Which of the following is an expected history associated with Wernicke-Korsakoff syndrome?

Current rehabilitation for opiate addiction.

Personal history of alcohol use disorder.

Family history of Alzheimer's disease.

Undergoing current treatment for HIV.

Answer and Explanation

The Correct Answer is B

Choice A reason:

Current rehabilitation for opiate addiction, while significant, is not typically associated with Wernicke-Korsakoff syndrome. Opiate addiction primarily affects the brain's reward system and pain pathways and does not usually lead to the specific nutritional deficiencies seen in Wernicke-Korsakoff syndrome.

Choice B reason:

A personal history of alcohol use disorder is strongly associated with Wernicke-Korsakoff syndrome. Chronic alcohol consumption can lead to poor nutritional intake and absorption, particularly of thiamine (vitamin B1), which is crucial for brain function. The deficiency of thiamine is the primary cause of Wernicke-Korsakoff syndrome, leading to damage in the central and peripheral nervous systems.

Choice C reason:

A family history of Alzheimer's disease is not directly related to Wernicke-Korsakoff syndrome. While both conditions affect memory and cognitive function, Wernicke-Korsakoff syndrome is specifically related to thiamine deficiency, often due to alcohol misuse, rather than the genetic factors associated with Alzheimer's disease.

Choice D reason:

Undergoing current treatment for HIV is not an expected history specifically associated with Wernicke-Korsakoff syndrome. Although individuals with HIV may experience cognitive impairments, these are generally related to the virus's effects on the brain rather than the nutritional deficiencies that characterize Wernicke-Korsakoff syndrome.

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Correct Answer is A

Explanation

Choice A reason:

Primary prevention in community mental health is focused on reducing the incidence of mental disorders within the population. This proactive approach involves strategies and interventions designed to prevent the onset of mental health issues before they manifest. It includes enhancing individual resilience, fostering a supportive environment, and promoting mental well-being to lower the incidence and impact of mental health problems.

Choice B reason:

Services aimed at reducing the residual defects associated with severe and persistent mental illness fall under tertiary prevention. Tertiary prevention focuses on reducing the negative impact of an already established disease by restoring function and reducing disease-related complications.

Choice C reason:

Early identification of problems and prompt initiation of effective treatment are aspects of secondary prevention. Secondary prevention aims to reduce the impact of a disease that has already occurred, through early detection and appropriate treatment to halt or slow its progression.

Choice D reason:

Interventions aimed at minimizing early symptoms of psychiatric illness and directed toward reducing the prevalence and duration of the illness can be considered part of both secondary and tertiary prevention. These interventions work to alleviate the effects of an existing condition and prevent it from becoming more severe or prolonged.

A. Document the client's verbatim statements. B. Ask the client for permission to take photographs. C. Determine any physical signs of injury. D. Provide community sexual assault support contacts. E. None F. None

Correct Answer is C

Explanation

Choice A reason:

Documenting the client's verbatim statements is crucial for legal purposes and for ensuring that the client's experience is accurately recorded. However, this is not the first action to take. The nurse must first address any immediate medical concerns, which include identifying and treating injuries.

Choice B reason:

Asking for permission to take photographs is an important part of collecting evidence, but it should be done after addressing immediate health concerns and with the client's consent. It is also essential that this step is performed in a sensitive and non-judgmental manner.

Choice C reason:

Determining any physical signs of injury is the most critical initial step. The nurse must assess for injuries that may require immediate intervention. This aligns with the priorities of care in emergency nursing, which focus on stabilizing the patient's condition and addressing urgent health issues.

Choice D reason:

Providing community sexual assault support contacts is an important aspect of holistic care and ensures that the client has access to ongoing support. However, this action follows after immediate health concerns have been addressed and should be part of the long-term care plan.

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Which of the following is an expected history associated with Wernicke-Korsakoff syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse educator is discussing community mental health with a group of nursing students. Based on the public health model, which of the following statements made by one of the students indicates correct information about primary prevention?

Correct Answer is A

Explanation

Which of the following actions should the nurse take first when performing an assessment on a client who reports being sexually assaulted?

Correct Answer is C

Explanation

During a family group therapy session, the nurse overhears the client telling her daughter, "You need to do better in school so I can love you as much as I love your brother." According to Warren, this statement discourages the development of positive self-esteem by hindering which parenting focus?

A nurse is preparing to teach a client about the prescription of lithium (Eskalith) for the treatment of bipolar disorder. Which of the following statements should the nurse include in the teaching?

A nurse is discussing stress management techniques with a group of clients. Which of the following techniques mentioned by a client should the nurse recognize as the least effective?

A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?

A nurse in an acute care mental health facility is assessing a client who has bipolar disorder. The nurse recognizes that which of the following findings indicates the client is at risk for suicide?

A nurse is assessing a client diagnosed with schizophrenia. Which of the following behaviors should the nurse document to be associated with schizophrenia?

A nurse on an inpatient mental health unit is admitting a client who has panic-level anxiety. After orienting the client to his room, which of the following nursing actions is most therapeutic at this time?

Which of the following should be the appropriate action by a nurse attempting to develop a therapeutic relationship with a client?