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Author Question: A client with schizophrenia and a history of repeated hospitalizations and homelessness is ready for ... (Read 91 times)

Zoey63294

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on: Jul 19, 2018
A client with schizophrenia and a history of repeated hospitalizations and homelessness is ready for discharge. The nurse is developing a plan for his continued care in the community.
 
  Given the client's history, the nurse should recommend which of the following plans?
  A) Intensive case management
  B) Monthly follow-up in the community mental health clinic
  C) Referral to an occupational therapist
  D) Family education about boundary setting

Question 2

A client with a new diagnosis of schizophrenia displays poverty of speech, unchanging facial expression, and physical anergia. The nurse anticipates that the client would be prescribed which of the following?
 
  A) A stimulant
  B) An antidepressant
  C) A traditional antipsychotic
  D) An atypical antipsychotic


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cdmart10

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Reply #1 on: Jul 19, 2018
Answer to Question 1

Ans: A
Feedback:
Community-based care for those with schizophrenia includes assertive community treatment, intensive case management, ongoing medication management, and housing, rehabilitation, social, and vocational supports. Follow-up should be more frequent than monthly. Occupational therapy and boundary setting are less important than thorough case management.

Answer to Question 2

Ans: D
Feedback:
Atypical antipsychotics relieve both the positive and negative symptoms (eg, alogia, affective blunting, avolition, anhedonia, and attentional impairment) of schizophrenia and are less likely to cause distressing extrapyramidal side effects typically seen with traditional antipsychotics.


Zoey63294

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Reply #2 on: Jul 19, 2018
Thank you :)


cdmart10

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Reply #3 on: Jul 19, 2018
Happy to help you


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