If clozapine (Clozaril) therapy is being considered, the nurse should evaluate which laboratory test to establish a baseline for comparison in order to recognize a potentially life-threatening side effect?

Correct Answer: A

Rationale: The correct answer is A: White blood cell count. Clozapine can cause agranulocytosis, a potentially life-threatening side effect characterized by severe neutropenia. Evaluating the white blood cell count before starting clozapine therapy establishes a baseline for comparison. Regular monitoring of WBC count is essential to promptly recognize and manage this serious adverse reaction. Summary: - Choice A (White blood cell count) is correct because it helps in monitoring for agranulocytosis. - Choices B, C, and D are incorrect as they do not directly relate to the specific side effect of clozapine therapy.

Correct Answer: B

Rationale: The correct answer is B: to provide comfort measures. Palliative care focuses on improving the quality of life for patients with serious illnesses by providing relief from symptoms and addressing physical, emotional, and spiritual needs. Assisted suicide (option A) is not a focus of palliative care. Aggressively treating the disease (option C) may not align with the goals of palliative care, which prioritize quality of life over aggressive treatment. Aggressively treating symptoms (option D) is important in palliative care but does not encompass the holistic approach of providing comfort measures. Overall, the priority of palliative care is to provide comfort and support to enhance the patient's well-being.

Correct Answer: D

Rationale: The correct answer is D: Hold her hand. This action best depicts the 'Caring' aspect of SENC (Support, Encourage, Nurture, and Coach). By holding her hand, you are providing physical comfort and emotional support, showing empathy and understanding. This gesture conveys a sense of presence and solidarity, helping the client feel heard and valued. Calling the parents back (A) may not be appropriate without the client's consent. Referring to the Chaplain (B) may not address the immediate emotional needs. Crying with the client (C) may blur professional boundaries and not necessarily provide the necessary support.

Correct Answer: D

Rationale: The correct answer is D: Socialization. Attending church as a family on Sundays represents a socialization function of the family. This activity helps in transmitting societal norms, values, and beliefs to the family members, promoting social integration and cohesion within the family unit. It also provides opportunities for social interaction and bonding among family members. Choices A, B, and C are incorrect because attending church does not primarily relate to physical health, economic activities, or reproduction within the family.

Correct Answer: D

Rationale: The correct answer is D because refusing to use the prescribed walker indicates a problem with mobility and safety, which are crucial aspects of daily functioning for an older adult. This behavior can lead to an increased risk of falls and injury. A: Eating 80% of meals shows the client's ability to engage in self-care. B: Watching television with others is a social activity and does not necessarily indicate a problem with daily functioning. C: Wanting to wear one's own clothing is a personal preference and does not directly affect daily functioning. In summary, answer choice D is correct because it directly impacts the client's ability to function independently and safely, while the other choices are less critical in determining daily functioning issues.