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Author Question: A client with schizophrenia has received standard antipsychotics for a year. His hallucinations are ... (Read 113 times)

ENagel

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on: Jul 19, 2018
A client with schizophrenia has received standard antipsychotics for a year. His hallucinations are
  less intrusive, but the client remains apathetic, has poverty of thought, cannot work, and is socially
  isolated.
 
  To address these symptoms, the nurse might expect the psychiatrist to prescribe
  a. haloperidol (Haldol).
  b. olanzapine (Zyprexa).
  c. diphenhydramine (Benadryl).
  d. chlorpromazine (Thorazine).

Question 2

The community mental health nurse has been working for 6 months to establish a trusting
  relationship with J, a delusional and suspicious client. J is fired from his job, has no money for
  medication, and decompensates within the span of 1 week.
 
  Should J be hospitalized or provided with
  medication and allowed to remain at home? The ethical principles affecting the decision are
  a. justice and truth.
  b. beneficence and autonomy.
  c. malfeasance and fidelity.
  d. confidentiality and negotiation.


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af

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Reply #1 on: Jul 19, 2018
Answer to Question 1

B
Olanzapine is an atypical antipsychotic that targets both positive and negative symptoms of
schizophrenia. Options A and D are standard antipsychotics that target only positive symptoms.
Option C is an antihistamine.

Answer to Question 2

ANS: B
The nurse's desire to do good (beneficence) is in conflict with the client's right to the least
restrictive setting (autonomy). Option A: Justice refers to treating clients fairly and equally. Truth
refers to truth-telling or veracity. Option C: Malfeasance refers to doing harm to the client, and
fidelity refers to being loyal and committed to the client. Option D: These choices are not ethical
principles.


ENagel

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Reply #2 on: Jul 19, 2018
Correct answers!


af

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Reply #3 on: Jul 19, 2018
Great! Please up vote :D


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