A client was admitted for psychosis and aggressive behavior. The ...

[Tazate]

A client was admitted for psychosis and aggressive behavior. The client has been noncompliant with the antipsychotic medication because the client says it makes the client's jaw tight and neck stiff.
 
  The client is becoming increasingly agitated and needs a quick-acting medication. Which medication would the nurse expect to give? 1. Benztropine (Cogentin)
  2. Fluphenazine (Prolixin)
  3. Risperidone (Risperdal)
  4. Zolpidem (Ambien)

Question 2

A client who is being treated for psychosis has begun exhibiting signs of increasing agitation and has started repetitively opening and slamming the door to the client's room.
 
  Which of the following nursing interventions address and redirect the client's behavior? Standard Text: Select all that apply. 1. You need to stop slamming your door and go down the hall to the group meeting.
  2. How about taking a walk with me so we can find a place for you to let go of some of your nervous energy.
  3. I can see that you have some excess energy that you need to get out, but you cannot continue to slam this door.
  4. You seem upset, would you like some medication to help you with your agitation?
  5. If you don't stop slamming the door, I will lock it for the rest of the day.

[CAPTAINAMERICA]

Answer to Question 1

3
Rationale: An antipsychotic is the treatment for acute agitation. Zolpidem and benztropine are not antipsychotics. Given the client's prior symptoms of dystonia, it would be appropriate to try an atypical antipsychotic (risperidone) over the conventional (fluphenazine).

Answer to Question 2

2,3,4
Rationale: You need to stop slamming your door and go down the hall to the group meeting. Attending group is not a priority for a client who is demonstrating agitated behavior.