A nurse is reinforcing teaching about a new prescription for haloperidol with a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?

"The medication may cause ringing in my ears."

"The medication may cause urinary incontinence."

"I may be more sensitive to the sun while taking this medication."

"I may experience a metallic taste while taking this medication."

Answer and Explanation

The Correct Answer is C

A. "The medication may cause ringing in my ears.": Ringing in the ears (tinnitus) is not a common side effect of haloperidol. This statement does not indicate understanding of the medication’s typical side effects.
B. "The medication may cause urinary incontinence.": Urinary incontinence is not a common side effect of haloperidol. This statement is not accurate regarding the medication's effects.
C. "I may be more sensitive to the sun while taking this medication.": This statement indicates understanding, as haloperidol can increase sensitivity to sunlight, making clients more susceptible to sunburn.
D. "I may experience a metallic taste while taking this medication.": A metallic taste is not a common side effect of haloperidol. This statement does not reflect the typical effects of the medication.

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Correct Answer is D

Explanation

A. Involves respiratory therapy for altered breathing from severe anxiety levels: This behavior demonstrates collaboration with other healthcare professionals but does not directly relate to a team approach for managing mobility issues.
B. Delegates assessment of lung sounds to nursing assistive personnel: Delegation of tasks such as assessing lung sounds is a nursing responsibility but does not involve the broader team approach necessary for comprehensive care.
C. Becomes solely responsible for modifying activities of daily living: Handling all aspects of a patient's care individually does not reflect a team approach, which involves collaborating with various specialists.
D. Consults physical therapy for strengthening exercises in the extremities: This behavior exemplifies a team approach by involving physical therapy specialists to address mobility issues. It reflects collaboration with other disciplines to provide comprehensive care.

A. The client will teach back information about safe crutch walking on day 1. B. The client will demonstrate safe crutch walking. C. The client will not lean on the crutches to support their body weight. D. The client will ambulate 5 feet in one day. E. The client will walk 10 feet by day 2. F. The client will walk 20 feet by day 3. G. The client will explain 4 principles of crutch safety. H. The client will explain how to keep crutches in safe condition.

Correct Answer is ["A","D","E","F"]

Explanation

A. The client will teach back information about safe crutch walking on day 1: This goal includes a specific time frame ("on day 1") which makes it a timed component. It establishes when the client is expected to demonstrate understanding, aligning with the SMART criteria for setting time-specific goals.

B. The client will demonstrate safe crutch walking: While this goal describes a desired outcome, it does not include a time frame, so it lacks the timing component needed for SMART criteria.

C. The client will not lean on the crutches to support their body weight: This goal focuses on the behavior change but does not specify when this should be achieved, missing the timed element of SMART goals.

D. The client will ambulate 5 feet in one day: This goal has a specific time frame ("in one day"), indicating when the client should achieve the goal, which is a critical aspect of SMART outcomes.

E. The client will walk 10 feet by day 2: This goal includes a specific time frame ("by day 2"), providing a clear deadline for achieving the goal, which is essential for SMART objectives.

F. The client will walk 20 feet by day 3: This goal includes a specific time frame ("by day 3"), which provides a deadline for reaching the goal, meeting the criteria for SMART goals.

G. The client will explain 4 principles of crutch safety: This goal describes an outcome but does not include a time frame, so it lacks the timed aspect necessary for SMART goals.

H. The client will explain how to keep crutches in safe condition: This goal focuses on an outcome without specifying a deadline, thus missing the timed component required for SMART goal setting.

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A nurse is reinforcing teaching about a new prescription for haloperidol with a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which behavior indicates the nurse is using a team approach when caring for a patient who is experiencing alterations in mobility?

Correct Answer is D

Explanation

Correct Answer is ["A","D","E","F"]

Explanation

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