A nurse is assessing a client during a follow-up at a health clinic. The client reports that they struggle to take antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?

Tell the client they will be admitted to an inpatient care facility if they do not take the medication.

Discuss the provider's goals for the client's care.

Ask the client if the medication is causing adverse effects.

Request the provider prescribe a second antipsychotic medication to the client.

Answer and Explanation

The Correct Answer is C

Choice A reason:
Telling the client that they will be admitted to an inpatient care facility if they do not take their medication can be perceived as a threat and may damage the therapeutic relationship. It is not an effective strategy for improving medication adherence, as it does not address the underlying reasons for the client's struggle with taking the medication.

Choice B reason:
Discussing the provider's goals for the client's care is important, but it does not directly address the issue of medication adherence. While understanding the treatment plan can be beneficial, it is more crucial to engage the client in a conversation about their experiences and concerns with the medication.

Choice C reason:
Asking the client if the medication is causing adverse effects is a direct approach to understanding potential barriers to medication adherence. Adverse effects can be a significant reason why clients may be reluctant to take their medication regularly. Addressing these concerns can lead to adjustments in the medication regimen that may improve adherence.

Choice D reason:
Requesting the provider to prescribe a second antipsychotic medication is not an appropriate first step without first understanding the reasons for non-adherence. Adding another medication could complicate the regimen and potentially lead to more adverse effects or interactions.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason:
Telling a client that they cannot refuse treatment because they were admitted involuntarily is incorrect. Even if a client is admitted involuntarily, they still have the right to refuse treatment unless they are deemed incompetent or a danger to themselves or others. It is essential to respect the client's autonomy and rights.

Choice B reason:
While it may be true that the client could feel better after ECT, this statement dismisses the client's current concerns and does not acknowledge their right to refuse treatment. It is important to address the client's feelings and provide support rather than making promises about the outcome.

Choice C reason:
This is the correct response because it respects the client's decision and autonomy. It also involves the provider, who can discuss the decision with the client, provide more information, or explore other options. It is a nurse's responsibility to communicate the client's decisions to the provider.

Choice D reason:
Administering medication to help the client relax without addressing their concerns about the treatment is not appropriate. It does not respect the client's right to refuse treatment and could be considered coercive.

A. Reduced frequency of seizures. B. Reduced frequency of panic attacks. C. Improvement in manifestations of depression. D. Decreased fear of heights.

Correct Answer is C

Explanation

Choice A reason:
Electroconvulsive therapy (ECT) is not typically used to reduce the frequency of seizures. In fact, ECT induces controlled seizures as part of its therapeutic process. Therefore, a reduction in seizure frequency is not an indicator of ECT's effectiveness.

Choice B reason:
While ECT can be used to treat various psychiatric conditions, it is most commonly and effectively used for severe depression. It is not primarily indicated for reducing the frequency of panic attacks. Therefore, a reduction in panic attacks is not a primary measure of ECT's effectiveness.

Choice C reason:
Improvement in manifestations of depression is a key indicator of ECT's effectiveness. ECT is often used when other treatments for major depressive disorder have failed. Patients typically show significant improvement in mood, energy levels, and overall functioning after a series of ECT treatments.

Choice D reason:
Decreased fear of heights, or acrophobia, is not a condition typically treated with ECT. Phobias are usually addressed through therapies such as cognitive-behavioral therapy (CBT) rather than ECT. Therefore, a decrease in the fear of heights is not an indicator of ECT's effectiveness.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing a client during a follow-up at a health clinic. The client reports that they struggle to take antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is scheduled for electroconvulsive treatment (ECT). The client states, "I no longer want to have the treatment." Which of the following statements would be an appropriate response from the nurse?

Correct Answer is C

Explanation

A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?

Correct Answer is C

Explanation

A nurse is caring for a client who is undergoing electroconvulsive therapy. Which of the following tasks should the nurse delegate to an assistive personnel?

A nurse in a long-term care facility is assessing a client who has dementia. Which of the following findings should the nurse identify as a risk for this client?

A nurse is caring for a client who has just received a terminal cancer diagnosis from their provider. Which of the following actions should the nurse take?

A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?

A nurse is developing a plan of care for a client who has paranoid personality disorder. Which of the following actions should the nurse include in the plan?

A nurse in a mental health facility is admitting a client. Exhibits A nurse is caring for a client who was admitted for alcohol use disorder. Which of the following findings require follow-up by the nurse? Select all that apply.

A nurse is caring for a client who is experiencing alcohol withdrawal. Exhibits A nurse is planning care for a client who has alcohol use disorder. For each potential provider’s prescription, specify if the potential prescription is anticipated or contraindicated for the client.

A home health nurse is visiting a client who is recovering from coronary artery bypass surgery and reports experiencing stress. The nurse should determine which of the following factors might interfere with the client's recovery?