R.B. is started on olanzapine (Zyprexa). you inform R.B. and his ...

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R.B. is started on olanzapine (Zyprexa). you inform R.B. and his family about the common side effects of the atypical antipsychotics.
 
  What are the common side effects of atypical antipsychotics such as olanzapine (Zyprexa)?
  Select all that apply.
  a. Tardive dyskinesia
  b. Drowsiness
  c. Dry mouth
  d. Palpitations
  e. Nausea
  f. Weight gain

Question 2

After a full mental status assessment, the psychiatrist orders close monitoring in the inpatient setting and an antipsychotic medication.
 
  Which class of antipsychotic medications is considered first-line therapy for schizophrenia?
 
  K.B. will need to be monitored closely. How will this be done?
 
  What types of psychosocial treatments may be used to treat R.B.'s schizophrenia? Name at
  least five.

[yeungji]

Answer to Question 1

Answers: b, c, f
Common side effects include drowsiness, agitation, insomnia, headache, dry mouth, and
weight gain.

Answer to Question 2

Atypical antipsychotics are now chosen as first-line antipsychotics because they treat both
the negative and positive symptoms of schizophrenia and because they produce minimal
extrapyramidal side effects, such as tardive dyskinesia. Patients often adhere to treatment better,
and there are fewer side effects than with the traditional antipsychotics.

Increasing staff supervision, reducing stimulation (such as crowds, noise), providing diversional
activities that are constructive and outlets for physical energy, and addressing his paranoia.
Cognitive-behavioral approaches will be implemented. The staff will work to deescalate tension
verbally. Only if necessary, in cases of severely aggressive behavior, will measures such as seclusion,
chemical treatment (medication), or physical restraints be used.

 Individual therapy
 Milieu therapy
 Family therapy
 Group therapy
 Social skills training
 Recreational therapy
 Vocational therapy
 Case management