A nurse is reinforcing teaching with a female client who is prescribed chlorpromazine.
Which of the following statements by the client indicates an understanding of the teaching?
“I will contact my provider if I have difficulty urinating.”
“I might notice an increased frequency of my menstrual cycle.”
“These medications might cause breast tissue to atrophy.”
“I am at a decreased risk for infection while taking these medications.”
The Correct Answer is A
Choice A rationale:
I will contact my provider if I have difficulty urinating.
Chlorpromazine has anticholinergic effects, which can cause urinary retention. This means the medication can interfere with the normal function of the bladder, making it difficult to empty completely. Difficulty urinating can lead to bladder distention, urinary tract infections, and even kidney damage if left untreated.
It's crucial for the client to recognize this potential side effect and seek medical attention promptly if it occurs. Early intervention can help prevent complications and ensure proper bladder management.
By understanding this potential side effect and the importance of seeking help, the client demonstrates a grasp of the teaching provided.
Choice B rationale:
I might notice an increased frequency of my menstrual cycle.
Chlorpromazine does not typically affect menstrual frequency. While some antipsychotic medications can cause menstrual irregularities, chlorpromazine is not commonly associated with this effect.
If a client experiences changes in their menstrual cycle while taking chlorpromazine, it's important to discuss it with their healthcare provider to rule out other potential causes.
Choice C rationale:
These medications might cause breast tissue to atrophy.
Chlorpromazine is not known to cause breast atrophy. Breast atrophy, or shrinkage of breast tissue, can occur due to hormonal changes, aging, or certain medical conditions.
However, it's not a common side effect of chlorpromazine.
Choice D rationale:
I am at a decreased risk for infection while taking these medications.
Chlorpromazine does not decrease the risk of infection. In fact, it may slightly increase the risk of infection due to its potential to suppress the immune system.
It's essential for clients taking chlorpromazine to practice good hygiene and infection prevention measures to protect themselves from illness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is D. Limit the client’s participation in group activities.
Explanation:
Clients with schizophrenia and paranoia may struggle in large group settings, where they could misinterpret interactions, feel threatened, or become agitated. Gradual integration into smaller, structured groups is typically recommended, rather than full exclusion, but limiting group participation can help reduce anxiety and prevent aggressive behaviors.
Why the other options are incorrect:
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A. Place the client in seclusion if she is experiencing visual hallucinations – Seclusion is only used if the client poses a danger to themselves or others. Experiencing hallucinations alone does not warrant seclusion.
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B. Minimize staff supervision of the client’s interactions with others – Increased supervision is necessary to ensure safety and monitor behavioral cues that may indicate escalating aggression.
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C. Directly tell the client that delusions are not real – Confronting delusions outright can lead to agitation. Instead, acknowledge the client’s feelings while gently redirecting toward reality-based interactions.
Correct Answer is A
Explanation
Choice A rationale:
Concrete thinking is a cognitive distortion characterized by a rigid and literal interpretation of events and experiences. Individuals with concrete thinking often struggle to grasp abstract concepts, metaphors, or multiple perspectives. They tend to view situations in black-and-white terms, with little room for nuance or ambiguity.
Statement A, "I am aware that each problem has only one solution," exemplifies concrete thinking in several ways:
Absolute language: The use of the phrase "each problem has only one solution" suggests a fixed and inflexible mindset. It implies that there is only one correct way to approach any given problem, disregarding the possibility of alternative solutions or perspectives.
Oversimplification: The statement reduces the complexity of problem-solving to a single, definitive answer. It fails to acknowledge the multifaceted nature of most problems, which often require creative thinking, flexibility, and consideration of multiple factors.
Lack of abstract
Intolerance of ambiguity: Concrete thinkers often experience discomfort with uncertainty or open-ended situations. They prefer clear-cut answers and definitive conclusions, which can lead to frustration and anxiety when faced with complex or ambiguous problems.
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