A client with schizophrenia is reluctant to take his prescribed oral medication. The most therapeutic response by the nurse to this refusal is:

"I can see that you're uncomfortable now, so we can wait until tomorrow."

"If you refuse these pills, you'll have to get an injection

"What is it about the medicine that you don't like?"

"You know you have to take this medicine for your own good."

Answer and Explanation

The Correct Answer is C

A. "I can see that you're uncomfortable now, so we can wait until tomorrow." Delaying the medication could worsen the client's condition and does not address the underlying reason for the refusal.

B. "If you refuse these pills, you'll have to get an injection." This response is coercive and could damage trust between the client and the nurse. It does not explore the client's concerns.

C. "What is it about the medicine that you don't like?" This response is therapeutic as it opens a dialogue with the client to understand their concerns, which can help in addressing the reluctance and promoting adherence to the medication.

D. "You know you have to take this medicine for your own good." This response is paternalistic and dismisses the client's autonomy and concerns, which may lead to further resistance.

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Correct Answer is B

Explanation

A. Chemical agents: Chemical agents (e.g., tobacco smoke, asbestos) are significant carcinogens but are not the most influential across all types of cancer.

B. Environmental factors: Environmental factors, including exposure to radiation, chemicals, and lifestyle choices, have a broad impact on cancer development. This is the most comprehensive factor, as it encompasses various elements that contribute to cancer risk.

C. Viruses: Certain viruses (e.g., HPV, Hepatitis B) are linked to specific cancers, but they are not the primary cause of most cancers.

D. Defective genes: Genetic mutations play a critical role in cancer development, but they are often triggered by environmental factors, making environmental factors the most significant overall.

A. blurred vision B. urinary retention C. diarrhea D. headache E. pale, moist skin

Correct Answer is ["A","B"]

Explanation

A. blurred vision: Blurred vision is a common side effect of tricyclic antidepressants due to their anticholinergic effects, and it can be a sign of overdose.

B. urinary retention: Urinary retention is another anticholinergic side effect of tricyclic antidepressants and can indicate an overdose.

C. diarrhea: Diarrhea is not typically associated with tricyclic antidepressant overdose. Anticholinergic effects generally lead to constipation, not diarrhea.

D. headache: While a headache can occur in many situations, it is not a specific indicator of tricyclic antidepressant overdose.

E. pale, moist skin: Pale, moist skin is not a typical symptom of tricyclic antidepressant overdose. Overdose symptoms more commonly include dry skin due to anticholinergic effects.

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A client with schizophrenia is reluctant to take his prescribed oral medication. The most therapeutic response by the nurse to this refusal is:

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Naxlex Comprehensive Predictor Exams

Carcinogens are factors related to the formation of various malignancies. Which factor has the greatest impact on the development of all cancers?

Correct Answer is B

Explanation

A client who is prescribed a tricyclic antidepressant is brought to the emergency department with a suspected overdose. Which would the nurse assess to support this suspicion? Select all that apply.

Correct Answer is ["A","B"]

Explanation

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