A client, age 45, who has schizophrenia was admitted to the ...

[Kikoku]

A client, age 45, who has schizophrenia was admitted to the hospital 1 month after his last hos-pitalization.
 
  He demonstrates psychotic behaviors. He lives alone and has not taken the oral haloperidol (Haldol) that was prescribed. Which intervention would promote medication compliance?
  1. Instructing the client to have friends monitor his medications
  2. Begin administration of haloperidol (Haldol) decanoate
  3. Writing instructions in detail for the client to follow
  4. Changing haloperidol to an atypical antipsychotic

Question 2

Which client receiving typical antipsychotic medication would be assessed as displaying behav-iors characteristic of tardive dyskinesia? The individual who:
 
  1. Grimaces and smacks her lips
  2. Falls asleep in her chair and refuses to eat lunch
  3. Is experiencing muscle rigidity and tremors
  4. Has excessive salivation and drooling

[Smiles0805]

Answer to Question 1

ANS: 2
Haloperidol decanoate is a depot medication, given IM every 2 to 4 weeks. 1. It is unknown whether the client has a support system. 3. The client probably received education, including written instructions prior to discharge. 4. This action would not necessarily improve compliance.

Answer to Question 2

ANS: 1
TD manifests as abnormal movements of voluntary muscle groups after a prolonged period of dopamine blockade. Movements may affect any muscle group, but muscles of the face, mouth, tongue, and digits are commonly affected. Option 2 is reflective of the sedative effect of these medications. Options 3 and 4 reflect EPS caused from imbalance between dopamine and acetyl-choline.

[Kikoku]

TYSM

[essyface1]

Excellent