A nurse is planning care for a client who has schizophrenia and reports auditory hallucinations

The client reports an inability to breathe easily.

Serious adverse effects, such as heart failure, myocarditis, and pulmonary embolism are associated with clozapine. When using the greatest risk framework, the nurse should identify that the greatest risk to the client is dyspnea, which is a manifestation of respiratory or cardiac alterations, and should be reported to the provider.

A nurse is admitting a client who has alcohol use disorder. Which of the following

statements by the client indicates that the client is using denial as a defense

mechanism?

- "I am able to go to work every day, so I don't have a problem."

A nurse in the emergency department is caring for a client who has alcohol toxicity and

is unresponsive. Which of the following interventions should the nurse take?

- Gather supplies for endotracheal intubation.

A nurse is caring for a client who is undergoing electroconvulsive therapy and will

receive succinylcholine. The client asks the nurse about this medication. Which of the

following responses should the nurse make?

- "Succinylcholine is given to reduce muscle movements during therapy."

A nurse is assessing a client who recently used cocaine. Which of the following findings

should the nurse expect?

- Hypertension

A nurse in an outpatient mental health setting is collecting a health history from a client

who is taking paroxetine for depression. The client reports to the nurse that he also

takes herbal supplements. The nurse should advise the client that which of the following

supplements interacts adversely with paroxetine?

- St. John's Wort

A nurse in a community health center is counseling a family of two parents and two

children. Which of the following statements by a family member indicates manipulative

behavior?

- "If you do my homework for me, I won't bother you for the rest of the day."

A nurse is planning care for a client who has schizophrenia and reports auditory

hallucinations. Which of the following interventions should the nurse include in the plan?

- Promote the use of music to compete with the client's auditory hallucinations.

A client who has paranoid schizophrenia is attending a treatment planning conference

with a family member. During the discussion of the medication adherence portion of the

plan, a nurse notices that the family member seems distracted. Which of the following

actions should the nurse take?

- Ask the family member if they have any thoughts or questions about the treatment

plan.

During a client's initial interview in a mental health inpatient setting, a nurse identifies

that the client is maintaining eye contact and leaning forward. Which of the following

assumptions should the nurse make based on the client's nonverbal behaviors?

- The client is interested in what the nurse is saying.

A nurse is caring for a client who has antisocial personality disorder and is receiving

behavioral therapy through operant conditioning. Which of the following client behaviors

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