Which of the following symptoms can occur as a result of intoxication with alcohol, an inhalant, or a sedative, hypnotic, or anxiolytic?
Generalized muscle weakness
Nystagmus
Depressed reflexes
Impairment in attention or memory
The Correct Answer is B
Choice A reason: Generalized muscle weakness may occur in various neurologic or muscular disorders but is not a hallmark of intoxication with these substances. It is less specific and not commonly used as a diagnostic indicator.
Choice B reason: Nystagmus is a well-documented sign of intoxication with alcohol, inhalants, and sedative-hypnotics. It reflects cerebellar dysfunction and is often observed during physical exams of intoxicated individuals.
Choice C reason: Depressed reflexes can occur but are less consistently present and not as specific as nystagmus. They may be seen in severe intoxication but are not a primary diagnostic feature.
Choice D reason: Impairment in attention or memory is common in intoxication but is a broad cognitive symptom. While relevant, it is not as specific or observable as nystagmus in acute settings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Reflective practice involves self-examination of one’s clinical decisions and experiences to improve future performance. While it supports evidence-based practice, it does not specifically refer to the systematic use of research findings to change clinical practice.
Choice B reason: Research utilization is the process of applying research findings to clinical practice. It involves synthesizing, disseminating, and implementing evidence to improve patient outcomes. This term specifically describes the operational aspect of evidence-based practice where knowledge is translated into action.
Choice C reason: Critical thinking is a cognitive process used to analyze information, make decisions, and solve problems. It is essential in evaluating research but does not encompass the full process of applying research findings to practice.
Choice D reason: Integration refers broadly to combining various elements into a unified whole. In evidence-based practice, it may describe the merging of clinical expertise, patient preferences, and research evidence, but it does not specifically denote the process of applying research findings.
Correct Answer is D
Explanation
Choice A reason: Calling her mother to take her home does not address the acute psychiatric risk. The client is experiencing psychosis, has expressed paranoid delusions, and made threatening statements. Sending her home without intervention poses a danger to herself and others.
Choice B reason: Administering Geodon (ziprasidone) may help manage agitation or psychosis temporarily, but it does not resolve the underlying safety concerns. Additionally, administering medication without consent in a non-emergency outpatient setting may violate ethical and legal standards.
Choice C reason: Having the mother sign a medication contract is inappropriate in this context. The client is acutely manic and psychotic, and her capacity to consent or adhere to treatment is compromised. Delaying intervention for a week could result in harm.
Choice D reason: Involuntary commitment is warranted when a client poses a danger to themselves or others due to mental illness. The client’s delusions, threats of violence, and impaired judgment meet criteria for involuntary hospitalization. This ensures safety and allows for stabilization and treatment.
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