A nurse is teaching the guardian of a school-age child who has autism spectrum disorder about a new prescription for risperidone. Which of the following statements by the guardian demonstrates an understanding of the teaching?

This medication will help control my child's aggressive behavior.

This medication can cause my child to have low blood sugar.

This medication won't require my child to have routine lab tests.

This medication might need to be increased if my child has muscle spasms.

Answer and Explanation

The Correct Answer is A

A reason: This medication will help control my child's aggressive behavior. Risperidone is often prescribed to manage irritability and aggressive behaviors in children with autism spectrum disorder. This statement accurately reflects one of the medication's intended effects.

B reason: This medication can cause my child to have low blood sugar. Risperidone is not known to cause low blood sugar. It can, however, cause other metabolic side effects like weight gain and increased cholesterol levels.

C reason: This medication won't require my child to have routine lab tests. Routine lab tests are often necessary when taking risperidone to monitor for potential side effects, such as metabolic changes and blood glucose levels.

D reason: This medication might need to be increased if my child has muscle spasms. Muscle spasms or extrapyramidal symptoms may occur with risperidone, but they typically require management with adjunct medications rather than increasing the dosage.

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Correct Answer is D

Explanation

A reason: A client who has new-onset depression. While assertiveness training can be beneficial for clients with depression, it may not be the most immediate need for someone with new-onset depression. Initial treatment should focus on managing depressive symptoms.

B reason: A client who is experiencing auditory hallucinations. Clients experiencing active psychotic symptoms, such as auditory hallucinations, may have difficulty engaging in and benefiting from assertiveness training. Stabilizing their symptoms is the priority.

C reason: A client who is experiencing mania. Clients in a manic state may struggle to focus and participate effectively in assertiveness training. Managing manic symptoms is the primary concern for these individuals.

D reason: A client who has somatic symptom disorder. Clients with somatic symptom disorder often struggle with expressing their needs and feelings assertively. Assertiveness training can help them communicate more effectively and reduce the psychological distress associated with their physical symptoms.

A. Use detailed explanations when providing education to the client. B. Maintain a stimulating environment for the client. C. Provide the client with a structured schedule of daily activities. D. Limit time for rituals to 30 minutes each day.

Correct Answer is C

Explanation

A reason: Use detailed explanations when providing education to the client. While providing clear and concise explanations is important, overly detailed explanations may overwhelm a client with OCD. Simplifying communication can be more effective in reducing anxiety.

B reason: Maintain a stimulating environment for the client. A stimulating environment can increase anxiety and trigger obsessive-compulsive behaviors in clients with OCD. A calm and structured environment is more beneficial.

C reason: Provide the client with a structured schedule of daily activities. A structured schedule helps clients with OCD manage their time and reduces the likelihood of engaging in compulsive behaviors. It provides a sense of predictability and control, which can reduce anxiety.

D reason: Limit time for rituals to 30 minutes each day. While limiting the time for rituals is a goal, setting such a specific limit might initially increase anxiety. A more gradual approach to reducing ritual time, integrated within a structured schedule, is often more effective.

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A nurse is teaching the guardian of a school-age child who has autism spectrum disorder about a new prescription for risperidone. Which of the following statements by the guardian demonstrates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a mental health unit is planning a group therapy session about assertiveness training. For which of the following clients should the nurse recommend the training?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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