A nurse is developing an education plan for a client with ...

[PhilipSeeMore]

A nurse is developing an education plan for a client with schizophrenia. Which method would the nurse use to be most effective?
 
  A) Engaging the client with trial-and-error learning
  B) Having the client write down information after directly being given the correct information
  C) Asking the client questions that encourage the client to guess at the correct answer
  D) Using visual aids that are very colorful and full of descriptive graphic images

Question 2

A client with schizophrenia is prescribed clozapine because other prescribed medications have been ineffective. After educating the client and family about the drug
 
  the nurse determines that the education was successful when they state which of the following?
 
  A) He needs to have an electrocardiogram periodically when taking this drug.
  B) We'll need to make sure that he has his blood count checked at least weekly.
  C) He might develop toxic levels of the drug if he smokes cigarettes.
  D) We need to watch to make sure that he doesn't lose too much weight.

[xiaomengxian]

Answer to Question 1

Ans: B
Evidence indicates that people with schizophrenia may learn best in an errorless learning environment in which they are directly given correct information and then encouraged to write it down. Asking questions that encourage guessing is not as effective in helping them retain information. Trial-and-error learning also is avoided. Visual aids can supplement verbal information, but these aids should have simple information stated in simple language. Overcrowding the visual material or incorporating images that draw attention away from important content should be avoided.

Answer to Question 2

Ans: B
Clozapine is associated with agranulocytosis, so clients taking clozapine should have regular blood tests. White blood cell and granulocyte counts should be measured before treatment is initiated, and at least weekly or twice weekly after treatment begins. Although cardiac dysrhythmias can occur, they are more likely to occur with ziprasidone. Cigarette smoking can reduce the concentration of clozapine, thus necessitating a higher dose of this medication. Clozapine is associated with weight gain, not weight loss.

[PhilipSeeMore]

Gracias!

[scikid]

Excellent