A patient has been prescribed clozapine for treatment of schizophrenia. Which of the following would the nurse include in the teaching plan for this patient and family?

Correct Answer: D

Rationale: The correct answer is D: "You may experience noticeable weight gain while taking this medication." This is because weight gain is a common side effect of clozapine. Patients and families should be informed about this to monitor and manage weight changes. Choices A, B, and C are incorrect because hypertension, breast engorgement, and dermatitis are not typically associated with clozapine use. It is important to focus on the most relevant and common side effects when educating patients and families.

Correct Answer: C

Rationale: The nurse would include improved access to less costly services as the main focus as it aligns with the goal of managed care in mental health, which emphasizes providing quality care in a cost-effective manner. By focusing on improving access to less costly services, the nurse can educate the women's club on how managed care models aim to reduce healthcare costs while still ensuring appropriate and timely mental health services for individuals. Choice A (Cost savings) is too broad and doesn't specifically address mental health services. Choice B (Consistent third-party reimbursement) is important but not the main focus of managed care in mental health. Choice D (Individualized care for additional inpatient stays) is not typically a primary focus of managed care which aims to promote outpatient and less costly services.

Correct Answer: C

Rationale: The most appropriate housing for Mr. Jones is group housing (Choice C) as it provides a supportive environment crucial for his recovery. Group housing offers peer support, structured routines, and access to counseling services, which can help him maintain sobriety and prevent relapse. Detoxification unit (Choice A) is not suitable as Mr. Jones has already been discharged from treatment. Nursing home (Choice B) is not appropriate as he does not require long-term care. Homeless shelter (Choice D) does not provide the necessary support for his complex needs. Group housing is the best option for Mr. Jones to ensure his continued recovery and well-being.

Correct Answer: C

Rationale: The correct answer is C: A urinary tract infection. Nancy's mother's symptoms such as nonsensical speech, disheveled appearance, strong urine smell, and stain on dressing gown are indicative of a urinary tract infection. UTIs in the elderly can cause confusion, delirium, and incontinence. By recognizing these symptoms, Nancy can suspect a UTI as the cause and seek medical treatment promptly to address the infection. Incorrect choices: A: Early onset dementia - Symptoms of UTI are acute and temporary, not indicative of a chronic condition like dementia. B: A mild cognitive disorder - UTI symptoms are not typically associated with mild cognitive disorders. D: Skipping breakfast - Skipping breakfast does not explain the range of symptoms observed in Nancy's mother.

Correct Answer: D

Rationale: The correct answer is D: "You may experience noticeable weight gain while taking this medication." This is because weight gain is a common side effect of clozapine. Patients and families should be informed about this to monitor and manage weight changes. Choices A, B, and C are incorrect because hypertension, breast engorgement, and dermatitis are not typically associated with clozapine use. It is important to focus on the most relevant and common side effects when educating patients and families.