A client is diagnosed with schizophrenia. A physician orders ...

[erika]

A client is diagnosed with schizophrenia. A physician orders haloperidol (Haldol), 50 mg bid; benztropine (Cogentin), 1 mg prn; and zolpidem (Ambien), 10 mg HS. Which client behavior would warrant the nurse to administer benztropine?
 
  A. Tactile hallucinations
  B. Tardive dyskinesia
  C. Restlessness and muscle rigidity
  D. Reports of hearing disturbing voices

Question 2

The primary gain for a client with conversion disorder is which of the following?
 
  A) Emotional detachment
  B) Emotional support from family
  C) Identification of anxious feelings
  D) Relief from emotional conflict

[mcni194]

Answer to Question 1

C
The symptom of tactile hallucinations and reports of hearing disturbing voices would be addressed by an antipsychotic medication such as haloperidol. Tardive dyskinesia, a potentially irreversible condition, would warrant the discontinuation of an antipsychotic medication such as haloperidol. An anticholinergic medication such as benztropine would be used to treat the extrapyramidal symptoms of restlessness and muscle rigidity.

Answer to Question 2

D
Feedback: An emotional conflict precedes the development of conversion disorder; the conversion disorder relieves that specific emotional conflict. Emotional detachment, emotional support from the family, or identification of anxious feelings are not examples of primary gain in clients diagnosed with conversion disorder. Secondary gains are the internal or personal benefits received from others because one is sick, such as attention from family members.