A client hospitalized for treatment of schizophrenia has been receiving olanzapine (Zyprexa) for the past 2 months. The nurse would be especially alert for which of the following?

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: D

Rationale: The correct answer is D because viewing the newborn's actions as uncooperative can indicate a lack of understanding of newborn behavior and may lead to inappropriate responses. This attitude may hinder bonding and potentially harm the newborn's development. A: Holding the newborn in an en face position is a positive interaction that promotes bonding. B: Asking the father to change the newborn's diaper involves the father in caregiving, which is beneficial for bonding. C: Requesting the nurse to take the newborn to the nursery so she can rest is acceptable as long as the mother prioritizes self-care.

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.

Correct Answer: D

Rationale: The correct answer is D: dysfunctional relationships. Most personality disorders involve difficulties in forming and maintaining healthy relationships, which is a common characteristic across various types of personality disorders. This is due to underlying issues with emotional regulation, impulsivity, and distorted perceptions of self and others. In contrast, fear of attention (A) is not a defining feature of personality disorders, short onset of duration (B) is not typically seen as these disorders are long-standing, and a history of violence (C) is not universal to all personality disorders.

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: 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: 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: C

Rationale: Rationale: - Choice C is correct because teaching involves presenting information to enhance understanding. - Teaching aids in promoting client and family knowledge about mental illness. - This empowers them to make informed decisions and participate in treatment. - Choices A and B involve assessment and orientation tasks, not directly related to teaching. - Choice D focuses on maintaining a therapeutic environment, not teaching content.

Correct Answer: C

Rationale: The correct answer is C because it highlights the cyclical nature of poverty within the culture of poverty. Joblessness and lack of financial independence are characteristics of poverty that can lead to feelings of powerlessness and low self-esteem, which, in turn, perpetuate the cycle of poverty. This explanation aligns with the concept of the culture of poverty, which suggests that individuals in poverty are trapped in a cycle due to a combination of economic and social factors. Option A is incorrect because it oversimplifies the issue by focusing solely on individual willpower and motivation, ignoring systemic barriers that contribute to poverty. Option B is incorrect as it emphasizes a single aspect (lack of address for job applications) without addressing the broader cycle of poverty. Option D is incorrect as it suggests that poverty is solely inherited and ignores the role of societal structures in perpetuating poverty.