Author Question: A patient diagnosed with paranoid schizophrenia says, My co-workers are out to get me. I also saw ... (Read 17 times)

dejastew · **on:** Jul 19, 2018

A patient diagnosed with paranoid schizophrenia says, My co-workers are out to get me. I also saw two doctors plotting to kill me. How does this patient perceive the environment?

a. Disorganized
b. Dangerous
c. Supportive
d. Bizarre

Question 2

A nurse works with a patient with paranoid schizophrenia regarding the importance of medication management. The patient repeatedly says, I don't like taking pills. Family members say they feel helpless to foster compliance.

Which treatment strategy should the nurse discuss with the health care provider?

a. Use of a long-acting antipsychotic preparation
b. Addition of a benzodiazepine, such as lorazepam (Ativan)
c. Adjunctive use of an antidepressant, such as amitriptyline (Elavil)
d. Prolonged hospitalization; this patient is not ready for discharge

debra928 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: B
The patient sees the world as hostile and dangerous. This assessment is important because the nurse can be more effective by using empathy to respond to the patient. Data are not present to support any of the other options.

Answer to Question 2

ANS: A
Medications such as fluphenazine decanoate and haloperidol decanoate are long-acting forms of antipsychotic medications. They are administered by depot injection every 2 to 4 weeks, thus reducing daily opportunities for noncompliance. The other options do not address the patient's dislike of taking pills.