The nurse is educating a client taking Clozaril/clozapine. Which statement made by the client indicates that the education is effective?

"I can get a supply of the medication for 60 days at a time"

"I may have a fatal response if I go outside and develop a rash”

"I need to have monthly cytokines tests for up to a year"

"I should call the health care provider if I develop a sore throat and fever"

Answer and Explanation

The Correct Answer is D

A. "I can get a supply of the medication for 60 days at a time": Clozapine requires frequent blood monitoring because of the risk of agranulocytosis. Clients are usually dispensed only a 1–2 week supply at a time depending on lab results.

B. "I may have a fatal response if I go outside and develop a rash": Clozapine is not associated with fatal skin reactions from sunlight exposure, its most critical concern is blood dyscrasias such as agranulocytosis.

C. "I need to have monthly cytokines tests for up to a year": Clients on clozapine require weekly complete blood counts (CBCs) for the first 6 months, then every 2 weeks for the next 6 months, and monthly only after a year if stable. Cytokine testing is not part of clozapine monitoring.

D. "I should call the health care provider if I develop a sore throat and fever": Sore throat and fever may signal agranulocytosis or severe neutropenia, which are potentially life-threatening side effects of clozapine. Prompt reporting ensures early intervention.

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Correct Answer is D

Explanation

A. The client requests assistance prior to attempting task independently: This shows continued reliance on others rather than growth in independent problem-solving. Dependent personality disorder is marked by difficulty making decisions without reassurance.

B. The client is being polite and agreeable to what the nurse says: Agreeableness reflects the client’s tendency to comply with others to avoid conflict or disapproval. While courteous behavior is positive, it does not demonstrate increased problem-solving skills or autonomy.

C. The client is controlling emotions when talking about traumatic incidents: Emotional regulation is important, but this outcome is more related to resilience and coping strategies. It does not specifically measure the client’s progress toward problem-solving independence.

D. The client is asking questions to gain information: This behavior shows initiative, curiosity, and willingness to make informed decisions. It reflects movement toward independent problem-solving by seeking knowledge rather than relying solely on others for guidance.

A. A pattern of being excessively preoccupied with orderliness, perfectionism, and control B. A history of manipulating others for personal gain and lack of empathy C. A persistent fear of criticism and rejection, leading to social withdrawal D. A pattern of unstable interpersonal relationships, self-image, and along with marked impulsivity

Correct Answer is D

Explanation

A. A pattern of being excessively preoccupied with orderliness, perfectionism, and control: This describes obsessive-compulsive personality disorder, not borderline personality disorder. While both involve maladaptive behaviors, BPD is characterized by instability rather than rigidity and control.

B. A history of manipulating others for personal gain and lack of empathy: These traits are consistent with antisocial personality disorder. Clients with BPD may display manipulation, but it is usually driven by fear of abandonment rather than exploitation for gain.

C. A persistent fear of criticism and rejection, leading to social withdrawal: This describes avoidant personality disorder, which is marked by social inhibition and sensitivity to rejection. In contrast, clients with BPD struggle with unstable relationships and emotional regulation.

D. A pattern of unstable interpersonal relationships, self-image, and along with marked impulsivity: Clients often demonstrate intense but unstable relationships, shifting self-image, impulsivity, and emotional dysregulation that can lead to risky behaviors and self-harm.

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The nurse is educating a client taking Clozaril/clozapine. Which statement made by the client indicates that the education is effective?

Nursing Test Bank

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Correct Answer is D

Explanation

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