearest whole number.
10 mL is already a whole number.
Result at step 3 = 10 mL
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