A group of nurses who have recently been hired to work in the mental health division of a large federal prison system are undergoing orientation. A nurse is discussing medication administration for the clients. Which statement would the nurse most likely include in this presentation?

Correct Answer: A

Rationale: The correct answer is A because dissolving oral medications in water before handing them to the prisoner ensures that they are taking the medication as prescribed. This method helps in monitoring medication ingestion and compliance. Explanation: 1. Choice A directly addresses the issue of medication administration and compliance by ensuring that the medications are taken as intended. 2. Choice B is incorrect because patient safety is a priority, and administering medications may be necessary to prevent harm. 3. Choice C is incorrect because coercive methods like routine injections violate ethical principles and patient rights. 4. Choice D is incorrect as obtaining a court order may not always be feasible or necessary for routine medication administration in a prison setting.

Correct Answer: C

Rationale: The correct answer is C: Fever. This is the highest priority for the client to report because fever can indicate a serious side effect called agranulocytosis, a potentially life-threatening condition associated with clozapine therapy. Agranulocytosis can lead to severe infections due to low white blood cell count. It is crucial to monitor for fever as an early sign of this condition to prevent complications. A: Constipation - While constipation can be a side effect of clozapine, it is not as urgent as fever in this context. B: Blurred vision - Blurred vision is a common side effect of clozapine but is not typically considered a medical emergency. D: Dry mouth - Dry mouth is a common side effect of many medications, including clozapine, and is not as concerning as fever in this scenario.

Correct Answer: B

Rationale: B is the correct answer because the patient's statement indicates a dangerous decision to switch from an SSRI (Prozac) to a MAOI without consulting a healthcare provider. MAOIs have significant interactions with certain foods and other medications that can lead to serious side effects such as hypertensive crisis. This decision shows a lack of understanding of the importance of proper medication management and the potential risks involved. Choices A, C, and D all demonstrate a reasonable understanding of antidepressant therapy and do not indicate immediate safety concerns.

Correct Answer: D

Rationale: The correct answer is D: Tennis. Physical activities like tennis are beneficial for children with ADHD as they help release excess energy and improve focus. Tennis involves physical movement, coordination, and strategy, which can enhance concentration and self-regulation skills. Reading an adventure novel (A) may be too sedentary for a child with ADHD, limiting their ability to focus. Monopoly (B) and Checkers (C) are good for cognitive development but may not provide enough physical activity to help manage ADHD symptoms effectively. Tennis, on the other hand, offers a combination of physical exercise and mental engagement, making it the most appropriate choice for a child with ADHD.

Correct Answer: B

Rationale: The correct answer is B: Dramatic response to frustration. This is indicative of a Cluster B personality disorder, which includes traits such as emotional instability and impulsivity. People with Cluster B personality disorders often display intense and exaggerated emotional responses to situations like frustration. Choices A, C, and D do not specifically align with the characteristics of Cluster B personality disorders, making them incorrect. A reflects symptoms of an eating disorder, C is related to compulsive behavior, and D describes traits more commonly associated with mood disorders.