A client has been prescribed quetiapine (Seroquel) for delusional ...

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A client has been prescribed quetiapine (Seroquel) for delusional disorder. In teaching the client about this medication, the nurse must be certain to include which of the following information?
 
  A) Quetiapine can cause breast milk production.
  B) One of the common side effects is dry mouth.
  C) If dizziness is experienced, the client must call the doctor immediately.
  D) Quetiapine can cause you to crave sugar.

Question 2

A married couple arrives at the outpatient clinic. Upon assessment, the nurse finds that the couple believes that the police have been following them and tapping their phones for 2 months.
 
  This couple most likely suffers from which of the following disorders?
 
  A) Folie  deux
  B) Psychotic disorder NOS
  C) Delusional disorder, paranoid type
  D) Conjugal delusion

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Answer to Question 1

Ans: B
Dry mouth is a common, sometimes bothersome, side effect. Quetiapine does not cause breast milk production. Dizziness may occur due to orthostatic hypotension but will decrease as the body becomes accustomed to the medication. It is not an emergency. Quetiapine can cause changes in blood sugar but will not induce sugar cravings.

Answer to Question 2

Ans: A
Shared psychotic disorder, or folie  deux, involves two individuals who have a close relationship and share the same delusion. This occurrence is attributed to the strong influence of the more dominant person. It is seen more frequently in women who are isolated by language, culture, or geography. Such persons are often related by blood or marriage and have lived together for an extended period of time. Contributing factors include old age, low intelligence, sensory impairment, cerebrovascular disease, and alcohol abuse. This disorder has been diagnosed in twins and individuals, both of whom had a chronic psychotic disorder. This disorder also has occurred in a group of individuals or in families in which the parent is the primary case (inducer).