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 (D)</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 (C)</p> Signup and view all the answers

What is a potential side effect of digoxin?

<p>Confusion and slurred speech (C)</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 (C)</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 (B)</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 (B)</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 (B)</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 (A)</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 (A)</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 (D)</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 (D)</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 (A)</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 (C)</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 (A)</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 (B)</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 (A)</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 (A)</p> Signup and view all the answers

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

<p>Prevent destruction of acetylcholine (C)</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 (A)</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 (A)</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 (C)</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. (A)</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 (D)</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. (B)</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. (D)</p> Signup and view all the answers

What is a characteristic of antisocial personality disorder?

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

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