Psychology Case Study: Medication Adherence
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Questions and Answers

What is the most likely reason for the client's change in mental status?

  • Dehydration
  • Drug actions and interactions (correct)
  • Hypotensive episodes
  • Benzodiazepine withdrawal
  • What action should the nurse take on learning that a manic client's serum lithium level is 1.8 mEq/L?

  • Increase the client's fluid intake
  • Withhold medication and notify the physician (correct)
  • Monitor the client's vital signs
  • Continue to administer medication as ordered
  • Which of the following personality disorders is part of cluster C?

  • Histrionic personality disorder
  • Dependent personality disorder (correct)
  • Antisocial personality disorder
  • Borderline personality disorder
  • What is a comorbidity of histrionic personality disorder?

    <p>General Anxiety Disorder</p> Signup and view all the answers

    What core morbidity should the nurse anticipate when reviewing the client's medical record for obsessive-compulsive disorder?

    <p>Tics</p> Signup and view all the answers

    What is a potential side effect of digoxin?

    <p>Confusion and slurred speech</p> Signup and view all the answers

    When teaching about personality disorders, what should a nurse include?

    <p>Personality disorders often manifest from childhood emotional trauma</p> Signup and view all the answers

    What can a nurse expect when interacting with a client who verbalizes the use of coping mechanisms when experiencing stress?

    <p>The client adapts well to change</p> Signup and view all the answers

    What personality disorder is characterized by a client who refuses to follow instructions and states that unit rules do not apply to them?

    <p>Antisocial personality disorder</p> Signup and view all the answers

    What screening tool should a nurse use to determine if a client has recently used an illicit drug?

    <p>Toxicology test</p> Signup and view all the answers

    What personality disorder is characterized by a client who screams 'I can read your mind!'?

    <p>Schizotypal personality disorder</p> Signup and view all the answers

    What personality disorder is characterized by a client who states 'I have no interest in sexual activity or finding a partner'?

    <p>Schizoid personality disorder</p> Signup and view all the answers

    A client is unable to make decisions and needs constant reassurance. Which personality disorder is likely to be diagnosed?

    <p>Dependent personality disorder</p> Signup and view all the answers

    A client with paranoid personality disorder is likely to exhibit which of the following behaviors?

    <p>Suspiciousness of others</p> Signup and view all the answers

    Which type of therapy is likely to be used for a client with avoidant personality disorder?

    <p>Interpersonal therapy</p> Signup and view all the answers

    When teaching a family about borderline personality disorder, what information should the nurse prioritize?

    <p>The potential for self-harm</p> Signup and view all the answers

    A client with borderline personality disorder is likely to use which of the following defense mechanisms?

    <p>Splitting</p> Signup and view all the answers

    A client with dependent personality disorder is likely to exhibit which of the following behaviors?

    <p>Fear of making decisions</p> Signup and view all the answers

    What would be the initial intervention to support medication adherence for a client who has run out of their antipsychotic medication?

    <p>Arrange for a dose of the client's medication immediately</p> Signup and view all the answers

    What is the expected effect of a medication that potentiates the action of α-aminobutyric acid (GABA)?

    <p>Reduced anxiety</p> Signup and view all the answers

    What is the goal of medications used to treat memory difficulties?

    <p>Prevent destruction of acetylcholine</p> Signup and view all the answers

    What is the response to the therapeutic action of neurotransmitter inhibitors that block reuptake?

    <p>Increased concentration of the blocked neurotransmitter in the central nervous system</p> Signup and view all the answers

    Why is immediate care necessary for a client who has run out of their antipsychotic medication?

    <p>To prevent further decompensation</p> Signup and view all the answers

    What is the purpose of neurotransmitter inhibitors that block reuptake?

    <p>To increase the concentration of the blocked neurotransmitter</p> Signup and view all the answers

    What should the nurse respond to the client who says 'I will just see my regular doctor at my annual check up after I am discharged'?

    <p>It is recommended that you receive follow up care from a mental health provider after you are discharged.</p> Signup and view all the answers

    What disorder is consistent with the finding of becoming aggressive at a local bar?

    <p>Antisocial personality disorder</p> Signup and view all the answers

    What action should the nurse take when providing discharge teaching to a client with borderline personality disorder who is a single parent?

    <p>Offer the client information about a support group for parents.</p> Signup and view all the answers

    When is a client with borderline personality disorder at the highest risk for self-harm?

    <p>When discharged from the hospital.</p> Signup and view all the answers

    What is a characteristic of antisocial personality disorder?

    <p>A pattern of disregard for others' rights.</p> Signup and view all the answers

    What is a goal of discharge teaching for a client with borderline personality disorder?

    <p>To help the client develop coping strategies for managing stress.</p> Signup and view all the answers

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