A 10-year-old child with Tourette's disorder is receiving haloperidol as part of his treatment plan. When assessing the child at a follow-up visit, which statement by the child would lead the nurse to suspect that he is experiencing a side effect of the drug?

Correct Answer: A

Rationale: The correct answer is A. The nurse should suspect a side effect if the child reports feeling sleepy while taking haloperidol. This is because sedation or drowsiness is a common side effect of haloperidol, a typical antipsychotic medication. Sedation can affect the child's daily functioning and quality of life. Choice B is incorrect as maintaining the same appetite is not typically a side effect of haloperidol. Choice C is incorrect as increased muscle flexibility is not a common side effect of haloperidol. Choice D is incorrect as feeling more alert is not consistent with the sedative effects of haloperidol.

Correct Answer: D

Rationale: The correct answer is D: Diabetes. Olanzapine (Zyprexa) is an atypical antipsychotic known to cause metabolic side effects, including weight gain and increased risk of diabetes. The nurse should monitor the client for signs of hyperglycemia, such as increased thirst, frequent urination, and fatigue. Weight loss (A) is less likely due to olanzapine's tendency to cause weight gain. Hypertension (B) and diarrhea (C) are not typically associated with olanzapine use.

Correct Answer: A

Rationale: The correct answer is A. The nurse should respect the patient's request for confidentiality but can share information with other staff for continuity of care. This maintains patient privacy while ensuring effective communication within the healthcare team. Incorrect choices: B: This response puts the burden on the patient to communicate with others, which may not always be feasible or appropriate in a healthcare setting. C: Sharing information at the end of each session is not practical for continuity of care and may compromise the patient's trust in the nurse. D: This response blurs professional boundaries by equating the patient's information with the nurse's own problems, which can be confusing and ineffective in providing appropriate care.

Correct Answer: D

Rationale: The correct answer is D: Assertiveness skills. This is the priority focus because individuals with somatic symptom disorder often struggle with expressing their needs and setting boundaries. Developing assertiveness skills can help clients communicate effectively, improve self-esteem, and reduce anxiety related to their symptoms. Choices A, B, and C are incorrect as they do not directly address the core issues of somatic symptom disorder. Understanding the causes of medical illnesses may not necessarily improve the client's ability to cope with their symptoms. Positive self-talk is beneficial but may not address the interpersonal challenges often seen in this disorder. Exploring side effects of medications is important but not as crucial as building assertiveness skills for long-term symptom management.

Correct Answer: C

Rationale: Rationale: Choice C, "Normal," is correct because many children go through phases where they experiment with gender identity. Melissa's behavior was typical of a child exploring their identity and is not indicative of a permanent gender identity. Gender dysphoria (A) involves persistent distress due to a disconnect between assigned gender and gender identity, which doesn't apply here. Reaction formation (B) involves expressing the opposite of one's true feelings, which doesn't fit the scenario. Early transgender syndrome (D) is a made-up term and not a recognized psychological concept.