A male client tells the nurse that he does not want to take the atypical antipsychotic drug olanzapine because of the side effects he experienced when he took the drug for a year. Which experience is most likely related to taking olanzapine?

Thoughts of wanting to hurt himself.

Frequent days with diarrhea.

Weight gain of 75 pounds (34 kg).

Altered liver function tests.

Answer and Explanation

The Correct Answer is C

A.   Thoughts of wanting to hurt himself might be associated with various mental health conditions or medications but aren't specifically linked to olanzapine.
B.   Diarrhea is a less common side effect of olanzapine and is not among the more frequently reported side effects.
C.   Weight gain is a well-known side effect of olanzapine, with substantial increases reported in some cases.
D.   Altered liver function tests are less commonly associated with olanzapine use compared to weight gain.

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Correct Answer is A

Explanation

A. This behavior can be seen as a regression aimed at reducing anxiety during a stressful time, which is a relatively common psychological response to stress or trauma.
B. While it may be a way for the client to cope, encouraging dependency might not necessarily be the best approach to fostering independence.
C. While independence is important, setting rigid limits might not address the underlying emotional needs during a period of distress.
D. Acknowledging and understanding the client's behavior as a coping mechanism within the grieving process can help the staff provide appropriate support and care.

A. "The snakes on the wall are going to eat me." B. "The voices are telling me to kill the next person I see." C. "The nurse at night is trying to poison me with pills. D. "The fire is burning my skin away right now."

Correct Answer is C

Explanation

A. "The snakes on the wall are going to eat me" indicates a hallucination, specifically a visual hallucination. Hallucinations involve perceiving something that is not present, such as seeing or hearing things that others do not. This statement does not confirm delusions.

B. Hearing voices instructing harm doesn't confirm delusions but auditory hallucinations.

C. "The nurse at night is trying to poison me with pills" reflects a delusion, specifically a persecutory delusion. Delusions are false, fixed beliefs that are not based in reality and are resistant to reasoning or contradictory evidence. This statement indicates a belief that someone is attempting harm, which is characteristic of delusional thinking.

D. Believing fire is burning the skin could suggest a hallucination involving sensations, not necessarily a delusion.

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A male client tells the nurse that he does not want to take the atypical antipsychotic drug olanzapine because of the side effects he experienced when he took the drug for a year. Which experience is most likely related to taking olanzapine?

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Correct Answer is A

Explanation

The nurse documents that a male client with schizophrenia is delusional. Which statement by the client confirms this assessment?

Correct Answer is C

Explanation

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