A client with schizophrenia tells the nurse I eat skiller. Tend ...

[Mr3Hunna]

A client with schizophrenia tells the nurse I eat skiller. Tend to end. Easter. It blows away. Get it?
  The best response for the nurse to make would be
 
  a. Nothing you are saying is clear..
  b. Your thoughts are very disconnected..
  c. Try to organize your thoughts and then tell me again..
  d. I am having difficulty understanding what you are saying..

Question 2

During a medication information group, the nurse responds to a question about the basis on which
  the antiepileptic drugs carbamazepine (Tegretol), valproic acid (Depakene), and lamotrigine
  (Lamictal) act to relieve symptoms of mania by saying that
 
  these drugs
  a. preferentially block the reuptake and destruction of serotonin.
  b. reduce the firing rate of high-frequency brain neurons.
  c. exert a powerful and rapid sleep-inducing effect.
  d. produce paradoxical psychostimulation.

[Ksanderson1296]

Answer to Question 1

D
When a client's speech is loosely associated, confused, and disorganized, pretending to understand is
useless. The nurse should tell the client that she is having difficulty understanding what the client is
saying. If a theme is discernable, ask the client to talk about the theme. The other options tend to
place blame for the poor communication with the client. Option D places the difficulty with the
nurse rather than being accusatory.

Answer to Question 2

ANS: B
The anticonvulsants mentioned alter electrical conductivity in membranes, slowing the firing rate of
brain neurons. This membrane-stabilizing effect probably accounts for the reduction in mood swings
seen in bipolar clients. Option A is the action of SSRIs. Option C is the action of soporific
benzodiazepines such as flurazepam (Dalmane). Option D: Psychostimulation is produced by drugs
such as methylphenidate (Ritalin), which are used to treat attention deficit hyperactivity disorder.

[Mr3Hunna]

Excellent

[Dominic]

TYSM