Author Question: A patient with schizophrenia has received typical (first-generation) antipsychotics for a year. His ... (Read 39 times)

neverstopbelieb · **on:** Jul 19, 2018

A patient with schizophrenia has received typical (first-generation) antipsychotics for a year. His hallucinations are less intrusive, but he remains apathetic, has poverty of thought, cannot work, and is socially isolated.

To address these symptoms, the nurse might consult the prescribing health care provider to suggest a change to: a. haloperidol (Haldol).
b. olanzapine (Zyprexa).
c. diphenhydramine (Benadryl).
d. chlorpromazine (Thorazine).

Question 2

In order to be therapeutic when communicating with a client living in a homeless shelter, it is important to apply which techniques? (Select all that apply.)

a. Show acceptance and respect.
b. Avoid clarifying terms.
c. Use medical terminology to avoid talking down.
d. Consider the client's environment.
e. Assess client's pattern of verbal and nonverbal communication.

BUTTHOL369 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
Olanzapine is an atypical (second-generation) antipsychotic that targets both positive and negative symptoms of schizophrenia. Haldol and Thorazine are typical antipsychotics of the same class as the patient's present medication and are effective primarily on positive symptoms. Benadryl is an antihistamine and has no antipsychotic properties.

Answer to Question 2

A, D, E
Showing acceptance and respect, considering the client's environment, and assessing verbal and nonverbal patterns of communication are effective ways of communicating with clients of different social classes. Avoiding clarifying terms and using medical terminology provide barriers to communication.