1. A patient with schizophrenia is prescribed clozapine. Which of the
following side effects should a nurse prioritize for monitoring?
- A) Sedation
- B) Weight gain
- C) Agranulocytosis
- D) Constipation
Answer: C) Agranulocytosis
Rationale: Clozapine can cause agranulocytosis, a potentially lifethreatening decrease in white blood cells, necessitating regular monitoring
of the patient's blood count.
2. A nurse is caring for a patient experiencing a manic episode. Which of
the following interventions is most appropriate?
- A) Encouraging participation in group activities
- B) Providing a quiet and structured environment
- C) Challenging the patient's unrealistic beliefs
- D) Promoting lengthy conversations about personal issues
Answer: B) Providing a quiet and structured environment
Rationale: Patients experiencing mania are easily overstimulated; thus, a
quiet and structured environment can help reduce agitation and promote
safety.
3. When assessing a patient with depression, which of the following
symptoms would indicate a risk of suicide?
- A) Hypersomnia
- B) Anhedonia
- C) Sudden mood improvement
- D) Decreased appetite
Answer: C) Sudden mood improvement
Rationale: A sudden mood improvement can be a sign that a patient has
made a decision to commit suicide and may appear less depressed.
4. A patient with borderline personality disorder presents with selfinflicted lacerations. What is the initial nursing action?
- A) Discussing the consequences of self-harm
- B) Administering antipsychotic medication
- C) Assessing the wound and providing appropriate care
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