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?

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Question 1 of 5

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.

Question 2 of 5

A patient is talking to the nurse about her friendship with another person. She comments, 'That person is always there for me, and I am always there for her. We help each other out; sometimes she's helping me, and sometimes I am helping her.' The nurse interprets the patient's statements about her social network as reflecting which of the following?

Correct Answer: B

Rationale: The correct answer is B: Reciprocity. The patient's statements indicate a mutual exchange of support and assistance between her and her friend. Reciprocity in social networks refers to the give-and-take dynamic where both parties provide help and support to each other. This is evident in the patient's description of their friendship. Incorrect choices: A: Denseness refers to the degree to which individuals within a social network are connected to each other. The patient's statements do not specifically indicate a high level of interconnectedness. C: Social support involves the provision of assistance or emotional support within a social network, but the key aspect of reciprocity is missing in this choice. D: Constraints refer to the limitations or restrictions within a social network that may hinder relationships or interactions. There is no indication of constraints in the patient's statements.

Question 3 of 5

On an inpatient psychiatric unit, which of the following actions exemplify the nurse's role of teacher?

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.

Question 4 of 5

What term is defined as the ability to obtain, understand, synthesize, communicate, and apply health-related information?

Correct Answer: B

Rationale: The correct answer is B: personal health literacy. Personal health literacy refers to an individual's ability to access, understand, evaluate, and communicate health information to make informed decisions about their health. This term specifically focuses on an individual's skills and capabilities in managing health-related information. A: Advanced directives are legal documents that outline an individual's wishes regarding medical treatment in the event they are unable to communicate their preferences. This is not the same as the ability to understand and apply health-related information. C: Organizational health literacy refers to an organization's capacity to provide health information and services effectively to its members or employees. This choice does not address an individual's personal ability to manage health information. D: Information literacy is the ability to access, evaluate, and use information effectively. While this is a related concept, personal health literacy is more specific to health-related information and decision-making.

Question 5 of 5

When Melissa was a small child, she insisted that she was a boy, refused to wear dresses, and wanted to be called Mitch. As Melissa reached puberty, she no longer displayed a desire to be male. This change in identity is considered:

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.

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