A nurse is caring for several clients who have mental health disorders at an assisted-living facility. Which of the following clients should the nurse determine needs to be seen by a provider immediately?

A client who is taking thioridazine and has daytime drowsiness

A client who is taking olanzapine and experiences dizziness when first standing up

A client who is taking clozapine, and has flu-like manifestations

A client who is taking chlorpromazine and reports vomiting twice

Answer and Explanation

The Correct Answer is C

A. Thioridazine and drowsiness
A common side effect, not urgent.

B. Olanzapine and dizziness
Orthostatic hypotension-monitor, but not emergent.

C. Clozapine and flu-like symptoms
Could indicate agranulocytosis, a life-threatening condition-requires immediate evaluation.

D. Chlorpromazine and vomiting
Requires monitoring, but not as urgent as option C.

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Correct Answer is B

Explanation

A. "You would like more information..."
This doesn't address the emotional content of the client’s statement.

B. "You feel like you have no remaining options..."
This is therapeutic. It reflects the client’s feelings and encourages expression.

C. "If you do not like your medications..."
Redirects the conversation instead of acknowledging hopelessness.

D. "Would you like to speak to a therapist..."
While appropriate later, the immediate need is empathetic listening and validation.

A. "When my baby is born, they can receive Medicaid as well." B. "Medicaid benefits are the same for everyone in the United States." C. "My income level does not impact whether or not I can receive Medicaid." D. "Medicaid is a federal-run health insurance program."

Correct Answer is A

Explanation

A. "When my baby is born, they can receive Medicaid as well."
Medicaid covers pregnant individuals and their infants for a period after birth, depending on income and state policy.

B. "Medicaid benefits are the same for everyone in the United States."
Incorrect. Medicaid is administered at the state level, and benefits vary.

C. "My income level does not impact whether or not I can receive Medicaid."
Medicaid eligibility is income-based.

D. "Medicaid is a federal-run health insurance program."
Medicaid is funded by both federal and state governments, but administered by individual states.

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A nurse is caring for several clients who have mental health disorders at an assisted-living facility. Which of the following clients should the nurse determine needs to be seen by a provider immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is interviewing a client who states, "I am at a total loss and don't know what to do anymore. I feel hopeless." Which of the following responses should the nurse make?

Correct Answer is B

Explanation

A nurse is providing education about Medicaid to a client who is pregnant and cannot pay for medical insurance. The nurse should recognize that which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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