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?

The importance of routine red blood cell count laboratory work when taking an antipsychotic

The importance of limiting fluid intake when taking an antipsychotic

The importance of avoiding foods that contain tyramine when taking an antipsychotic

The importance of medication adherence after the resolution of acute psychosis when taking an antipsychotic

Answer and Explanation

The Correct Answer is D

A. One of the most significant potential side effects of clozapine is agranulocytosis, a severe decrease in the number of white blood cells not red blood cells, particularly neutrophils.

B. Limiting fluid intake is not typically a specific concern associated with clozapine.

C. Clozapine is not known to have significant interactions with tyramine-rich foods

D. Medication adherence is a key component in clients on clozapine to prevent acute psychotic episodes.

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Correct Answer is C

Explanation

C. Borderline personality disorder often requires ongoing management and support from mental health professionals. It's essential for the nurse to encourage the client to continue receiving appropriate care even after discharge to ensure continued support and monitoring of their condition.

A. Managing a complex mental health condition like borderline personality disorder typically requires specialized care from a mental health provider, such as a psychiatrist or psychologist. B This response focuses on praising the client's progress during their time on the mental health unit but does not address the importance of follow-up care or the need to involve a mental health provider in managing borderline personality disorder.

D. This response may downplay the complexity of the client's condition and the need for specialized care tailored to their mental health needs.

A. Adverse effects of treatment B. Medication adherence C. Exposure to environmental allergens D. Immune system

Correct Answer is D

Explanation

D. The immune system plays a crucial role in the body's response to infections and inflammation. Research suggests that dysregulation of the immune system, including chronic inflammation and autoimmune disorders, may contribute to the development or exacerbation of certain mental health disorders.

A. Adverse effects of treatment for mental health disorders can impact the client's well-being and quality of life but they are not typically considered risk factors for developing mental illness. B Medication adherence refers to the extent to which a client follows the prescribed treatment regimen. Poor adherence does not increase the risk for mental illness

C. Allergic reactions primarily affect the respiratory or immune systems and are not typically linked to mental health outcomes.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a mental health unit is caring for a client who has a new diagnosis of borderline personality disorder. The client states "I will just see my regular doctor at my annual checkup after I am discharged." Which of the following responses should the nurse make?

Correct Answer is C

Explanation

The nurse is collecting the health history of a client and determines that the client has risk factors for developing mental illness. Which of the following should the nurse identify as a possible contributing factor in the development of a mental health disorder?

Correct Answer is D

Explanation

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