Author Question: A victim of rape says, My family is not very supportive.. Which belief contributes to a negative ... (Read 27 times)

Zoey63294 · **on:** Jul 19, 2018

A victim of rape says, My family is not very supportive.. Which belief contributes to a negative family response?

a. No one asks to be raped.
b. Rape is an act of aggression.
c. Rape should not be discussed.
d. Anyone is a potential rape victim.

Question 2

The nurse spends several sessions with a patient with paranoid schizophrenia and the patient's family to help them understand the importance of antipsychotic medication in controlling his illness.

The patient repeatedly states he isn't sick and the pills make him stiff, and family members say he doesn't think the medication helps him. They indicate that their efforts to promote adherence only lead to a hostile response from the patient. Which options should the nurse discuss with the patient's prescribing provider? Select all that apply. a. Using a long-acting injectable antipsychotic medication
b. Adding medications to reduce the patient's side effects
c. Adding a benzodiazepine such as diazepam (Valium)
d. Tying medication use to meeting the patient's own goals
e. Increasing discussion and problem solving regarding side effects
f. Telling the patient he will get sick without the medicine

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

Answer to Question 1

C
The belief that rape should not be discussed contributes to the family's withdrawal and lack of support. Believing this myth allows the family to attribute blame to the victim. The other statements are facts, rather than myths, about rape and if understood by the family would prompt support.

Answer to Question 2

A, B, D, E
Medications such as fluphenazine decanoate and haloperidol decanoate are long-acting forms of antipsychotic medication given by injection every 2 to 4 weeks, thus reducing the need for daily medications and struggles that may accompany these. The long-acting injections ensure that the patient maintains a therapeutic drug level, something unlikely when oral medications are taken intermittently. Discussing and addressing the patient's concerns about side effects (some of which can be extremely distressing) conveys interest in the patient and involves him in his treatment, and reducing side effects reduces resistance to the medication. Tying the medication to increasing the chance that the patient will meet his goals provides patient-centered motivation to take the medication (rather than taking it only at the behest of others). Adding a benzodiazepine would reduce anxiety, but that is not the likely cause of this patient's nonadherence. Telling the patient he will get sick without the medication is unlikely to help, because he does not believe he has an illness (anosognosia).