Joniief is teaching her patient about the importance of adherence to antipsychotic medication. Which is the most important point she should convey?

Increased physical activity negates the need for medication.

Antipsychotics cure mental illness.

Taking medication at bedtime always prevents side effects.

Skipping doses can lead to relapse of symptoms.

Answer and Explanation

The Correct Answer is D

Choice A reason: Physical activity is beneficial for overall health and can support mental well-being by reducing stress and improving mood. However, it does not replace the need for antipsychotic medication, which is specifically designed to manage symptoms of serious mental health conditions like schizophrenia or bipolar disorder by targeting neurotransmitter imbalances.

Choice B reason: Antipsychotics do not cure mental illnesses. They are effective in managing symptoms, such as hallucinations or delusions, by stabilizing brain chemistry, but they do not address the underlying cause of the condition or eliminate it entirely. Most mental illnesses require long-term management, not a cure.

Choice C reason: Taking antipsychotics at bedtime may help reduce certain side effects, like drowsiness, for some patients. However, it does not universally prevent all side effects, as these medications can cause a range of issues, including weight gain, movement disorders, or metabolic changes, regardless of the time of administration.

Choice D reason: Adherence to antipsychotic medication is critical because skipping doses can disrupt the therapeutic levels of the drug in the body, leading to a relapse of symptoms such as psychosis, mania, or severe mood disturbances. Consistent use helps maintain stability and prevent worsening of the condition, making this the most important point to convey.

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Correct Answer is B

Explanation

Choice A reason:Placing a client in a seclusion room is not appropriate unless they pose an immediate safety risk to themselves or others. Seclusion can increase agitation in a manic client and is not a standard room assignment for managing mania.

Choice B reason:A private room close to the nursing station allows for close monitoring of the client’s behavior, which is critical during the manic phase due to impulsivity and high energy. This setup ensures safety while providing a controlled environment without unnecessary isolation.

Choice C reason:A private room in a quiet location may reduce stimulation, which is beneficial, but it may limit the ability to closely monitor the client. Proximity to the nursing station is preferred to ensure rapid intervention if needed.

Choice D reason:A semi-private room with a roommate who has a similar diagnosis could lead to overstimulation or conflict, as two manic clients may exacerbate each other’s symptoms. A private room is more appropriate for managing mania.

A. A client who has a serum potassium of 3.3 mEq/L B. A client who has a hematocrit of 55% C. A client who has a WBC of 2,900 cells/mm³ D. A client who has a BUN of 22 mg/dL

Correct Answer is C

Explanation

Choice A reason: A serum potassium of 3.3 mEq/L is slightly low but does not require stopping clozapine therapy.

Choice B reason: A hematocrit of 55% is elevated but not a contraindication for clozapine use.

Choice C reason: A WBC of 2,900 cells/mm³ indicates severe leukopenia/agranulocytosis, a life-threatening adverse effect of clozapine, requiring immediate discontinuation.

Choice D reason: A BUN of 22 mg/dL is only mildly elevated and not directly related to clozapine risks.

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Joniief is teaching her patient about the importance of adherence to antipsychotic medication. Which is the most important point she should convey?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should plan to make which of the following room assignments for the client?

Correct Answer is B

Explanation

A nurse is reviewing abnormal laboratory values for four clients who have schizophrenia and take clozapine. For which of the following clients should the nurse withhold the medication and notify the provider immediately to have clozapine therapy discontinued?

Correct Answer is C

Explanation

Joniief is teaching her patient about the importance of adherence to antipsychotic medication. Which is the most important point she should convey?

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