A nurse is caring for a client who has schizophrenia.
The client's employer calls to discuss the client's condition.
Which of the following is the appropriate nursing action?

Consult the client.

Consult the client's family.

Contact the provider.

Contact the facility legal department.

Answer and Explanation

The Correct Answer is A

The correct answer is Choice A: Consult the client.

Choice A rationale:

Consulting the client is the most appropriate action to respect their privacy and autonomy. It ensures that the client has control over their health information and consents to any disclosures.

Choice B rationale:

Consulting the client's family is not appropriate without the client's explicit permission, as it may violate the client's right to confidentiality.

Choice C rationale:

Contacting the provider may be helpful for clinical guidance, but they cannot disclose the client's health information without the client's consent.

Choice D rationale:

Contacting the facility legal department would be necessary in specific legal situations, but the first step should be to involve the client in the decision-making process to respect their rights.

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Correct Answer is B

Explanation

Choice A rationale:

Hypothyroidism is not a contraindication for aripiprazole therapy. Aripiprazole is primarily used to treat conditions like schizophrenia and bipolar disorder and does not directly affect thyroid function.

Choice B rationale:

Crohn's disease is a contraindication for aripiprazole therapy. Aripiprazole has been associated with an increased risk of gastrointestinal adverse effects, including nausea, vomiting, and constipation. In individuals with Crohn's disease, these symptoms may exacerbate the condition or lead to complications.

Choice C rationale:

Seizure disorder is not a contraindication for aripiprazole therapy. Aripiprazole has a relatively lower risk of causing seizures compared to some other antipsychotic medications. However, caution is still advised when using aripiprazole in individuals with a seizure disorder.

Choice D rationale:

Asthma is not a contraindication for aripiprazole therapy. Aripiprazole is not known to exacerbate asthma symptoms. It is important to monitor and manage any adverse effects in patients with asthma, but it is not a direct contraindication.

A. Expressing frustration regarding unit rules. B. Reacting to the nurse as though she were his mother. C. Refusing to participate in group activities. D. Talking negatively about other staff members.

Correct Answer is B

Explanation

Choice A rationale:

Expressing frustration regarding unit rules is a possible behavior, but it doesn't directly relate to transference. It may reflect the client's general frustration or non-compliance with the rules, but it doesn't necessarily involve the transfer of feelings from a past relationship.

Choice C rationale:

Refusing to participate in group activities can be a behavior related to a personality disorder, but it's not specifically indicative of transference. It may be more related to the client's avoidance or social difficulties.

Choice D rationale:

Talking negatively about other staff members is another behavior that may occur in individuals with personality disorders, but it doesn't directly demonstrate transference. It could be a manifestation of their interpersonal difficulties or conflicts with staff.

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A nurse is caring for a client who has schizophrenia. The client's employer calls to discuss the client's condition. Which of the following is the appropriate nursing action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who is to begin taking aripiprazole.The nurse should identify that which of the following findings is a contraindication for aripiprazole therapy?

Correct Answer is B

Explanation

A nurse is caring for a client who has a personality disorder and is using transference to cope.Which of the following behaviors should the nurse expect?

Correct Answer is B

Explanation

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A nurse is caring for a client who has schizophrenia.
The client's employer calls to discuss the client's condition.
Which of the following is the appropriate nursing action?