A client with schizophrenia is receiving teaching from the nurse about their prescribed medication, Chlorpromazine. Which of the following client statements indicates an understanding of the teaching?
"I am less likely to get an infection while taking this medication."
"Weight loss is a sign that my medication dose is too low."
"I will contact my healthcare provider if I have difficulty urinating."
"I will stop taking this medication once my hallucinations go away."
The Correct Answer is C
a. "I am less likely to get an infection while taking this medication." This statement is incorrect. Chlorpromazine can actually increase the risk of infection due to potential side effects like agranulocytosis (a drop in white blood cell count).
b. "Weight loss is a sign that my medication dose is too low." This statement is incorrect. Chlorpromazine typically causes weight gain rather than weight loss.
c. "I will contact my healthcare provider if I have difficulty urinating." This statement indicates an understanding of one of the potential side effects of chlorpromazine, which can cause urinary retention due to its anticholinergic properties.
d. "I will stop taking this medication once my hallucinations go away." This statement is incorrect. Discontinuing antipsychotic medication without a healthcare provider's guidance can lead to a relapse of symptoms.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. "Focus on the feelings generated by the hallucinations and present reality." This approach validates the child's experience and feelings while gently orienting them to reality, which is a therapeutic communication technique.
b. "Ignore what they are saying, while attempting to discover the underlying cause." Ignoring the child’s statements can make them feel dismissed and could increase their distress. It is important to address their experience directly and compassionately.
c. "Present objective evidence that the voices are not real." Presenting objective evidence may not be effective as the child’s belief in the voices can be very strong, and this approach may lead to further agitation.
d. "Tell them to stop discussing the voices." This approach is dismissive and does not help the child manage their symptoms or feel understood. It is important to engage with the child’s experience constructively.
Correct Answer is D
Explanation
a. Aphasia: Aphasia is a language disorder that affects a person's ability to communicate. It does not involve the creation of false memories or stories.
b. Delirium: Delirium is an acute, often sudden change in mental status that can cause confusion and impaired attention, but it is not characterized by the fabrication of detailed stories.
c. Apraxia: Apraxia is a motor disorder where a person has difficulty with the motor planning to perform tasks or movements. It does not involve creating false stories.
d. Confabulation: Confabulation involves the creation of false memories or stories without the intention to deceive. This is common in Alzheimer's disease as the brain attempts to fill gaps in memory.
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