Author Question: A patient taking aripiprazole (Abilify) for schizophrenia is experiencing signs of hypotension with ... (Read 78 times)

Sportsfan2111 · **on:** Jul 23, 2018

A patient taking aripiprazole (Abilify) for schizophrenia is experiencing signs of hypotension with certain activities since starting this medication. What should the nurse teach the patient?

1. Avoid being outside in the heat of the day.
2. Avoid hot baths or hot showers.
3. Avoid caffeine-containing preparations.
4. Change positions slowly, especially from lying or sitting to standing.
5. Take frequent naps during the day.

Question 2

During an assessment, the nurse determines a patient is demonstrating symptoms of a psychosis. What did the nurse assess in this patient?

1. The patient says, The servants need to be disciplined.
2. The patient says, The voice told me to cut myself.
3. The patient laughs when asked about the health of a family member hospitalized for cancer treatment.
4. The patient asks to close the room door so that man can't get to me.
5. The patient says, I have not been able to get any sleep for months.

spencer.martell · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,4
Rationale 1: The patient should avoid any situation that might cause overheating, especially in hot weather, to reduce the risk of hypotension.
Rationale 2: Hot baths and hot showers should be avoided to decrease the chance of hypotension.
Rationale 3: Caffeine products are more likely to produce anxiety or palpitations.
Rationale 4: Changing positions slowly will help reduce orthostatic hypotension.
Rationale 5: Frequent naps will not affect the symptoms of hypotension.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale 1: This statement is an example of a grandiose delusion.
Rationale 2: This statement is an example of an auditory hallucination.
Rationale 3: During a psychotic episode, the patient's mood and affect may vary widely and be inappropriate, such as laughing at sad events.
Rationale 4: This statement is an example of a delusion in which someone is trying to harm the patient.
Rationale 5: The lack of sleep is not a symptom of psychosis.