Question

an individual’s signs or symptoms are persistent and clinically significant even after nonpharmacological interventions have been tried
○ an individual has a history of anxiety but is currently not displaying any signs or symptoms that impact health, quality of life, or functional ability
○ an individual is demonstrating expressions or indications of distress that could be related to other causes rather than a mental health disorder

1. jack has dementia and becomes combative with staff every time they try to assist him with his shower. they are requesting that he be started on an antipsychotic medication. what is the next step the team should take?

○ call his provider and ask for an order for a low dose of antipsychotic medication
○ ask jack or his representative if they would be agreeable to the medication
○ talk to jack and his representative about his preferences for bathing such as time, frequency, and method
○ tell staff to talk to jack about the importance of being clean and keep trying to give him showers

1. which type of medication can cause changes in metabolism that can cause weight gain and may increase the risk of diabetes and high cholesterol in individuals?

○ mood stabilizers
○ antidepressants
○ antipsychotics
○ hypnotics

Explanation:

Question 4

When dealing with a patient like Jack with dementia who is combative during shower assistance, the first step should be to explore non - pharmacological approaches related to his preferences. Trying to understand his preferences for bathing (time, frequency, method) can help reduce his agitation without immediately resorting to medication or just continuing with the same approach. Calling for medication or just asking for agreement on medication skips non - pharmacological interventions. Telling staff to keep trying without adjusting the approach is not patient - centered.

Antipsychotic medications are known to have metabolic side effects. They can disrupt normal metabolic processes, leading to weight gain, and an increased risk of developing diabetes and high cholesterol. Mood stabilizers, antidepressants, and hypnotics do not typically have such a strong association with these specific metabolic changes.

Answer:

C. Talk to Jack and his representative about his preferences for bathing such as time, frequency, and method

Question 5