A nurse in an outpatient behavioral facility is caring for a client who has a substance use disorder and a history of violence. Which of the following client statements should the nurse identify as being consistent with adverse childhood experiences (ACEs)? (Select All that Apply.)

"My parents divorced when I was 13 years old."

"We always had plenty of food in the house to eat."

"I was teased at school for wearing dirty clothes every day for weeks,"

"My parents would get in physical altercations."

"My parent went to prison when I was 12 years old."

"My parent would swear often at my sibling and I."

Answer and Explanation

Correct Answer : A,C,D,E,F

A. "My parents divorced when I was 13 years old." Divorce is recognized as an adverse childhood experience (ACE) because it can create emotional instability, financial stress, and changes in family dynamics, potentially affecting long-term mental health outcomes.
B. "We always had plenty of food in the house to eat." Having consistent access to food suggests a stable home environment, which is not classified as an ACE. Adverse experiences often include neglect, which involves a lack of basic needs such as food, shelter, or medical care.
C. "I was teased at school for wearing dirty clothes every day for weeks." Persistent neglect, such as not having clean clothing, can indicate parental neglect—one of the recognized ACEs. This can contribute to feelings of shame, social isolation, and long-term psychological distress.
D. "My parents would get in physical altercations." Witnessing domestic violence is a significant ACE that can lead to long-term emotional trauma, increased risk of anxiety, depression, and difficulty forming healthy relationships later in life.
E. "My parent went to prison when I was 12 years old." Parental incarceration is a recognized ACE, as it can cause emotional distress, economic hardship, and social stigma, increasing the child's risk for mental health disorders and substance use.
F. "My parent would swear often at my sibling and I." Verbal abuse, including frequent swearing or demeaning language, is a form of emotional abuse. Emotional abuse is a major ACE that can contribute to low self-esteem, difficulty regulating emotions, and increased vulnerability to mental health conditions.

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Correct Answer is D

Explanation

A. The importance of avoiding foods that contain tyramine when taking an antipsychotic. Tyramine restrictions apply to monoamine oxidase inhibitors (MAOIs), not antipsychotics like clozapine. MAOIs require dietary modifications to prevent hypertensive crises, but clozapine does not interact with tyramine-containing foods.
B. The importance of routine red blood cell count laboratory work when taking an antipsychotic. Clozapine requires regular white blood cell (WBC) and absolute neutrophil count (ANC) monitoring, not red blood cell counts, due to the risk of agranulocytosis, a potentially fatal condition that can lead to severe infections.
C. The importance of limiting fluid intake when taking an antipsychotic. Fluid restriction is not a standard recommendation for clozapine use. However, some antipsychotics can cause polydipsia (excessive thirst), which may lead to water intoxication, but fluid restriction is not a routine precaution.
D. The importance of medication adherence after the resolution of acute psychosis when taking an antipsychotic. Antipsychotic medications, including clozapine, require long-term adherence to prevent symptom relapse. Clients may feel better and stop taking their medication, increasing the risk of relapse into psychosis, so adherence education is crucial.

A. Diagnosis typically occurs after 40 years of age. B. The need for resources increases as the disease progresses into adulthood. C. Co-occurring mental health illnesses are rarely diagnosed. D. Life expectancy is greater than the general population.

Correct Answer is B

Explanation

A. Diagnosis typically occurs after 40 years of age. This statement is inaccurate; schizophrenia most commonly manifests in late adolescence to early adulthood, typically between the ages of 18 and 30.
B. The need for resources increases as the disease progresses into adulthood. As schizophrenia progresses, individuals often require additional support and resources, including therapy, medication management, and community services, to manage symptoms and improve functioning.
C. Co-occurring mental health illnesses are rarely diagnosed. This statement is not accurate; individuals with schizophrenia often have co-occurring mental health disorders, such as depression, anxiety, or substance use disorders, which can complicate treatment and management.
D. Life expectancy is greater than the general population. This statement is incorrect; individuals with schizophrenia generally have a reduced life expectancy compared to the general population, often due to factors such as higher rates of comorbid conditions, lifestyle factors, and suicide risk.

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A nurse in an outpatient behavioral facility is caring for a client who has a substance use disorder and a history of violence. Which of the following client statements should the nurse identify as being consistent with adverse childhood experiences (ACEs)? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?

Correct Answer is D

Explanation

A nurse is assisting in teaching a client who has been newly diagnosed with schizophrenia. Which of the following information should the nurse include?

Correct Answer is B

Explanation

A nurse is caring for a client who has psychosis and is prescribed chlorpromazine. The client reports feelings of restlessness. The nurse should identify that the client should be monitored for which of the following adverse effects?

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A nurse is caring for a client who has schizophrenia. Which of the following findings indicates that the client is in the prodromal phase?

A newly licensed nurse asks the charge nurse about functional neurological symptom disorder. Which of the following responses should the charge nurse make?

A nurse is reviewing the DSM-5 diagnostic criteria for schizophrenia. Which of the following symptoms must be present for a client to be diagnosed with schizophrenia? (Select All that Apply.)

A nurse is assisting with an in-service to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?

A nurse is caring for a client who has binge-eating disorder. Which of the following actions should the nurse plan to take during the termination phase of the nurse-client relationship?