A newly admitted client has taken thioridazine (Mellaril) for 2 ...

[CORALGRILL2014]

A newly admitted client has taken thioridazine (Mellaril) for 2 years, with good symptom control. Symptoms exhibited on admission included paranoia and hallucinations.
 
  The nurse should recognize which potential cause for the return of these symptoms? A. The client has developed tolerance to the antipsychotic medication.
  B. The client has not taken the medication with food.
  C. The client has not taken the medication as prescribed.
  D. The client has combined alcohol with the medication.

Question 2

A 14-year-old girl is being treated for conduct disorder. She refused to attend class today, stating that yesterday the other nurse told her she didn't have to go to class if she did not want to. The best response by the nurse would be:
 
  A) Fine, but you're confined to your room.
  B) Missing class is against the rules.
  C) You and I both know you're lying.
  D) Why do you keep fighting the system?

[asware1]

Answer to Question 1

C
Altered thinking can affect a client's insight into the necessity for taking antipsychotic medications consistently. When symptoms are no longer bothersome, clients may stop taking medications that cause disturbing side effects. Clients may miss the connection between taking the medications and an improved symptom profile.

Answer to Question 2

B
Feedback: Reinforcing rules avoids a power struggle; the nurse must set limits on the unacceptable behavior of missing class. The nurse can negotiate with a client a behavioral contract outlining expected behaviors, limits, and rewards to increase treatment compliance.

[CORALGRILL2014]

Excellent

[amandalm]

Wow, this really help