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. Somatic symptom disorder involves physical symptoms without a clear medical cause, but the client's intention to be the center of attention is more characteristic of factitious disorder.
B. Functional neurological symptom disorder involves neurological symptoms with no identifiable neurological basis, which does not align with the client’s motivations.
C. Factitious disorder involves the intentional production of symptoms to assume the sick role and gain attention, which aligns with the client's desire to be the center of a dramatic medical situation.
D. Illness anxiety disorder involves preoccupation with having a serious illness despite a lack of symptoms but does not involve intentionally causing harm.
Correct Answer is ["B","D","E","F"]
Explanation
Rationale:
A. The ECG shows persistent sinus bradycardia on both December 1 and December 15. While sinus bradycardia is common in anorexia nervosa, its persistence may not necessarily reflect a therapeutic response.
B. The respiratory rate improved from 24/min to 20/min and the respirations are described as even and unlabored on December 15. This indicates a positive response to treatment.
C. The temperature data for December 15 is not provided. However, an increase toward normal temperature would indicate a therapeutic response, but without this data, we cannot confirm.
D. The weight increased from 34.5 kg (76 lb) to 37.2 kg (82 lb), which is a significant therapeutic improvement, reflecting progress in treatment.
E. The sodium level improved from 128 mEq/L to 130 mEq/L. Although the level is still slightly below normal, the upward trend indicates improvement.
F. The creatinine level decreased from 1.2 mg/dL to 0.9 mg/dL, showing improvement in kidney function and response to treatment.