QUESTION 11 A client who has been taking clozapine for the past two months reports sudden onset of sore throat, fever, and malaise. Which data is

QUESTION 11

A client who has been taking clozapine for the past two months reports sudden onset of sore throat, fever, and malaise. Which data is most concerning to the RN?

               Temperature of 101° F

               White blood count of 3,000/mm3

               Hematocrit of 46%

               Pulse of 110

QUESTION 12

A hospitalized adolescent who was born anatomically male has the self-perception of being female Which of the following actions by the RN is most appropriate for this client?

 a.          Arrange for an Endocrine consultation.

 b.          Arrange for the Pastoral Care Department to visit.

c.            Place the client with a female roommate.

d.           Refer to the client using female pronouns.

QUESTION 13

Which nursing intervention is appropriate for a patient with the nursing diagnosis Impaired memory after returning from a military deployment where a head injury was sustained?

 a.          Report any noticeable cognitive changes to health care provider.

 b.          Assess for generalized twitching of extremities.

 c.           Teach about ways to improve attention span.

 d.          Assist with confusion when trying to formulate sentences.

QUESTION 14

An adult patient with no prior behavioral health history was involuntarily admitted to the mental health unit with a diagnosis of Bipolar Mania after the patient's brother noticed recent episodes of wild spending sprees, shoplifting, and confrontations with authority figures. When the brother inquires as to what caused the problem, which is the appropriate response by the RN?

 a.          "The disorder is hereditary and, therefore, twins are also at risk."

 b.          "Both biological and psychosocial factors are believed to be involved."

 c.           "It is frequently triggered by excessive alcohol use."

 d.          "The disorder is characterized by brain chemistry disturbances."

QUESTION 15

When educating a client about ethnic and cultural factors that predispose a person to alcohol addiction, which of the following will the RN include?

a.           Native-American heritage

b.           Japanese heritage

c.            Italian heritage

d.           French heritage