Tim is a 37-year-old patient with treatment-resistant schizophrenia and severe aggression resulting in behavioral problems. His healthcare provider is considering prescribing the conventional antipsychotic chlorpromazine. Aside from improving his positive symptoms via D2 antagonism, through what mechanism should chlorpromazine theoretically improve Tim’s aggression and behavioral problems?

A 40-year-old presents to the ED accompanied by spouse who states client is increasingly agitated and has hallucinations that started “about a day ago.” No family history of mental illness. Drinks 2-3 cocktails nightly but stopped drinking 3 days ago. The client is confused; states seeing “bugs on the wall.” Tongue tremor noted. Lung sounds […]

Hannah, a 58-year-old paralegal, is thinking about committing suicide by taking an overdose of sleeping pills. Which of these characteristics is she MOST likely to have? She is a practicing Orthodox Jew. She is financially comfortable. She has nieces and nephews she is fond of. She has never been married or engaged.

A 75-year-old female is brought to the emergency department by ambulance after having a seizure at her home. The woman’s son reports she has not been acting normally. She complained of a severe headache and he noted a hand tremor and an unsteady gait. The past few days, she developed a high fever. Upon assessment […]

A mother brings her 8-year-old daughter into an urgent care clinic. The child has a dry, flaky, and peeling rash around her mouth. The mother states she has treated the rash with a number of different lotions, but the lesions persist. She is looking for information on how to make her daughter stop licking her […]

An older male client who has recently been admitted to the hospital tells the practical nurse that he is unable to fall asleep, but states he does not want to take prescribed sleeping pill because he will feel too sleepy the next day. Which action should the PN implement to help the client sleep?An older […]

A mother brings her 7-year-old daughter to her pediatrician’s office. It is written in the patient’s chart that she is not immunized. The child has approximately 50 lesions, mainly concentrated on her trunk. Most of the lesions are vesicular, but a few have scabbed over. According to the mother, her daughter was previously healthy and […]

A woman has a nipple piercing and is now concerned about its effect on her ability to breastfeed. She should be advised that (Choose one) a. generally breastfeeding is uncomplicated after nipple piercing b. milk transfer to the infant may be adversely affected c. she may experience more nipple pain when breastfeeding because of the […]

A patient complains of 7 out of 10 abdominal pain and requests additional opioids. Current vital signs are heart rate 50, blood pressure 91/72, respiratory rate 11/min, and oxygen saturation 93% on 3 L nasal cannula. The patient has received all scheduled and PRN pain medications and you explain that their vital signs do not […]

A 25-year old male presents with a 3-month history of epigastric pain that occurs about 2 hours after meals and awakens him around 2 a.m. daily. Antacids and food give temporary relief, but the pain comes back. The APRN’s diagnostic hypothesis based on these clinical manifestations is A diverticulosis. B jaundice. C duodenal ulcer. D […]