A nurse cares for four patients diagnosed with schizophrenia who are receiving antipsychotic medication. Which patient will receive the nurse's priority attention? The patient
a. with diaphoresis and a temperature of 104° F
b. who reports feelings of neck and shoulder stiffness
c. who reports auditory hallucinations of church bells clanging loudly
d. who chants, "I am the messiah, delivered to earth from the heavens above"
A
These findings indicate NMS, a serious adverse reaction to antipsychotic medication. The other findings may be significant, but are a lesser priority.
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The caregiver of a client who is started on antipsychotic drug therapy asks the nurse when the client's symptoms will improve. Which response by the nurse would be most appropriate?
A) "You should notice an improvement in the next day or two." B) "It might take about 6 weeks or so before the drug is most effective." C) "There's no way to tell but usually it takes about a week." D) "Look for movements of his face, mouth, or jaw and that's the sign."
Patient education regarding prescribed medication includes:
1. Instructions written at the high school reading level 2. Discussion of expected adverse drug reactions 3. How to store leftover medication such as antibiotics 4. Verbal instructions always in English
An angry client on an inpatient unit approaches a nurse, stating, "Someone took my lunch! People need to respect others, and you need to do something about this now!" The nurse's response should be guided by which basic assumption of milieu therapy?
A. Conflict should be avoided at all costs on inpatient psychiatric units. B. Conflict should be resolved by the nursing staff. C. Every interaction is an opportunity for therapeutic intervention. D. Conflict resolution should be addressed only during group therapy.
Why might the school nurse want to examine students' academic achievement?
a. Academic failure is a risk factor for adolescent drug use. b. Some teachers may need the nurse's help to be effective in health education. c. Students are easier to teach if divided into groups by academic ability. d. The nurse may want to discuss the failure with the student's family and friends.