The nurse is educating a client and family about strategies to minimize the side effects of antipsychotic drugs. Which will be included in the plan? Select all that apply.

Increase foods high in fiber.

Use sunscreen when outdoors.

Use laxatives as needed.

Develop an exercise program.

Take double the dose at the next scheduled time for missed doses.

Drink plenty of fruit juice.

Answer and Explanation

Correct Answer : B,D,F

Choice A reason: Increasing dietary fiber can help manage constipation, which is a common side effect of antipsychotic medications. The normal range for dietary fiber intake in adults is 25 to 30 grams per day from food, not supplements.

Choice B reason: Antipsychotic medications can increase photosensitivity, making the skin more susceptible to sunburn. Using sunscreen can help protect the skin when outdoors.

Choice C reason: While laxatives can be used to manage constipation, they should be used sparingly and only as needed to avoid dependence and potential electrolyte imbalances.

Choice D reason: Regular physical activity can help counteract weight gain, another potential side effect of antipsychotic medications. It's recommended to engage in at least 150 minutes of moderate-intensity exercise per week.

Choice E reason: Doubling the dose at the next scheduled time for missed doses is not recommended as it can lead to an overdose and exacerbate side effects.

Choice F reason: Drinking plenty of fluids, including fruit juice, can help prevent dehydration. However, it's important to monitor sugar intake from fruit juices due to the risk of weight gain.

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Correct Answer is ["A","D","E"]

Explanation

Choice A reason: Honoring commitments and punctuality are fundamental in building trust, especially with clients who may have trust issues due to paranoid personality disorder.

Choice B reason: Superficial social conversation may not be effective in fostering trust with a client who has paranoid personality disorder, as they may perceive it as insincere.

Choice C reason: Using humor can be misinterpreted and may not be appropriate when working with clients who have paranoid personality disorder, as they might suspect ulterior motives.

Choice D reason: Including the client in the development of their plan of care is crucial as it gives them a sense of control and involvement, which can foster trust.

Choice E reason: A formal businesslike approach can provide a sense of professionalism and boundaries, which can help in building trust with a client who has paranoid personality disorder.

A. Galactorrhea B. Gynecomastia C. Social withdrawal D. Apathy E. Anhedonia

Correct Answer is ["A","B"]

Explanation

Choice A reason: Elevated prolactin levels can lead to galactorrhea, which is the production of breast milk in individuals who are not breastfeeding.

Choice B reason: Gynecomastia, the enlargement of breast tissue in males, can also be a symptom associated with high prolactin levels.

Choice C reason: Social withdrawal is a symptom of Schizophrenia but is not directly related to elevated prolactin levels.

Choice D reason: Apathy can be a symptom of Schizophrenia but is not directly related to elevated prolactin levels.

Choice E reason: Anhedonia is a symptom of Schizophrenia but is not directly related to elevated prolactin levels.

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The nurse is educating a client and family about strategies to minimize the side effects of antipsychotic drugs. Which will be included in the plan? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is working to develop a therapeutic nurse-client relationship with a client diagnosed with paranoid personality disorder. Which techniques will the nurse use to foster trust? Select all that apply.

Correct Answer is ["A","D","E"]

Explanation

Laboratory results reveal elevated levels of prolactin in a client diagnosed with Schizophrenia. Which symptoms should the nurse expect to observe? Select all that apply.

Correct Answer is ["A","B"]

Explanation

The nurse has established a therapeutic relationship with a client. Which behaviors indicate that the client has entered into the identification phase of the nurse-client relationship?

The nurse is talking with a client diagnosed with histrionic personality disorder. Which statement made by the client does the nurse identify as correlating with this diagnosis?

A community health nurse is providing teaching to the family of a client who has primary dementia. Which of the following manifestations should the nurse tell the family to expect?

The nurse should frequently assess a client with a depressive disorder for lethality risk related to suicidal ideation. Which questions should the nurse include? (Select all that apply.)

When a community health nurse arrives at the home of a client diagnosed with Bulimia Nervosa and finds the client unconscious on the floor with a history of using laxatives, what is the most likely cause of the client's current state?

The nurse is planning the care of a client with bipolar disorder and addiction to heroin who is in a rehabilitation facility. Which outcomes will the nurse assign in the immediate phase after withdrawal symptoms are over? (Select all that apply.)