A nurse has successfully completed a drug treatment program and is returning to work 3 months later. Which of the following best describes a program designed for a nurse returning to work after treatment?
A drug recovery support group
An early-release incarceration program
An Alternative-to-Discipline (ATD) program
An involuntary long-term residential treatment
The Correct Answer is C
Rationale:
A. A drug recovery support group can be beneficial for ongoing support but does not specifically address the work-related needs of a nurse returning to practice.
B. An early-release incarceration program is not relevant to the context of a nurse returning to work after completing treatment for substance abuse.
C. An Alternative-to-Discipline (ATD) program is designed to support healthcare professionals returning to work after treatment for substance use disorders. These programs focus on monitoring and supporting the nurse while ensuring public safety.
D. An involuntary long-term residential treatment is not applicable to a nurse who has already completed a treatment program and is preparing to return to work.
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Correct Answer is C
Explanation
Rationale:
A. Amphetamines can cause agitation and psychosis but are less commonly associated with delirium.
B. Antihistamines, particularly those with sedative properties, can contribute to delirium, but they are not the primary culprit.
C. Benzodiazepines, especially when used in high doses or in older adults, can cause delirium. They have sedative effects and can impair cognitive function, leading to confusion and delirium, particularly in vulnerable populations.
D. Sertraline, a selective serotonin reuptake inhibitor (SSRI), is generally not associated with causing delirium, though any medication can contribute to altered mental status depending on the patient’s overall health.
Correct Answer is C
Explanation
Rationale:
A. The cortico-striato-thalamo-cortical circuit (CSTC) is primarily associated with obsessive-compulsive disorder (OCD) and does not directly relate to phobias.
B. While the CSTC circuit is involved in OCD, it is not specifically linked to the broader spectrum of fear responses.
C. The amygdala-centered (ACC) circuit is involved in the processing of fear and panic, making it directly associated with feelings of panic, which are common manifestations of anxiety disorders.
D. The amygdala does play a role in anxiety and apprehension, but it is more specifically tied to the acute panic responses.