After an unsuccessful trial with fluphenazine (Prolixin), a ...

[cherise1989]

After an unsuccessful trial with fluphenazine (Prolixin), a patient's medication was changed to trifluoperazine (Stelazine)
 
  Three months later the patient is still hallucinating and delusional. What is the most likely explanation for the persistent symptoms?
  a. Trifluoperazine (Stelazine) is a low-potency antipsychotic, and the patient might need higher doses.
  b. The patient has not taken trifluoperazine (Stelazine) long enough to decrease symptoms significantly.
  c. Delusions and hallucinations are negative symptoms of schizophrenia that do not respond to traditional antipsychotic medications.
  d. Both fluphenazine (Prolixin) and trifluoperazine (Stelazine) are traditional antipsychotics, and the patient does not respond well to this class of drug.

Question 2

As members disperse at the conclusion of a productive group meeting, one member says, Let's have a big group hug. Select the leader's most appropriate response.
 
  a. Hugging is not permitted.
  b. I am glad you found the meeting so helpful.
  c. Thanks for that suggestion, but not everyone may be comfortable with hugs.
  d. The group is over now. Members may not have continued contact with each other.

[huda]

Answer to Question 1

D
When a trial of a drug produces little change in symptoms and a new drug is to be prescribed, the best plan is to use a drug of another class, because the response to a drug of the first class will usually be poor. The other options are misleading.

Answer to Question 2

C
The leader must facilitate maintenance of the group norms. Some persons may feel comfortable with hugs; others may not. The leader should not prohibit the behavior but rather should gently set limits that recognize the needs of all.