Author Question: During a home visit with a patient diagnosed with schizophrenia the patient tells the nurse, I'm ... (Read 88 times)

kshipps · **on:** Jul 19, 2018

During a home visit with a patient diagnosed with schizophrenia the patient tells the nurse, I'm going to stop going to the clinic for my fluphenazine decanoate (Prolixin) shots because I think I'm okay now..

Which statement represents the best understanding of the effect of the patient's decision on the prognosis? a. So you think you're better now. Let's discuss why you've decided to stop taking your medication..
b. Your doctor knows what's best for you. Just look at how well you're feeling now so don't stop taking the medication..
c. Our philosophy is to use the least amount of medicine that is needed to treat a problem. Tell me why you think that you are okay now..
d. I'm afraid that you'll be sick again very soon if you aren't taking your medication, but you are an adult and entitled to make your own decisions..

Question 2

Asian patients prescribed psychiatric medications:

a. exhibit better response to antidepressants and phenothiazine than do African-American patients.
b. have less tendency to abuse alcohol with their medications than do white patients.
c. have extrapyramidal side effects at lower dosage levels than do other ethnic groups.
d. experience fewer side effects when taking anticholinergic medications than do white patients taking the same dosage.

emily12345 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A
Nonadherence or noncompliance with medication is usually lessened with the decanoate preparation of the antipsychotic medication. The most therapeutic communication is usually the one that helps the patient to share thoughts and feelings. By restating and seeking clarification, the nurse can assist the patient in looking at what he or she is saying. If the nurse focuses, the patient will be able to help with the thinking-through process, which is to communicate that the Prolixin injections are received only 12 to 14 times annually and that they will keep the patient's thoughts clear.

Answer to Question 2

C
The occurrence of extrapyramidal side effects among Asians is the only statement about racial/ethnic psychobiological differences listed that is accurate.