Author Question: A 20-year-old college student has become increasingly suspicious and isolated over the past few ... (Read 63 times)

jwb375 · **on:** Jul 19, 2018

A 20-year-old college student has become increasingly suspicious and isolated over the past few months. The student has begun accusing his roommate and other students of conspiring against him.

Last night, he charged his roommate while holding a knife in his hands. On admission, the client receives a diagnosis of paranoid schizophrenia. Which nursing diagnosis should be the first priority for this client?
A) Risk for impaired environmental interpretation syndrome
B) Disturbed sensory perception
C) Risk for other-directed violence
D) Disturbed thought processes

Question 2

Which brain receptors do the classical first-generation antipsychotic medications influence most?

a. acetylcholine
b. dopamine
c. histamine
d. serotonin

kiamars2010 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

C

Answer to Question 2

B
First-generation antipsychotic medication influences the dopamine brain receptors the most. Specifically, all antipsychotics block dopamine receptor D2 . Illnesses such as schizophrenia (and perhaps other psychoses) involve excessive activation of dopamine receptor D2, and antipsychotics seek to alleviate the illness by blocking such activation. Clozapine also has an effect on dopamine receptors D1 and D4 .