Author Question: A patient with schizophrenia is managing his illness with the antipsychotic Clozaril (clozapine). ... (Read 29 times)

amal · **on:** Jul 19, 2018

A patient with schizophrenia is managing his illness with the antipsychotic Clozaril (clozapine).

During his clinic visit he complains of not feeling rested during the day. As the nurse seeing patients on an outpatient basis, you would encourage the patient to do which of the following?
A) Take a nap during the day
B) Take his dose of Clozaril at bedtime
C) Take his medication as soon as awakens in the morning
D) Consult with the psychiatrist to modify his medicines

Question 2

A military veteran has been diagnosed with post-traumatic stress disorder after returning from the Middle East. Which of the following sleep disturbances would the nurse expect this client to report?

A) Daytime sleepiness
B) Not feeling rested after sleep
C) Sleep apnea
D) Nightmares

sultana.d · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: B
Feedback:
Treatment of schizophrenia involves antipsychotic drugs, which exert effects on dopamine systems. First-generation antipsychotics and clozapine (Clozaril) cause sedation and increased total sleep time (Benson, 2006; Monti and Monti, 2004). Risperidone (Risperdal) and olanzapine (Zyprexa) cause less sedation. Giving antipsychotic medications at bedtime maximizes their sedative effects and improves sleep (Benson and Zarcone, 2000).

Answer to Question 2

Ans: D
Feedback:
Clients with PTSD chronically relive a previous traumatic event. They have intrusive thoughts, crying, and anxiety and often are hypervigilant. They frequently have problems with initiating and staying asleep and nightmares about the traumatic event.