Answer to Question 1
D
A client who repeatedly disrobes despite verbal limit setting needs more structure. One-on-one
supervision may provide the necessary structure. Option A has not proven successful. Option B
serves no purpose. Option C will not make a difference to the client whose grasp of social behaviors
is impaired by the illness.
Answer to Question 2
ANS: D
Fluphenazine, a first-generation antipsychotic, exerts muscarinic blockade, resulting in dry mouth,
blurred vision, constipation, and urinary retention. Option A: Lithium therapy is more often
associated with fluid balance problems, including polydipsia, polyuria, and edema. Option B:
Risperidone therapy is more often associated with movement disorders, orthostatic hypotension, and
sedation. Option C: Buspirone is associated with anxiety reduction without major side effects.
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
Acute lymphocytic leukemia.
Nurse collaboration
This lithograph of the New York draft riots, 1863, shows that although the rioters mainly targeted b