Ongoing assessment and outcome planning for a client with ...

[Alainaaa8]

Ongoing assessment and outcome planning for a client with schizophrenia are facilitated if the nurse
  understands that the medication prescribed to reduce the client's symptoms targets the
  neurotransmitter
 
  a. dopamine.
  b. serotonin.
  c. norepinephrine.
  d. acetylcholine.

Question 2

A client who is being counseled for somatoform pain disorder states he believes his pain is the result
  of an undiagnosed injury.
 
  He adds that he cannot adhere to his plan for care involving performing
  own activities of daily living, walking 20 minutes daily, and using pain medication only at bedtime.
  Desired outcomes for the client include (more than one answer may be correct)
  A. compliance behavior.
  B. anxiety self-control.
  C. risk controldrug use.
  D. spiritual health.

[ynlevi]

Answer to Question 1

ANS: A
Dopamine is a neurotransmitter found in areas of the brain responsible for decision making and
integrating thoughts and emotions. Knowing this, the nurse can formulate related outcomes. Because
dopamine is a neurotransmitter found in the extrapyramidal system, the nurse can also provide
ongoing assessment for movement disorders. Option B: Serotonin is the target of selective serotonin
reuptake inhibitors (SSRIs). Option 3: Norepinephrine is targeted by selected antidepressant
medications. Option D: Acetylcholine is affected by drugs with cholinergic effects.

Answer to Question 2

ANS:
A, C
Rationale: The client should ideally develop compliance behaviors that allow him to adhere to his
plan for care. The risk for the excessive use of pain medication must also be controlled. The other
options are less directly related to the scenario.

[Alainaaa8]

Excellent

[nguyenhoanhat]

Gracias!