The nurse knows that testing kinesthesia is a test of a person's:

Correct Answer: B

Rationale: The correct answer is B: Position sense. Kinesthesia is the awareness of the position and movement of body parts. Testing kinesthesia involves assessing a person's ability to sense the position of their limbs without looking. This test specifically evaluates the proprioceptive sense, which is crucial for maintaining balance and coordinating movements. Fine touch (A) refers to the sense of touch that detects pressure and texture. Motor coordination (C) involves the ability to perform smooth and precise movements. Perception of vibration (D) assesses the ability to sense vibrations and is not directly related to kinesthesia.

Correct Answer: D

Rationale: The correct answer is D, Prefrontal cortex. Disorganized thinking in schizophrenia is linked to executive dysfunction, which is primarily controlled by the prefrontal cortex. This brain region is responsible for decision-making, planning, and cognitive control. Dysfunction in the prefrontal cortex can result in impaired reasoning and problem-solving abilities, leading to disorganized thinking. Brainstem (A) is primarily involved in basic functions like breathing and heart rate regulation, not higher cognitive functions. Cerebellum (B) is responsible for motor coordination, not higher-order thinking. Temporal lobe (C) is involved in memory and auditory processing, but not specifically associated with disorganized thinking in schizophrenia.

Correct Answer: A

Rationale: The correct answer is A: dry mouth. Muscarinic-receptor blockade inhibits the activation of the parasympathetic nervous system, leading to decreased saliva production and dry mouth. Gynecomastia (B) is a side effect of antipsychotic medications, not muscarinic-receptor blockade. Pseudoparkinsonism (C) is a side effect of dopamine receptor blockade. Orthostatic hypotension (D) is a side effect of alpha-1 receptor blockade, not muscarinic-receptor blockade.

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: D

Rationale: The correct answer is D: Tell the patient, “Aromatherapy can complicate respiratory problems such as asthma. Let’s consider some other options.” This is the best action as it addresses the patient's asthma history and concerns about using aromatherapy. It shows the nurse's responsibility to educate the patient about potential risks and explore safer alternatives. A: Supporting the patient's efforts is important, but in this case, the patient's safety must be prioritized due to the existing health condition. B: Suggesting to check with friends does not provide reliable information and may delay appropriate intervention. C: Reminding the patient about medication costs is important, but it does not directly address the potential harm of aromatherapy in this situation.