A client taking Risperdal complains of dry mouth and constipation. The nurse understands that these symptoms are caused by:

Hypertensive crisis.

Increased prolactin levels in the bloodstream.

Central nervous system stimulation.

Anticholinergic reactions.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Hypertensive crisis is a severe increase in blood pressure that can lead to a stroke. The symptoms of a hypertensive crisis can include a severe headache, nausea, and vomiting, but not typically dry mouth and constipation.
Choice B rationale
Increased prolactin levels in the bloodstream can cause symptoms such as breast enlargement, production of breast milk, and menstrual changes, but not typically dry mouth and constipation.
Choice C rationale
Central nervous system stimulation can cause symptoms such as restlessness, insomnia, and tremors, but not typically dry mouth and constipation.
Choice D rationale
Anticholinergic reactions can cause a wide range of symptoms, including dry mouth and constipation. These are common side effects of many medications, including Risperdal.

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Correct Answer is C

Explanation

The correct answer is Choice C.

A ‘favorable’ range of functioning on the Global Assessment of Function scale is 91 to 10010. This range indicates superior functioning in a wide range of activities.

A. Confusion. B. Dementia. C. Delirium. D. Aggression.

Correct Answer is B

Explanation

Choice A rationale
Confusion can cause a temporary state of disorientation and difficulty with concentration and memory, but it doesn’t typically result in a loss of multiple abilities such as short- and long- term memory, language, and the ability to understand.
Choice B rationale
Dementia is a progressive condition that affects memory, thinking skills, and the ability to perform everyday tasks. It can cause loss of multiple abilities such as short- and long-term memory, language, and the ability to understand.
Choice C rationale
Delirium is a sudden and severe confusion that comes on quickly and can cause changes in memory, thinking, attention, and perception. However, it is usually temporary and reversible, unlike the progressive loss of abilities seen in dementia.
Choice D rationale
Aggression is a type of behavior characterized by hostile, forceful, or destructive actions. It does not involve a loss of multiple abilities such as short- and long-term memory, language, and the ability to understand.

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A client taking Risperdal complains of dry mouth and constipation. The nurse understands that these symptoms are caused by:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is using the Global Assessment of Function to assess her patient. Which is a ‘favorable’ range of functioning?

Correct Answer is C

Explanation

The patient is experiencing loss of multiple abilities such as short- and long-term memory, language, and the ability to understand. What condition does the patient have?

Correct Answer is B

Explanation

During the assessment phase of the nursing process, data collection takes place. What methods does the nurse employ to gather data? (Select all that apply.)

A client who just went through an upsetting divorce is threatening to commit suicide with a handgun. The client is voluntarily admitted to the psychiatric unit. Which of the following nursing diagnoses has the highest priority?

A client reports to the nurse that her elderly mother has become increasingly angry and responds inappropriately to conversations within the past few months. She notes that her mother does not respond when the mother’s back is turned. What is the best intervention for the nurse?

What are the goals of therapeutic communication?

In a medical-surgical unit, the nurse is monitoring several patients. Which patient does the nurse identify as being at the highest risk for developing delirium?