Author Question: During an acute phase of schizophrenia when the patient is experiencing hallucinations and ... (Read 99 times)

craiczarry · **on:** Jun 25, 2018

During an acute phase of schizophrenia when the patient is experiencing hallucinations and delusions, the nurse should anticipate that the physician will prescribe which of the following medication categories listed below?

A)
An antipsychotic like risperidone
B)
A benzodiazepine like lorazepam
C)
A cholinesterase inhibitor like donepezil
D)
An opioid receptor antagonist like naltrexone

Question 2

The parents of a 15-year-old boy are frustrated at his persistent inability to fall asleep at a reasonable hour at night, as well as the extreme difficulty that they have rousing him in the morning.

While sleepy after waking, the son claims not to feel drowsy after lunch or in the evening. What is the most likely classification of the boy's sleep disorder?
A)
Delayed sleep phase syndrome (DSPS)
B)
Non-24-hour sleep-wake syndrome
C)
Advanced sleep phase syndrome (ASPS)
D)
Chronic insomnia

tmlewis4706 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
A

Feedback:

Pharmacological treatment with antipsychotics is often helpful particularly with the positive s/s of schizophrenia (delusion, hallucinations, agitation, etc.). The negative s/s of schizophrenia respond more favorably to the atypical antipsychotic drugs. Often antipsychotics are combined with benzodiazepines or antiparkinson agents during the acute phase of treatment to reduce the risk of extrapyramidal effects from large doses of antipsychotic agents. Distracters B and C are prescribed for Alzheimer disease and D is used for alcohol addiction.

Answer to Question 2

Ans:
A

Feedback:

The teen's sleep patterns are characteristic of DSPS. Non-24-hour sleep-wake syndrome is characterized by a sleep cycle that greatly exceeds 24 hours, and ASPS is the opposite of DSPS. Chronic insomnia would likely include afternoon and evening drowsiness.