The family of a client being treated for schizophrenia asks the ...

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The family of a client being treated for schizophrenia asks the nurse why the client's medication was changed to a new type just out on the market. Which responses by the nurse are appropriate?
 
  Standard Text: Select all that apply.
  1. The newer medications have fewer adverse effects.
  2. Many clients prefer the new medication.
  3. The newer medications cost less.
  4. The newer medications are easier to get from the pharmacy.
  5. The client's health care provider likes to try new medications.

Question 2

A client being treated for chronic schizophrenia develops tardive dyskinesia. Which interventions will the nurse prepare to perform for this client?
 
  Standard Text: Select all that apply.
  1. Administering a prescribed lower dose of the antipsychotic medication
  2. Administering a benzodiazepine as prescribed
  3. Administering tapered doses of the antipsychotic medication
  4. Administering a newly prescribed atypical antipsychotic medication
  5. Administering a higher dose of the currently prescribed antipsychotic medication

[dreamfighter72]

Answer to Question 1

Correct Answer: 1,2
Rationale 1: The second-generation atypical antipsychotic medications have a lower incidence of serious adverse effects.
Rationale 2: The second-generation atypical antipsychotic medications have become the drugs of choice for many clients.
Rationale 3: The second-generation atypical antipsychotic medications are more expensive.
Rationale 4: This is not a reason for prescribing a newer medication.
Rationale 5: This may or may not be the reason for the new medication being prescribed.
Global Rationale: The second-generation atypical antipsychotic medications have become the drugs of choice for many clients and they have a lower incidence of serious side effects. The second-generation atypical antipsychotic medications are more expensive. The newer medications may be easier to get from the pharmacy but this is not the reason for prescribing a new medication. Having a health care provider who likes to try new medications may or may not be the reason the medication is prescribed.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale 1: For some clients, decreased doses of the antipsychotic medication help with the symptoms of tardive dyskinesia.
Rationale 2: For some clients, a benzodiazepine helps with the symptoms of tardive dyskinesia.
Rationale 3: For some clients, a gradual withdrawal of the antipsychotic medication helps with the symptoms of tardive dyskinesia.
Rationale 4: For some clients, switching to an atypical antipsychotic medication helps with the symptoms of tardive dyskinesia.
Rationale 5: A higher dose of the current antipsychotic medication will make the symptoms of tardive dyskinesia worse.
Global Rationale: For some clients, decreased doses of the antipsychotic medication, administering a benzodiazepine, gradually withdrawing the medication, or switching to an atypical mediation may help with the symptoms of tardive dyskinesia. A higher dose of the current antipsychotic medication will make the symptoms of tardive dyskinesia worse.

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Thanks

[dreamfighter72]

Welcome