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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?.

"The medication may cause ringing in my ears.”.

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

"The medication may cause urinary incontinence.”.

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

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Ringing in the ears is not a common side effect of haloperidol.

Choice B rationale:

A metallic taste is not typically associated with haloperidol use.

Choice C rationale:

Urinary incontinence is not a known side effect of haloperidol.

Choice D rationale:

Haloperidol can cause photosensitivity, making the skin more sensitive to the sun.

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Correct Answer is B

Explanation

Choice A rationale:

Documenting the client’s behavior every hour is not necessary. The nurse should monitor and document the client’s condition, but this does not need to be done every hour.

Choice B rationale:

Providing range-of-motion exercises to all extremities every 2 hours is important when a client is in restraints. This helps to prevent muscle stiffness and maintain circulation.

Choice C rationale:

The provider does not need to renew the prescription every 24 hours. The use of restraints should be reassessed regularly, but a new prescription is not required unless the restraints are removed and then need to be reapplied.

Choice D rationale:

Keeping staff interactions with the client to a minimum is not recommended. The client should be monitored closely and regular interaction can help to calm the client and reduce the need for restraints.

A. Discussing childhood memories during group therapy B. Playing board games with other clients to enhance cognition. C. Making a unit calendar to promote orientation. D. Encouraging thought-stopping to block undesirable thoughts.

Correct Answer is A

Explanation

Choice A rationale:

Discussing childhood memories during group therapy is a key component of reminiscence therapy. It helps older adults recall past experiences and can improve their mood and cognitive function.

Choice B rationale:

Playing board games can enhance cognition, but it’s not specific to reminiscence therapy.

Choice C rationale:

Making a unit calendar promotes orientation, but it’s not part of reminiscence therapy.

Choice D rationale:

Encouraging thought-stopping can help block undesirable thoughts, but it’s not a strategy used in reminiscence therapy.

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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

A nurse is caring for a client who was placed in four-point restraints by the nursing staff following an episode of violent behavior. Which of the following actions should the nurse take?.

Correct Answer is B

Explanation

A nurse is assisting with reminiscence therapy for a group of older adult clients. Which of the following strategies should the nurse implement? .

Correct Answer is A

Explanation

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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?.