A nurse is caring for an adolescent client who has a history of depression and suicidal ideation. Which of the following client statements should the nurse identify as requiring further intervention?

"I have not used drugs in 6 weeks."

"I have been participating in my local YMCA after-school dance program again."

"I don't have anyone I can talk to about my problems."

"I think that I missed two math tutoring classes last week, but I can still catch up."

Answer and Explanation

The Correct Answer is C

C. This statement suggests that the adolescent client lacks a supportive network or resources to discuss their problems, which can be concerning given their history of depression and suicidal ideation. It indicates a potential lack of social support, which is crucial for individuals struggling with mental health issues.

A. This statement indicates a positive behavior change, as the client has refrained from using drugs for a significant period.

B. Engaging in recreational activities and social interactions, such as participating in a dance program, can be beneficial for mental health and well-being.

D. This statement suggests that the client may be experiencing academic difficulties or stress related to missing classes. While missing classes can be concerning, the client's acknowledgment of the situation and intention to catch up may indicate a proactive approach to addressing academic challenges.

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Correct Answer is D

Explanation

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.

A. Hallucinations and delusions B. Nausea and vomiting C. Seizures and tremors D. Uncontrolled movements around the mouth

Correct Answer is D

Explanation

D. Tardive dyskinesia (TD) is a side effect associated with long-term use of antipsychotic medications, particularly first-generation or typical antipsychotics. It is characterized by involuntary, repetitive movements of the face, tongue, lips, and sometimes extremities.

A. These are symptoms of psychotic disorders such as schizophrenia and are often the target symptoms for which antipsychotic medications are prescribed. However, tardive dyskinesia is a distinct adverse effect of antipsychotic use

B. Nausea and vomiting are common side effects of many medications, including antipsychotics, particularly during the initial stages of treatment. However, they are not typically associated with tardive dyskinesia.

C. Seizures and tremors are potential adverse effects of some antipsychotic medications, particularly atypical antipsychotics. However, they are not characteristic of tardive dyskinesia

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A nurse is caring for an adolescent client who has a history of depression and suicidal ideation. Which of the following client statements should the nurse identify as requiring further intervention?

Nursing Test Bank

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 caring for a client who has a serious mental illness and has developed tardive dyskinesia from anti-psychotic medication use. Which of the following adverse effects from anti- psychotic medication use would be expected for the client?

Correct Answer is D

Explanation

A nurse is caring for a client who is inquiring about the use of herbal remedies in treating manifestations of mental illness. Which of the following topics should the nurse prepare to discuss with the client?

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A nurse is caring for a client who is diagnosed with schizophrenia. Which of the following manifestations should the nurse identify as a negative symptom?

A nurse is caring for a client who has substance use disorder and is experiencing acute toxicity to sedatives, but has no history of schizophrenia spectrum disorders. Which of the following manifestations should the nurse expect the client to experience?

A nurse is providing discharge teaching to a client who has borderline personality disorder. The client reports being a single parent caring for two toddlers. Which of the following actions should the nurse take?

A nurse is assessing a 10-year-old child who has an autism spectrum disorder. Which of the following findings are expected?

A nurse is caring for a client who was admitted for alcohol detoxification. Which of the following findings should the nurse expect to observe that indicate the client is experiencing alcohol withdrawal?

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?