Nursing 102 Psychosis EAQ Questions and Answers 2023/2024.

Nursing 102 Psychosis EAQ Questions and Answers 2023/2024. Completed on Feb 26, 2023 9:43 pm Incorrect (1) Parents reports that their 4-year-old child partially awakens from sleep, sweats profusely, and screams in the night. Which is the best action in this situation? Recommend that the parents take their child into their own bed. Ask the child to describe the dream that he or she saw last night. Instruct the parents to accept the child’s dream as a real fear for the child. 5/17/23, 12:00 PM Elsevier Adaptive Quizzing - Quiz performance Rationale Sleep terrors are characterized by partially awakening from sleep accompanied by screaming, perspiration, and increased heart rate. The child screams during the terror but calms down later. The nurse advises the parents to avoid disturbing the child and to watch carefully until the child is calm. A child will generally not have trouble returning to sleep after a night terror and will not remember the details, so it is not necessary to bring the child into the parents' bed, and it would be of no benefit to ask the child to describe the dream or accept it as real. Test-Taking Tip: Make certain that the answer you select is reasonable and obtainableunder ordinary circumstances and that the action can be carried out in the given situation. Advise the parents to observe their child for a few minutes until the child is calm. Correct (48) A client with schizophrenia who has type II (negative) symptoms is prescribed risperidone. Which outcomes indicate the medication has minimized these symptoms? Select all that apply. One, some, or all responses may be correct. Rationale There is less agitation. There are fewer delusions. More interest is shown in unit activities. The client reports that the hallucinations have stopped. The client performs activities of daily living independently. 5/17/23, 12:00 PM Elsevier Adaptive Quizzing - Quiz performance Apathy is a common type II (negative) symptom; flat affect and lack of socialization arealso common. Increased interest in unit activities indicates minimized symptoms. A lack of interest in performing daily self-care is a common type II (negative) symptom; performing activities of daily living independently represents a reduction in this symptom. Interest in unit activities is a type I (positive) symptom. Delusions and hallucinations are type I (positive) symptoms. Which medications are used as the first-line treatment for posttraumatic stress disorder (PTSD)? Select all that apply. One, some, or aresponses may be correct. Rationale Sertraline and paroxetine are selective serotonin reuptake inhibitors that are approvedby the US Food and Drug Administration as a first-line treatment for PTSD. If these medications are ineffective, the use of phenelzine, venlafaxine, or amitriptyline is indicated. The nurse finds that a child has inattention, hyperactivity, and impulsivity upon assessment. The nurse anticipates which medication tobe most beneficial for the child? Sertraline Paroxetine Phenelzine Venlafaxine Amitriptyline Modafinil Doxapram Armodafinil Atomoxetine 5/17/23, 12:00 PM Elsevier Adaptive Quizzing - Quiz performance Rationale Inattention, hyperactivity, and impulsivity in a child may indicate that the child has attention-deficit/hyperactivity disorder (ADHD). Atomoxetine is a nonstimulant second-line medication used to treat ADHD. Modafinil, doxapram, and armodafinil are nonamphetamine stimulants used to treat shift-work sleep disorder (SWSD). A client diagnosed with schizophrenia was prescribed antipsychotic medications and developed extrapyramidal symptoms. The nurse understands which medications might be responsible for these symptoms? Select all that apply. One, some, or all responses may be correct. Rationale Perphenazine, fluphenazine, and trifluoperazine are first-generation antipsychotic medications with a high risk of extrapyramidal symptoms. Second-generation antipsychotic medications such as clozapine and olanzapine have a lower risk of extrapyramidal symptoms. The health care provider prescribes an atypical antipsychotic medicationto a client and asks the nurse to set up an appointment with an ophthalmologist. Which medication was prescribed to the client? Clozapine Olanzapine Perphenazine Fluphenazine Trifluoperazine Clozapine Quetiapine 5/17/23, 12:00 PM Elsevier Adaptive Quizzing - Quiz performance Rationale Quetiapine is a second-generation antipsychotic medication that may pose a risk of cataracts. The prescriber would refer the client to an ophthalmologist for an examination of the lenses. Clozapine is a second-generation antipsychotic medication that does not carry any risk of cataracts. Ziprasidone may cause alterations in the QT intervals. Chlorpromazine is a first-generation antipsychotic medication that does not cause cataracts. Test-Taking Tip: You have at least a 25% chance of selecting the correct response in multiple-choice items. If you are uncertain about a question, eliminate the choices thatyou believe are wrong and then call on your knowledge, skills, and abilities to choose from the remaining responses. A client says, "I hear a man speaking from the corner of the room. Do you hear him, too?" Which response is best? Rationale The nurse states reality (I don’t hear him) and then acknowledges the client’s feelings (it must be upsetting). The nurse avoids supporting (I hear him) or focusing (What he is saying?) on the hallucination. The nurse avoids arguing the client out of her or his feelings (No one is there.) Ziprasidone Chlorpromazine "What is he saying to you? Does it make any sense?" "Yes, I hear him. What do you think he is saying?" "No one is in the corner of the room. Can’t you see that?" "No, I don’t hear him, but that must be upsetting for you." 5/17/23, 12:00 PM Elsevier Adaptive Quizzing - Quiz performance Test-Taking Tip: Answer every question. A question without an answer is always a wrong answer, so go ahead and guess.