A nurse is assessing a client during a follow-up visit at a behavioral health clinic. The client reports that they have not been taking the prescribed antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?

Discuss the provider's goals for the client's care.

Ask the client if the medication is causing adverse effects.

Request the provider prescribe a second antipsychotic medication to the client.

Tell the client they will be admitted to an inpatient care facility if they do not take the medication.

Answer and Explanation

The Correct Answer is B

A.   Discussing the provider's goals for the client's care may be helpful but does not directly address the client's reported non-adherence or potential barriers to medication compliance.
B.   Asking the client if the medication is causing adverse effects allows the nurse to assess for potential reasons why the client is not taking the medication regularly, such as side effects or discomfort, and address those concerns.
C.   Requesting a second antipsychotic medication without addressing the client's reasons for non- adherence may not effectively improve medication compliance and could increase the risk of adverse effects or drug interactions.
D.   Threatening the client with admission to an inpatient care facility is coercive and may not address the underlying reasons for non-adherence, potentially worsening the therapeutic
relationship and trust.

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Correct Answer is D

Explanation

A. Hepatitis B infection is not a contraindication for prescribing bupropion for smoking cessation.
B. Hypothyroidism is not a contraindication for prescribing bupropion for smoking cessation.

C. Knee arthroplasty 1 month ago does not contraindicate the use of bupropion for smoking cessation.
D. Bupropion is contraindicated in individuals with a recent head injury due to the increased risk of seizures associated with this medication. Therefore, the nurse should report this finding to the provider.

A. Recommend that the client try to sleep during the day when it is quieter. B. Keep conversations and activities to a minimum during the nighttime. C. Turn on the client's television at night to cover up environmental noises. D. Tell the client that they will eventually get used to people talking at night.

Correct Answer is B

Explanation

A. Encouraging the client to sleep during the day disrupts the natural sleep-wake cycle and may not address the underlying issue of noise disturbances at night.

B. Minimizing conversations and activities during the nighttime promotes a quieter environment conducive to sleep, addressing the client's concern directly.
C. Using a television to cover up noise may not address the root cause of the client's sleep disturbance and could interfere with sleep hygiene.
D. Dismissing the client's concern and suggesting they will eventually get used to the noise does not address the immediate issue or offer practical solutions.

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A nurse is assessing a client during a follow-up visit at a behavioral health clinic. The client reports that they have not been taking the prescribed antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client's history should the nurse report to the provider?

Correct Answer is D

Explanation

A nurse is caring for a client who is receiving inpatient treatment for an eating disorder. The client states, "I just can't sleep soundly here because It's too noisy." Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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