The nurse manager on the psychiatric unit was explaining to the ...

[dmcintosh]

The nurse manager on the psychiatric unit was explaining to the new staff the differences be-tween typical and atypical antipsychotics. She correctly stated that atypical antipsychotics:
 
  1. Remain in the system longer
  2. Act more quickly to reduce delusions
  3. Produce fewer extrapyramidal effects
  4. Are risk free for neuroleptic malignant syndrome (NMS)

Question 2

What milieu factor would need most attention from the nurse who is caring for a client who has received six ECT treatments and has two more scheduled?
 
  1. Boundary maintenance
  2. Trust attainment
  3. Safety
  4. Therapeutic activities

[mtmmmmmk]

Answer to Question 1

ANS: 3
Atypical antipsychotics produce less D2 blockade; thus movement disorders are less of a problem. Options 1 and 2: No evidence suggests this. Option 4: The atypicals are not risk-free for NMS.

Answer to Question 2

ANS: 3
To feel safe, clients need to know what is expected of them in their role as clients. The client re-ceiving ECT often has impaired recent memory and may become confused about the milieu and expectations. The nurse will need to reorient and reteach the client with cognitive deficit. Op-tions 1, 2, and 4 will require attention but not to the same extent as safety.

[dmcintosh]

Correct answers!

[mtmmmmmk]

Great! Please up vote