Author Question: The nurse caring for a patient with avoidant personality disorder is alert for which potential ... (Read 22 times)

shofmannx20 · **on:** Jul 19, 2018

The nurse caring for a patient with avoidant personality disorder is alert for which potential challenge regarding the patient's medication regimen?

1. The medication regimen often is complex and overwhelming for the patient.
2. Medications often do not work with this personality disorder.
3. The patient may not adhere to the medication regimen.
4. The medication regimen will need to be modified frequently.

Question 2

The nurse is caring for a patient with borderline personality disorder (BPD) who is experiencing psychotic symptoms. Which medication will the nurse anticipate the health care provider ordering for the patient? Select all that apply.

1. Olanzapine (Zyprexa)
2. Lorazepam (Ativan)
3. Ripiprazole (Abilify)
4. Haloperidol (Haldol)
5. Thiothixene (Navane)

macagnavarro · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Answer: 3
Explanation: The patient with avoidant personality disorder often does not adhere to the medication regimen. Typically the medication regimen for a patient with avoidant personality disorder is not complex, does work, and does not need to be modified frequently.

Answer to Question 2

Answer: 1, 3
Explanation: For patients with BPD experiencing psychotic symptoms and disinhibition, atypical antipsychotics, particularly olanzapine (Zyprexa) and aripiprazole (Abilify), have been found to have a greater range of efficacy than typical antipsychotics, such as haloperidol (Haldol) and thiothixene (Navane). Lorazepam (Ativan) is used for sedation in patients with extreme agitation, not for those with BPD experiencing psychotic symptoms.