Extract:

Question 1 of 5

A client with schizophrenia is prescribed clozapine (Clozaril) 200 mg daily. Which of the following laboratory tests should the nurse monitor regularly?

Correct Answer: B

Rationale: Clozapine can cause agranulocytosis, requiring regular monitoring of white blood cell counts.

Question 2 of 5

A client with schizophrenia is prescribed clozapine (Clozaril) 200 mg daily. Which of the following laboratory tests should the nurse monitor regularly?

A. Liver function tests. B. White blood cell count. C. Serum glucose levels. D. Thyroid function tests.

Correct Answer: B

Rationale: Clozapine can cause agranulocytosis, requiring regular monitoring of white blood cell counts.

Question 3 of 5

A nurse is assessing a client experiencing hypomania who wants to stop her mood stabilizing medication because she is 'feeling good,' has a high energy level and thinks she is productive at work. Which response by the nurse is most appropriate?

A. Maybe you really don't need your medication anymore.' B. If you stop your medication, your behavior will quickly spiral out of control.' C. I believe you were hospitalized the last time you stopped your medication.' D. Why don't you cut your medication dosage in half for a while and see how you respond?'

Correct Answer: C

Rationale: Reminding the client of past consequences reinforces the importance of medication adherence.

Question 4 of 5

A client becomes increasingly morose and irritable after being told that she has cancer. She is rude to visitors and pushes nurses away when they attempt to give her medications and treatments. Which of the following should the nurse do when the client has a hostile outburst?

A. Offer the client positive reinforcement each time she cooperates. B. Encourage the client to discuss her immediate concerns and feelings. C. Continue with the assigned tasks and duties as though nothing has happened. D. Encourage the client to direct her anger at staff members instead of her visitors.

Correct Answer: B

Rationale: Encouraging the client to discuss her concerns and feelings helps address the underlying emotions driving her hostile outbursts, promoting coping. Positive reinforcement may not address the root cause, ignoring the outburst dismisses her feelings, and redirecting anger to staff is inappropriate.

Question 5 of 5

A 15-year-old client diagnosed with PTSD is admitted to the unit after slicing both arms with a razor blade. He says, 'Maybe my mother will listen to me now. She tells me I'm just crazy when I say I'm screwed up because my step dad had sex with me for years.' The nurse should do the following in which order of priority first to last?

Order the Items

Source Container

Ask the client about the step dad possibly abusing younger children in the family.

Ask the client to be specific about what he means by 'screwed up.'

Ask the client to sign a No Harm Contract related to suicide and self-mutilation.

Ask the client to talk about appropriate ways to express anger toward his mother.

Correct Answer: C,B,D,A

Rationale: First ensure safety with a no-harm contract, then clarify feelings, discuss anger expression, and finally address potential abuse of others.