Author Question: A client diagnosed with PTSD is receiving paliperidone (Invega). Which symptoms should a nurse ... (Read 53 times)

jessicacav · **on:** Jul 19, 2018

A client diagnosed with PTSD is receiving paliperidone (Invega). Which symptoms should a nurse identify that would warrant the need for this medication?

1. Flat affect and anhedonia
2. Persistent anorexia and 10 lb weight loss in 3 weeks
3. Flashbacks of killing the enemy
4. Distant and guarded in relationships

Question 2

A nurse has been caring for a client diagnosed with PTSD. Which realistic goal should be included in this client's plan of care?

1. The client will have no flashbacks.
2. The client will be able to feel a full range of emotions by discharge.
3. The client will not require zolpidem (Ambien) to obtain adequate sleep by discharge.
4. The client will refrain from discussing the traumatic event.

adf223 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

3
Rationale: The nurse should identify that a client who has flashbacks of killing the enemy may need paliperidone. Paliperidone is an antipsychotic medication that will address the symptoms of psychosis.

Answer to Question 2

3
Rationale: Obtaining adequate sleep without zolpidem by discharge is a goal that should be included in the client's plan of care. Having no flashbacks and experiencing a full range of emotions by discharge are unrealistic goals. Clients are encouraged, not discouraged, to discuss the traumatic event.