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 B

Explanation

A reason: "ECT is contraindicated in clients who have psychotic symptoms." ECT is not contraindicated in clients with psychotic symptoms. In fact, ECT can be an effective treatment for certain types of severe mental illnesses, including those with psychotic features, particularly when other treatments have failed.

B reason: "ECT is delivered through electrodes attached to the head." This statement accurately describes a key aspect of the ECT procedure. Electrodes are placed on the client's scalp to deliver electrical impulses, which induce a brief seizure intended to alleviate symptoms of major depressive disorder.

C reason: "ECT cannot be administered to clients who have suicidal ideation." ECT can be administered to clients with suicidal ideation and is sometimes used when rapid improvement in mood and reduction of suicidal thoughts are needed. It can be an effective treatment option in such cases.

D reason: "ECT is conducted under regional anesthesia." ECT is actually conducted under general anesthesia, not regional anesthesia. General anesthesia ensures the client is unconscious and does not feel pain during the procedure.

A. Spending equal time with clients regardless of their insurance status. B. Explaining possible adverse effects to clients receiving new prescriptions. C. Respecting the decision of clients to refuse to participate in group therapy. D. Attending an educational conference on identifying clients at risk for suicide.

Correct Answer is C

Explanation

A reason: Spending equal time with clients regardless of their insurance status. This action is an example of justice, which involves providing fair and equal treatment to all clients.

B reason: Explaining possible adverse effects to clients receiving new prescriptions. This action is an example of veracity, which involves being honest and providing accurate information to clients.

C reason: Respecting the decision of clients to refuse to participate in group therapy. This action exemplifies fidelity, which involves being faithful to commitments and respecting the client's autonomy and decisions, even when they choose to refuse treatment or participation.

D reason: Attending an educational conference on identifying clients at risk for suicide. This action demonstrates a commitment to professional development and competence, but it does not specifically exemplify the ethical concept of fidelity in client care.

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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 is preparing to teach a client who has major depressive disorder and is scheduled to undergo electroconvulsive therapy (ECT). Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

A charge nurse in a community mental health clinic is discussing ethical concepts of client care with a newly licensed nurse. The charge nurse should use which of the following situations as an example of fidelity?

Correct Answer is C

Explanation

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A nurse is caring for a client who has undergone electroconvulsive therapy (ECT). The nurse should monitor the client for which of the following adverse effects of ECT?

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