Author Question: A client with SPMI with a diagnosis of schizophrenia, paranoid type, has a long history of prison ... (Read 26 times)

nummyann · **on:** Jul 19, 2018

A client with SPMI with a diagnosis of schizophrenia, paranoid type, has a long history of prison incarcerations that have resulted from inadequate control of his symptoms coupled with a narcotic addiction.

Which of the following problems is most likely to have exacerbated this client's health and social problems?

A) Medications appropriate to the diagnosis are not presently available.
B) The client may have had no previous contact with the medical system.
C) The client may have been nonadherent to previous medication regimens.
D) Antipsychotic medications are ineffective in the presence of narcotic use.

Question 2

A nurse is providing care for a 29-year-old client with SPMI. As a result of his history of psychoses, the client is being treated with an atypical antipsychotic.

In light of this client's medication regimen, which of the following assessments should the nurse prioritize?

A) Blood glucose testing
B) Oxygen saturation and breath sounds
C) Peripheral pulses and fluid balance
D) Apical heart rate

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

Answer to Question 1

Ans: C
While the use of narcotics certainly interferes with the potential benefits of antipsychotics, it is more likely that a client with SPMI has been nonadherent to previous medication regimens. This client is likely to have had multiple encounters with the health care system.

Answer to Question 2

Ans: A
Research has demonstrated that less than 50 of clients with SPMI on antipsychotic agents are being adequately screened for metabolic risk. Consequently, blood glucose monitoring is an important assessment modality that is a higher priority than heart rate, respiratory assessment, or peripheral circulation.