In planning aftercare for a patient with schizophrenia and whose ...

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In planning aftercare for a patient with schizophrenia and whose insurance benefits have been exhausted,
 
  the nurse who is concerned about overcoming negative symptoms will make provisions for the patient to have stimulation, structure, socialization, and support. Which option would best incorporate these factors?
  a. Day hospitalization
  b. Attending a psychosocial club
  c. Living with his elderly mother
  d. Spending free time in the mall

Question 2

During a treatment team meeting, the point is made that a patient 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 patient receive:
  a. Haloperidol (Haldol)
  b. Chlorpromazine (Thorazine)
  c. Olanzapine (Zyprexa)
  d. Phenelzine (Nardil)

[zhanghao]

Answer to Question 1

ANS: B
A psychosocial club is organized to provide the 4 S's and is not costly to patients. Day hos-pitalization would not be possible because of the lack of insurance benefits. Living with his mother might fall short of stimulation and support. Spending time in the mall lacks structure, socialization, and support.

Answer to Question 2

ANS: C
Olanzapine is an atypical antipsychotic. Atypical antipsychotic medications are more effec-tive than typical antipsychotics in blocking serotonin receptors and reducing the negative symptoms of schizophrenia. Haloperidol (Haldol) and chlorpromazine (Thorazine) are typical antipsychotic medications while phenelzine (Nardil) is an MAOI antidepressant.

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Excellent

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