The laboratory report for a patient taking clozapine (Clozaril) shows a white blood cell count of 3000 mm3 and a granulocyte count of 1500 mm3. The nurse should:

Correct Answer: A

Rationale: The correct answer is A. A white blood cell count of 3000 mm3 and a granulocyte count of 1500 mm3 indicate severe neutropenia, a known side effect of clozapine. This condition requires immediate attention to prevent serious infections. The nurse should report these results to the healthcare provider for further evaluation and possible discontinuation of clozapine. Choice B is incorrect because giving the next dose could exacerbate the neutropenia and increase the risk of infection. Choice C is incorrect as aspirin is not indicated and forcing fluids is not the appropriate intervention for neutropenia. Choice D is also incorrect as repeating the laboratory tests may delay necessary interventions for the patient's condition.

Correct Answer: B

Rationale: The correct answer is B: Meditation. Meditation can help the patient manage stress and anxiety, which may be triggering or exacerbating the skin issues. By practicing mindfulness and relaxation techniques through meditation, the patient can learn to better cope with worries and reduce the likelihood of stress-induced flare-ups. Incorrect choices: A: Melatonin is a hormone that regulates sleep-wake cycles, not directly related to stress management or skin conditions. C: Purification is vague and not a recognized self-help technique for stress or skin issues. D: Acupuncture may offer benefits for some conditions but is not specifically indicated for stress management in this context.

Correct Answer: B

Rationale: The correct answer is B because valerian is commonly used as a natural remedy for sleep disorders. The desired outcome for a patient using valerian would be to achieve undisturbed sleep throughout the night. Valerian is known for its calming and sedative effects, which can help promote better sleep quality. Option A is incorrect as valerian primarily targets sleep-related issues, not stress directly. Option C is incorrect as valerian is not typically used to increase interest in recreational activities. Option D is incorrect as early morning waking without an alarm clock is not necessarily a desired outcome for a patient using valerian.

Correct Answer: A

Rationale: The correct answer is A: Client factors. In this scenario, the patient's belief that taking medication implies being "crazy" reflects a negative attitude or belief held by the patient (client factor). This belief is likely influencing the patient's decision to refuse medication. Clinician factors (B) would refer to issues related to the healthcare provider, structural factors (C) would pertain to systemic barriers, and environmental factors (D) would involve external influences on the patient. In this case, the primary reason for nonadherence is the patient's own beliefs and attitudes, making client factors the most relevant choice.

Correct Answer: C

Rationale: The correct answer is C: Temporal lobe. The temporal lobe is responsible for handling memory functions and emotions, including anxiety. It contains the hippocampus, a crucial structure for memory formation. The frontal lobe (choice A) is primarily involved in executive functions and decision-making. There is no specific "Anxiety center" (choice B) in the brain. The central sulcus (choice D) is a groove that separates the frontal and parietal lobes and is not directly associated with memory or anxiety processing. Therefore, the temporal lobe is the correct choice based on its known functions related to memory and emotional processing.