A patient is to be discharged on a maintenance dose of a ...

[moongchi]

A patient is to be discharged on a maintenance dose of a high-potency antipsychotic medication. Which remark indicates that discharge teaching about the medication was effective?
 
  a. I will be able to have a few glasses of wine.
  b. I have to use sun block when I go to the beach.
  c. It is important for me to dress warmly in all seasons.
  d. If I miss a dose, I will take an extra one the next day.

Question 2

During an MSE a patient says, I am a special messenger sent to provide the world a cure for cancer. The patient's statement indicates the presence of
 
  a. a phobia.
  b. a delusion.
  c. hypervigilance.
  d. loose associations.

[Briannahope]

Answer to Question 1

B
The patient understands that antipsychotics cause photosensitivity and sunburn with minimal exposure to the sun. The other remarks suggest that the patient does not understand the additive effects of the antipsychotics and other central nervous system depressants, and does not understand what to do in the event of a missed dose.

Answer to Question 2

B
Delusions are false beliefs. Grandiose delusions are beliefs that one possesses greatness or special powers. A phobia is an excessive fear. Hypervigilance refers to being hyperalert and suspicious. Loose associations refer to a thought disorder in which ideas are only loosely connected.