A nurse is trying to influence a client to adhere to a medication ...

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A nurse is trying to influence a client to adhere to a medication regimen. Using a health beliefs model to formulate interventions to achieve this goal, the nurse makes which of the following remarks?
 
  A) It is very important that you take your medications as ordered.
  B) What do you see as the benefits of taking your medications?
  C) Most people believe that living with a few side effects is better than living with a full-blown psychiatric problem.
  D) Why do you think the doctor wanted you to take this medication?

Question 2

A client receives his first dose of fluphenazine. The next day, he comes in from sitting outside, and the nurse observes that he is confused. His temperature is 103F.
 
  His pulse rate is 116 beats per minute, and his respirations are 34 breaths per minute. His blood pressure is 100/50 mm Hg. What does the nurse suspect?
  A) Anaphylaxis
  B) Serotonin syndrome
  C) Neuroleptic malignant syndrome
  D) Parkinsonism

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Answer to Question 1

Ans: B
Feedback:
Using a health belief model, health care providers determine adherence to treatment through assessment of the client's perceived benefits of treatment and risk of illness versus cost of treatment, including adverse side effects.

Answer to Question 2

Ans: C
Feedback:
The most serious and potentially fatal side effect of the typical antipsychotics is neuroleptic malignant syndrome, characterized by severe muscular rigidity, altered consciousness, disorientation, dysphagia, elevated creatinine phosphokinase, stupor, catatonia, hyperpyrexia, and labile pulse and blood pressure. This life-threatening condition can occur after a single dose of a neuroleptic; however, it is more common in the first 2 weeks of administration or with an increase in dose. It can continue for up to 2 weeks after discontinuation of the medication.