Prior to discharge, the nurse plans to teach the client and ...

[colton]

Prior to discharge, the nurse plans to teach the client and family about relapse. Which items will the nurse include in the teaching?
 
  1. Recognition of warning signs of relapse
  2. Notify the nurse of warning signs present for more than one month
  3. Lower medication dosage to manage emerging side effects
  4. Use street drugs judiciously and only in small amounts

Question 2

During a treatment team meeting, the point is made that a client with schizophrenia has recovered from the acute psychosis but continues to demonstrate apathy, avolition, and blunted affect.
 
  The nurse who relates these symptoms to serotonin (5HT2) excess will suggest that the client re-ceive:
  1. Haloperidol (Haldol)
  2. Chlorpromazine (Thorazine)
  3. Olanzapine (Zyprexa)
  4. Phenelzine (Nardil)

[enass]

Answer to Question 1

ANS: 1
The client and family must be aware of signs of impending relapse. These signs are usually similar to those that the client experienced prior to hospitalization and will be client-specific. 2. The nurse should be notified ASAP, rather than waiting two weeks. 3. Clients should never adjust medication dosage. 4. Street drug use often precipitates relapse since many street drugs are do-paminergic.

Answer to Question 2

ANS: 3
Olanzapine is an atypical antipsychotic. Atypical antipsychotic medications are more effective than typical antipsychotics in blocking serotonin receptors and reducing the negative symptoms of schizophrenia. Options 1 and 2 are typical antipsychotic medications. Option 4 is an MAOI antidepressant.

[colton]

TYSM

[nyrave]

Excellent