The nurse is caring for a client who has been taking clozapine (Clozaril) for 2 weeks. The client tells the nurse, 'My throat is sore, and I feel weak.' The nurse assesses the client's vital signs and finds that the client has a fever. The nurse notifies the physician, expecting an order to obtain which laboratory test?

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ATI Engage Mental Health Personality Disorders Quizlet Questions

Question 1 of 5

The nurse is caring for a client who has been taking clozapine (Clozaril) for 2 weeks. The client tells the nurse, 'My throat is sore, and I feel weak.' The nurse assesses the client's vital signs and finds that the client has a fever. The nurse notifies the physician, expecting an order to obtain which laboratory test?

Correct Answer: A

Rationale: The correct answer is A: A white blood cell count. Clozapine can cause agranulocytosis, a serious condition characterized by a severe decrease in white blood cells. The client's symptoms of sore throat, weakness, fever, and recent initiation of clozapine raise suspicion for agranulocytosis. A white blood cell count is crucial to monitor for this adverse effect. B: Liver function studies are not the priority in this case, as the symptoms and findings are more indicative of a potential hematologic issue than liver dysfunction. C: Serum potassium level is not the most relevant test to order in this scenario, as the client's symptoms and history are more concerning for a hematologic issue rather than a potassium imbalance. D: Serum sodium level is not the most appropriate test to request, as the client's symptoms and history do not suggest a primary issue related to sodium imbalance.

Question 2 of 5

What type of personality disorder is characterized by eccentric, odd, or peculiar behavior, thinking, and beliefs?

Correct Answer: A

Rationale: The correct answer is A: Cluster A. This cluster includes personality disorders such as paranoid, schizoid, and schizotypal disorders, which are characterized by eccentric, odd, or peculiar behavior, thinking, and beliefs. These individuals often have difficulty forming and maintaining social relationships due to their unusual behaviors and beliefs. Choices B and C (Cluster B and Cluster C) do not specifically encompass personality disorders with eccentric or odd traits. Choice D (General personality disorders) is not a recognized category in the DSM-5 for personality disorders, making it an incorrect choice.

Question 3 of 5

A nurse is talking with a patient, and 5 minutes remain in the session. Another patient comes to the door of the room, interrupts, and says to the nurse, "I really need to talk to you." The nurse should

Correct Answer: D

Rationale: The correct answer is D because it acknowledges the interrupting patient's needs while respecting the current patient's time. By informing the interrupting patient that the current session has 5 more minutes, the nurse sets clear expectations and boundaries. This approach prioritizes both patients' needs and manages the situation effectively. A: Inviting the interrupting patient to join in the session with the current patient may not be appropriate as it could compromise the current patient's confidentiality and disrupt the ongoing session. B: Directly refusing to talk with the interrupting patient may come off as dismissive and unprofessional, potentially escalating the situation. C: Ending the current session abruptly to attend to the interrupting patient disregards the current patient's time and needs, leading to a poor patient experience.

Question 4 of 5

Which of the following actions reflect the nurse's role of advocate in an inpatient psychiatric setting? Select all that apply.

Correct Answer: A

Rationale: Rationale: A: The nurse advocating for a mentally ill client's access to mental health services aligns with the advocacy role, ensuring the client's needs are met. B: Focusing on improving self-care knowledge is important but not necessarily advocating for the client's rights or needs. C: Explaining unit rules and ensuring comfort in the environment is more about patient education and safety than advocacy. D: Monitoring for medication side effects is crucial, but it does not specifically address advocating for the client's rights or needs.

Question 5 of 5

After interviewing a patient about social supports, the nurse determines that the patient is experiencing emotional support from these social supports based on which statement?

Correct Answer: A

Rationale: The correct answer is A because the statement reflects emotional support through the availability of someone to talk to, which is a key aspect of emotional support. Choice B refers to instrumental support (help with tasks), C refers to tangible support (financial assistance), and D refers to informational support (providing health-related information). Emotional support involves providing empathy, listening, and understanding, making choice A the most appropriate selection in this context.

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