Question

The nurse is caring for a client who is receiving Divalproex acid (Depakote). What clinical manifestation should the nurse periodically monitor for?

Answer 1

Correct Answers:

Hepatotoxicity

Rationale :

🔷 Clients taking Divalproex (Depakote) are at risk for serious liver damage, which can be life-threatening if not monitored.

🔷 The drug alters liver enzyme metabolism, requiring periodic checks of AST, ALT, and bilirubin.

🔷 Early manifestations of hepatotoxicity include jaundice, anorexia, nausea, and malaise.

🔷 Nurses must educate clients to report abdominal pain or unusual fatigue, as these may indicate worsening toxicity.

🔷 Monitoring liver function tests ensures safe continuation of therapy and prevents irreversible damage

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Answer 2

Correct Answers:

Restless leg syndrome

Rationale :

🔶 This disorder causes an urge to move the legs, especially at rest or during sleep.

🔶 It disrupts sleep quality, leading to fatigue and impaired functioning.

🔶 Symptoms often worsen in the evening and night, improving with movement.

🔶 It is linked to dopamine imbalance and sometimes iron deficiency.

🔶 Nurses should recognize this as a neurological condition and not psychological.

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Answer 3

Correct Answers:

“You may feel dizzy and be prone to falls after taking this medication.”

Rationale :

💠 Older adults have increased CNS sensitivity to benzodiazepines like diazepam.

💠 The drug can cause drowsiness, dizziness, and impaired coordination, raising fall risk.

💠 Falls in older adults often lead to fractures and hospitalizations.

💠 Safety teaching must focus on environmental modifications (grab bars, assistive devices).

💠 Monitoring for sedation levels helps prevent adverse outcomes.

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Answer 4

Correct Answers:

Schizoid

Rationale :

🟣 Schizoid personality disorder is marked by detachment from social relationships.

🟣 These clients show little interest in friendships, hobbies, or new experiences.

🟣 They prefer solitary activities and rarely seek closeness with others.

🟣 Unlike avoidant disorder, schizoid patients are not distressed by isolation.

🟣 The behavior pattern in the scenario—declining new hobbies or jobs—fits schizoid features.

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Answer 5

Correct Answers:

Lack of social support

Rationale :

🔵 Social isolation is a major risk factor for major depressive disorder (MDD).

🔵 Absence of support reduces coping resources during stress.

🔵 Research shows strong ties between loneliness and depression severity.

🔵 Support systems buffer against hopelessness and suicidal ideation.

🔵 Building therapeutic alliances can substitute for weak family/friend networks.

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Answer 6

Correct Answers:

Individual with somatic symptoms disorder experience real physical effects, but these manifestations are due to emotional cause rather than physical ones.

Rationale :

🟠 Clients with somatic symptom disorder report genuine physical symptoms.

🟠 These symptoms are not intentionally produced, but have psychological origins.

🟠 Common complaints include pain, fatigue, or GI upset, often unlinked to medical findings.

🟠 Families need to understand that symptoms are real to the client, not fabricated.

🟠 Management includes therapy, stress reduction, and supportive care, not dismissal.

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Answer 7

Correct Answers:

Echolalia

Rationale :

♦ Echolalia is the repetition of another’s words, often seen in psychotic disorders.

♦ It reflects thought-processing disturbances common in schizophrenia spectrum.

♦ Different from verbigeration, which is meaningless repetition of own phrases.

♦ Recognition helps tailor communication approaches with clients.

♦ Documentation ensures continuity of care and appropriate interventions.

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Answer 8

Correct Answers:

"I use alcohol and marijuana because they help me forget my problems for a while."

Rationale :

🟢 This statement indicates self-medicating behavior, using substances to cope with stress.

🟢 It reflects avoidance coping, which worsens dependence risk.

🟢 Clients often use substances for temporary relief of emotional pain.

🟢 Identifying this pattern helps in teaching healthier coping skills.

🟢 Nurses must screen for dual diagnosis (mental illness + substance use disorder).

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Answer 9

Correct Answers:

Discussing client details only with authorized personnel

Rationale :

🔴 Confidentiality protects client dignity and trust.

🔴 Only health team members directly involved should access client information.

🔴 Breaches can lead to legal liability and loss of licensure.

🔴 HIPAA mandates secure handling of records.

🔴 Reinforcing this in a milieu fosters a safe therapeutic environment.

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Answer 10

Correct Answers:

Respect the client’s cultural identity and include family in care planning

Rationale :

✅ Many collectivist cultures value family decision-making over individual autonomy.

✅ Respecting culture supports client-centered, culturally competent care.

✅ Inclusion of family builds trust and increases treatment adherence.

✅ It avoids cultural conflict that could alienate the client.

✅ Nurses balance legal consent rules with cultural respect by involving family appropriately.

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QLexNursing

1 :
The nurse is caring for a client who is receiving Divalproex acid (Depakote). What clinical manifestation should the nurse periodically monitor for?

2 :
Choose the sleep disorder a person has when they experience overwhelming urges to move legs during sleep.

3 :
An older adult reporting concerns of anxiety is prescribed diazepam (Valium) by a health care provider. The provider asks the office nurse to explain the problematic side effects of this medication to the client. Which instruction is most important for the nurse to emphasize about this drug?

4 :
A 40-year-old who works at the same entry level job for many years without seeking advancement and politely declines when friends ask her to try new vacation spots or hobbies may be suffering from which personality disorder?

5 :
Which of the following is a major risk factor for the development of major depressive disorder?

6 :
A nurse is providing education about somatic symptom disorder to a client’s family. Which of the following pieces of information should the nurse include in the education?

7 :
The nurse is caring for a patient in an inpatient mental health setting. The nurse notices that when conversing with other patients, the patient repeats what they are saying word for word. The nurse interprets this finding and documents it as which condition?

8 :
A nurse is assessing a client who reports using alcohol and marijuana daily to "calm down" and "deal with stress." Which of the following statements by the client most clearly indicates self-medication behavior related to substance use?

9 :
Which of the following actions aligns with maintaining client confidentiality in a therapeutic milieu?

10 :
An RN is caring for a client from a collective culture notices the client frequently defers decisions to their family. What is the most appropriate response by the nurse?

QLexNursing

1 : The nurse is caring for a client who is receiving Divalproex acid (Depakote). What clinical manifestation should the nurse periodically monitor for?

2 : Choose the sleep disorder a person has when they experience overwhelming urges to move legs during sleep.

3 : An older adult reporting concerns of anxiety is prescribed diazepam (Valium) by a health care provider. The provider asks the office nurse to explain the problematic side effects of this medication to the client. Which instruction is most important for the nurse to emphasize about this drug?

4 : A 40-year-old who works at the same entry level job for many years without seeking advancement and politely declines when friends ask her to try new vacation spots or hobbies may be suffering from which personality disorder?

5 : Which of the following is a major risk factor for the development of major depressive disorder?

6 : A nurse is providing education about somatic symptom disorder to a client’s family. Which of the following pieces of information should the nurse include in the education?

7 : The nurse is caring for a patient in an inpatient mental health setting. The nurse notices that when conversing with other patients, the patient repeats what they are saying word for word. The nurse interprets this finding and documents it as which condition?

8 : A nurse is assessing a client who reports using alcohol and marijuana daily to "calm down" and "deal with stress." Which of the following statements by the client most clearly indicates self-medication behavior related to substance use?

9 : Which of the following actions aligns with maintaining client confidentiality in a therapeutic milieu?

10 : An RN is caring for a client from a collective culture notices the client frequently defers decisions to their family. What is the most appropriate response by the nurse?

1 :
The nurse is caring for a client who is receiving Divalproex acid (Depakote). What clinical manifestation should the nurse periodically monitor for?

2 :
Choose the sleep disorder a person has when they experience overwhelming urges to move legs during sleep.

3 :
An older adult reporting concerns of anxiety is prescribed diazepam (Valium) by a health care provider. The provider asks the office nurse to explain the problematic side effects of this medication to the client. Which instruction is most important for the nurse to emphasize about this drug?

4 :
A 40-year-old who works at the same entry level job for many years without seeking advancement and politely declines when friends ask her to try new vacation spots or hobbies may be suffering from which personality disorder?

5 :
Which of the following is a major risk factor for the development of major depressive disorder?

6 :
A nurse is providing education about somatic symptom disorder to a client’s family. Which of the following pieces of information should the nurse include in the education?

7 :
The nurse is caring for a patient in an inpatient mental health setting. The nurse notices that when conversing with other patients, the patient repeats what they are saying word for word. The nurse interprets this finding and documents it as which condition?

8 :
A nurse is assessing a client who reports using alcohol and marijuana daily to "calm down" and "deal with stress." Which of the following statements by the client most clearly indicates self-medication behavior related to substance use?

9 :
Which of the following actions aligns with maintaining client confidentiality in a therapeutic milieu?

10 :
An RN is caring for a client from a collective culture notices the client frequently defers decisions to their family. What is the most appropriate response by the nurse?