A daughter brings her mother, who has Alzheimer's disease, to the clinic. The client has been taking a cholinesterase inhibitor medication for 1 month. When assessing the client, the nurse would be alert for the possibility of which side effect?

Correct Answer: A

Rationale: The correct answer is A: Gastrointestinal distress. Cholinesterase inhibitors, commonly used to treat Alzheimer's disease, can cause gastrointestinal side effects such as nausea, vomiting, diarrhea, and loss of appetite. This occurs due to the increased cholinergic activity in the gastrointestinal tract. Monitoring for gastrointestinal distress is crucial to ensure the client's well-being and may require dose adjustments or additional interventions. Incorrect choices: B: Mild headache - Cholinesterase inhibitors are not typically associated with causing headaches as a side effect. C: Muscle tics - Cholinesterase inhibitors do not typically cause muscle tics as a side effect. D: Blurred vision - While blurred vision can be a side effect of some medications, it is not commonly associated with cholinesterase inhibitors used in Alzheimer's disease treatment.

Correct Answer: D

Rationale: The correct answer is D: Stimulus control. This technique involves associating the bedroom with sleep by only engaging in sleep-related activities in that space. By avoiding activities like watching TV or working in the bedroom, the client strengthens the association between the bedroom and sleep, improving sleep efficiency. A: Sleep restriction involves limiting the time spent in bed to increase sleep drive. B: Relaxation training focuses on reducing physical and mental tension to promote better sleep. C: Cognitive behavior therapy targets changing negative thought patterns related to sleep.

Correct Answer: B

Rationale: The correct answer is B: Cerebellum maturation. The cerebellum is responsible for emotional regulation and cognitive functions. As it matures during adolescence, individuals gain better emotional and behavioral control. Limited executive function (A) would hinder rather than improve control. Cerebral stasis and hormonal changes (C) do not directly contribute to emotional regulation. A slight reduction in brain volume (D) would not necessarily lead to increased emotional and behavioral control.

Correct Answer: A

Rationale: The correct answer is A: Social skills training. Clients with schizoid personality traits often struggle with forming and maintaining social relationships. Social skills training can help them improve their ability to interact with others, which is a key component of their care. Anger management training (B) is not typically a priority for clients with schizoid personality traits as they tend to avoid emotional expression. Relaxation techniques (C) may be helpful for managing anxiety but may not directly address the client's social difficulties. Coping skills training (D) is broad and may not specifically target the social deficits of clients with schizoid personality traits.

Correct Answer: C

Rationale: The correct answer is C because weight gain is a common side effect of clozapine. Monitoring weight is essential to catch any rapid weight gain, which could indicate potential metabolic issues. This instruction is crucial for the client's safety and well-being. A is incorrect because dry mouth is a common side effect of clozapine, but it is not typically necessary to keep a detailed record of the frequency and duration of this side effect. B is incorrect because changes in urine color are not typically associated with clozapine use. D is incorrect because experiencing drowsiness is a common side effect of clozapine and does not necessarily require discontinuation of the medication.