Which patient meets criteria for involuntary hospitalization for psychiatric treatment?
A patient that fraudulently files for bankruptcy
A patient that threatens harm to self and others
A patient involved in selling and distributing illegal drugs
A patient noncompliant with their treatment regimen
The Correct Answer is B
Choice A reason: Fraudulent bankruptcy is a legal or ethical violation, not a psychiatric emergency. Involuntary hospitalization requires evidence of imminent danger to self or others due to a mental disorder. This behavior, while illegal, does not inherently indicate a mental health crisis necessitating forced psychiatric intervention, making this choice incorrect.
Choice B reason: Threatening harm to self and others meets legal and clinical criteria for involuntary hospitalization, as it indicates imminent danger due to a psychiatric condition. Mental health laws, such as the Baker Act, prioritize safety when a patient’s mental state poses significant risk, making this the correct choice for forced admission.
Choice C reason: Selling and distributing illegal drugs is a criminal act, not necessarily linked to a mental health crisis requiring involuntary hospitalization. While substance use disorders may involve psychiatric issues, this behavior alone does not demonstrate imminent danger due to mental illness, making it inappropriate for forced treatment.
Choice D reason: Noncompliance with treatment, while concerning, does not inherently indicate imminent danger or severe mental instability requiring involuntary hospitalization. It may reflect patient autonomy or other factors, not acute psychiatric risk. This choice fails to meet the legal or clinical threshold for forced admission, making it incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Clozapine, an antipsychotic, primarily causes agranulocytosis and metabolic issues, not fluid or electrolyte imbalances. Its effects on the central nervous system and bone marrow do not directly disrupt electrolyte homeostasis, making this choice incorrect for this concern.
Choice B reason: Lithium, a mood stabilizer, affects renal function, impairing sodium and water reabsorption, leading to potential hyponatremia or dehydration. This requires close monitoring of electrolytes, as imbalances can cause toxicity, making this the correct choice for heightened alertness.
Choice C reason: Fluoxetine, an SSRI, primarily affects serotonin levels, with minimal impact on fluid or electrolyte balance. Side effects like nausea do not significantly disrupt electrolytes, making this choice incorrect compared to lithium’s known renal effects.
Choice D reason: Venlafaxine, an SNRI, influences serotonin and norepinephrine but does not significantly affect fluid or electrolyte balance. Its side effects, like hypertension, are unrelated to electrolyte homeostasis, making this choice incorrect for this specific concern.
Correct Answer is B
Explanation
Choice A reason: GABA is an inhibitory neurotransmitter that reduces neuronal activity, promoting calm. In fear, the sympathetic nervous system activates, increasing heart rate and blood pressure, driven by excitatory neurotransmitters, not GABA, which would counteract these effects, making this choice incorrect.
Choice B reason: Norepinephrine, a catecholamine, activates the sympathetic nervous system during fear, increasing heart rate and blood pressure via the fight-or-flight response. Its heightened activity in stress aligns with the patient’s symptoms, making this the correct neurotransmitter choice.
Choice C reason: Histamine regulates arousal and allergic responses but is not primarily responsible for cardiovascular changes in fear. Its role in the brain is less direct than norepinephrine in driving sympathetic activation, making this choice incorrect for the symptoms described.
Choice D reason: Serotonin modulates mood and anxiety but does not directly cause acute cardiovascular changes like increased heart rate and blood pressure in fear. These are driven by norepinephrine’s sympathetic activation, making serotonin an incorrect choice for this scenario.
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