The nurse is involved in the care of a client with antisocial personality disorder. Which purpose does the nurse identify as a priority when participating in a periodic team meeting when caring for this client?

Team consistency is important to prevent manipulation by the client.

Updating treatment recommendations as the client improves.

Staff frustrations in caring for the client need to be processed.

Rotating team members need to be apprised of the care planned for the client.

Answer and Explanation

The Correct Answer is A

A. Team consistency is important to prevent manipulation by the client: Clients with antisocial personality disorder often attempt to exploit inconsistencies in staff responses. A united and consistent approach from all team members prevents splitting and manipulation.

B. Updating treatment recommendations as the client improves: While treatment plans should be reviewed regularly, updating recommendations is a secondary priority. Consistency in staff approach is more immediately important for maintaining boundaries and preventing disruptive behavior.

C. Staff frustrations in caring for the client need to be processed: Processing emotions among staff can help reduce burnout and improve coping. However, it does not directly impact the client’s care plan or prevent manipulation, making it less urgent than ensuring consistency.

D. Rotating team members need to be apprised of the care planned for the client: Informing new staff about the care plan is important, but without overall team consistency, manipulation risks remain high.

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Correct Answer is A

Explanation

A. Schedule a chest x-ray to evaluate for active pulmonary tuberculosis: A positive Mantoux test with induration ≥10 mm in a client without prior TB exposure indicates possible latent TB infection. A chest x-ray is necessary to rule out active disease before initiating treatment and to guide further management.

B. Instruct the client to begin a full course of antitubercular medications immediately: Starting treatment without confirming whether the infection is latent or active could be inappropriate and may lead to unnecessary drug exposure and side effects. Confirmation through imaging and possibly further testing is required first.

C. Repeat the Mantoux test in 3 months to confirm the result: Repeating the test is not necessary because an induration of 12 mm already meets the criteria for a positive result in most adults. Delaying further evaluation could postpone appropriate diagnosis and management.

D. Document the result as negative since the client has no symptoms: Absence of symptoms does not rule out latent tuberculosis. Documenting the result as negative would be inaccurate and could delay treatment or preventive measures, increasing the risk of future disease activation.

A. "I can get a supply of the medication for 60 days at a time" B. "I may have a fatal response if I go outside and develop a rash” C. "I need to have monthly cytokines tests for up to a year" D. "I should call the health care provider if I develop a sore throat and fever"

Correct Answer is D

Explanation

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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The nurse is involved in the care of a client with antisocial personality disorder. Which purpose does the nurse identify as a priority when participating in a periodic team meeting when caring for this client?

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Naxlex Comprehensive Predictor Exams

A client receives a positive Mantoux tuberculin skin test with an induration measuring 12 mm. The client is asymptomatic and has no history of prior tuberculosis (TB) exposure or vaccination. Which action should the nurse anticipate next?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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