A nurse is teaching a client who has schizophrenia about her new prescription for

risperidone. Which of the following statements should the nurse include in the

teaching?

a) "You should continue this medication if you develop muscle rigidity".

b) "You will experience weight loss while taking this medication."

c) "You will notice your symptoms improve within 24 hours of taking this

medication."

d) "You should increase your consumption of complex carbohydrates."

The nurse is caring for a client following a physical assault. The client states "I don't

remember what happened to me." The nurse should recognize that the client is using

which of the following defense mechanisms?

a) Repression

b) Displacement

c) Rationalization

d) Denial

A nurse is caring for a client who has anorexia nervosa. Which of the following findings

require immediate intervention by the nurse?

a) +2 edema of the lower extremities

b) BUN 21 mg dL

c) Lanugo covering the body

d) Blood pH 7.60