Author Question: Treatment with an antipsychotic medication is being considered for an older adult client with ... (Read 62 times)

krzymel · **on:** Jul 23, 2018

Treatment with an antipsychotic medication is being considered for an older adult client with dementia-related psychosis. Which medication would not be appropriate for this client?

1. Olanzapine (Zyprexa)
2. Clozapine (Clozaril)
3. Loxapine (Loxitane)
4. Aripiprazole (Abilify)

Question 2

A client with a history of benign prostatic hyperplasia is beginning treatment for schizophrenia. Which medication might be contraindicated for this client?

1. Fluphenazine
2. Chlorpromazine
3. Aripiprazole (Abilify)
4. Risperidone (Risperdal)

C.mcnichol98 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Zyprexa is used to treat behavioral symptoms associated with dementia of Alzheimer disease.
Rationale 2: Clozapine is approved for dementia-related behavioral disorder.
Rationale 3: Loxapine is used off-label to treat severe behavioral disturbances associated with Alzheimer disease.
Rationale 4: Older adult clients with dementia-related psychosis have an increased risk of death due to stroke and other cardiovascular disorders when taking Abilify.
Global Rationale: Older adult clients with dementia-related psychosis have an increased risk of death due to stroke and other cardiovascular disorders when taking Abilify. Zyprexa is used to treat behavioral symptoms associated with dementia of Alzheimer disease. Clozapine is approved for dementia-related behavioral disorder. Loxapine is used off-label to treat severe behavioral disturbances associated with Alzheimer disease.

Answer to Question 2

Correct Answer: 2
Rationale 1: Fluphenazine produces less sedation and fewer anticholinergic effects than chlorpromazine.
Rationale 2: Chlorpromazine should be used with caution in clients with benign prostatic hyperplasia because it can cause urinary retention.
Rationale 3: Abilify was specifically formulated to eliminate or minimize anticholinergic effects.
Rationale 4: The incidences of anticholinergic effects with Risperdal are low.
Global Rationale: Chlorpromazine should be used with caution in clients with benign prostatic hyperplasia because it can cause urinary retention. Fluphenazine produces less sedation and fewer anticholinergic effects than chlorpromazine. Abilify was specifically formulated to eliminate or minimize anticholinergic effects. The incidences of anticholinergic effects with Risperdal are low.