Author Question: When a client diagnosed with paranoid schizophrenia was discharged from the unit 6 months ago, the ... (Read 31 times)

sc00by25 · **on:** Jul 19, 2018

When a client diagnosed with paranoid schizophrenia was discharged from the unit 6 months ago,
the plan was for him to take chlorpromazine (Thorazine) 300 mg po daily.

He tells the nurse he
stopped taking his pills after a few months because they made him feel like a zombie.. The
common side effects the nurse should validate with the client include
a. sweating, nausea, and diarrhea.
b. sedation and muscle stiffness.
c. headache, watery eyes, and runny nose.
d. mild fever, sore throat, and skin rash.

Question 2

Two psychotic clients in the inpatient unit get into fights when they are in the same room.

During a
team meeting, one nurse suggests the safety of the two clients is of paramount importance and that
their treatment plans should call for both to be placed in seclusion to keep them from injuring each
other. The suggestion is significant because it
a. violates the civil rights of the two clients.
b. reinforces the autonomy of the two clients.
c. reveals that the nurse values the principle of justice.
d. represents the intentional tort of battery.

Mochi · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
Phenothiazines often produce sedation and extrapyramidal side effects such as stiffness and gait
disturbance, effects the client might describe as making him feel like a zombie.. The side effects
mentioned in the other options are usually not associated with phenothiazine therapy or would not
have the effect described by the client.

Answer to Question 2

ANS: A
Clients have a right to treatment in the least restrictive setting. Less restrictive measures should be
tried first. Unnecessary seclusion may result in a charge of false imprisonment. Option B: Seclusion
removes the client's autonomy. Option C: The principle by which the nurse is motivated is
beneficence, not justice. Option D: The tort represented is false imprisonment.