A client with schizophrenia returns to the clinic two weeks after receiving a prescription for haloperidol. To assess for neuroleptic malignant syndrome (NMS), which information is most important for the nurse to obtain during this visit?

White blood cell count.

24-hour urinary output.

Blood sugar level.

Current vital signs.

Answer and Explanation

The Correct Answer is D

A.   White blood cell count might be relevant for other conditions but is not specific to NMS.
B.   24-hour urinary output might help evaluate kidney function but is not specific to NMS.
C.   Blood sugar level might be important but is not the primary indicator of NMS.
D.   Vital signs, such as temperature, blood pressure, heart rate, and respiratory rate, are crucial in assessing for NMS as it typically presents with changes in these parameters.

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Correct Answer is D

Explanation

A. While liver enzymes and gastrointestinal complaints are important, they are not part of the CAGE questionnaire.
B. Cancer screening results, anger, and gastritis are not directly addressed by the CAGE questionnaire.
C. The listed items are relevant but not specifically addressed by the CAGE questionnaire.
D. Efforts to cut down, annoyance with questions, guilt, and drinking as an "eye-opener" are aspects explored in the CAGE questionnaire to assess alcohol dependency.

A. Ask the client to describe and identify the source of the feelings. B. Provide education about ways to cope with anxiety. C. Escort the client from the group to reduce stimuli. D. Assist the client with relaxation techniques in the group.

Correct Answer is C

Explanation

A. Asking the client to identify the source of feelings requires cognitive processing, which is impaired during severe anxiety. This intervention is more appropriate for mild to moderate anxiety levels when the client can still think clearly.

B. Providing education about coping strategies is ineffective during severe anxiety because the client is unable to concentrate or retain new information. Teaching should be done when the client is calmer and better able to process information.

C. Escorting the client away from the group reduces environmental stimuli and helps decrease anxiety levels. This is the priority intervention for severe anxiety, as it promotes a calmer setting and enhances the client’s ability to regain control.

D. Assisting with relaxation techniques may be helpful, but during severe anxiety, the client may not be able to follow instructions effectively. These techniques are more appropriate once the anxiety level has been reduced.

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A client with schizophrenia returns to the clinic two weeks after receiving a prescription for haloperidol. To assess for neuroleptic malignant syndrome (NMS), which information is most important for the nurse to obtain during this visit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is using the CAGE questionnaire as a screening tool for a client who is seeking help because his wife said he had a drinking problem. Which information should the nurse explore in-depth with the client based on this screening tool?

Correct Answer is D

Explanation

A nurse who is co-leading group therapy recognizes that a client is beginning to experience severe levels of anxiety. Which intervention is best for the nurse to implement?

Correct Answer is C

Explanation

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