A nurse is teaching the guardian of a school-age child who has autism spectrum disorder about a new prescription for risperidone. Which of the following statements by the guardian demonstrates an understanding of the teaching?

This medication will help control my child's aggressive behavior.

This medication can cause my child to have low blood sugar.

This medication won't require my child to have routine lab tests.

This medication might need to be increased if my child has muscle spasms.

Answer and Explanation

The Correct Answer is A

A reason: This medication will help control my child's aggressive behavior. Risperidone is often prescribed to manage irritability and aggressive behaviors in children with autism spectrum disorder. This statement accurately reflects one of the medication's intended effects.

B reason: This medication can cause my child to have low blood sugar. Risperidone is not known to cause low blood sugar. It can, however, cause other metabolic side effects like weight gain and increased cholesterol levels.

C reason: This medication won't require my child to have routine lab tests. Routine lab tests are often necessary when taking risperidone to monitor for potential side effects, such as metabolic changes and blood glucose levels.

D reason: This medication might need to be increased if my child has muscle spasms. Muscle spasms or extrapyramidal symptoms may occur with risperidone, but they typically require management with adjunct medications rather than increasing the dosage.

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Correct Answer is A

Explanation

A reason: "I check my breasts for lumps every day, but I'm still really scared about getting breast cancer." This statement reflects excessive worry and fear, which are characteristic of an anxiety disorder. The client's behavior of frequent checking and ongoing fear is consistent with health-related anxiety.

B reason: "I have had several negative pregnancy tests, but I know they are all wrong." This statement suggests a possible delusion, which is more indicative of a psychotic disorder rather than an anxiety disorder.

C reason: "I double-check my pills because I think the pharmacist may be putting poison in them." This statement indicates paranoia, which is more characteristic of a psychotic disorder rather than an anxiety disorder.

D reason: "I feel really nervous when my partner goes to work, and I am home alone during the day." While this statement reflects anxiety, it is less specific to an anxiety disorder and could be associated with general situational stress. The first statement better captures the ongoing, irrational fear typical of anxiety disorders.

A. Flight of ideas. B. Word salad. C. Neologisms. D. Clang associations.

Correct Answer is B

Explanation

A reason: Flight of ideas. Flight of ideas is characterized by rapid shifts from one topic to another, often with a logical connection between the topics. The client's statement does not exhibit this pattern and is more disorganized.

B reason: Word salad. Word salad refers to a jumble of words and phrases that are incoherent and lack meaningful connections. The client's statement, "Walk tall broom short dog bell," fits this description, as it is a nonsensical combination of words.

C reason: Neologisms. Neologisms are newly created words that have meaning only to the person who uses them. The client's statement does not include any new or invented words, making this choice inappropriate.

D reason: Clang associations. Clang associations involve the use of words based on their sound rather than their meaning, often rhyming or having a similar beginning sound. The client's statement does not exhibit this pattern.

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A nurse is teaching the guardian of a school-age child who has autism spectrum disorder about a new prescription for risperidone. Which of the following statements by the guardian demonstrates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a mental health unit is leading a group therapy session for a group of clients. Which of the following statements should the nurse expect from a client who has an anxiety disorder?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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