Author Question: The physician prescribes risperidone for a client with schizophrenia who displays delusions, ... (Read 23 times)

Sufayan.ah · **on:** Jul 19, 2018

The physician prescribes risperidone for a client with schizophrenia who displays delusions,
hallucinations, apathy, and social isolation. Which symptoms should be monitored to evaluate
improvement?

a. Positive symptoms
b. Negative symptoms
c. Disorganized symptoms
d. Both positive and negative symptoms

Question 2

A nurse can deal preventively with the potential for experiencing negative feelings while working
with a severely depressed client by (more than one response may be correct)

A. understanding the part neurotransmitters play in depression.
B. establishing realistic expectations for the client and self.
C. focusing as little as possible on feelings toward the client.
D. disregarding empathic information originating in the client.

randomguy133 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
The atypical antipsychotic medications target both the negative and positive symptoms of
schizophrenia, an obvious advantage over the standard antipsychotics; thus both sets of symptoms
should be the foci of evaluation. No specific subset of disorganized symptoms is available.

Answer to Question 2

A, B
Rationale: Understanding that neurotransmitter dysfunction is a greater causative factor in client
depressive symptoms than client choice makes what appears to be client resistance less personal.
Keeping expectations realistic decreases feelings of helplessness and contributes to the maintenance
of self-esteem. Option C: Self-assessment of feelings toward the client is appropriate and necessary.
Option D: Awareness of empathic messaging originating in the client is essential because it is a clue
to what the client is experiencing.