Author Question: Which of the following drugs would be indicated for a schizophrenic who needs management of both ... (Read 14 times)

rayancarla1 · **on:** Jul 23, 2018

Which of the following drugs would be indicated for a schizophrenic who needs management of both positive and negative symptoms?

1. Thioridazine HCL (Mellaril)
2. Haloperidol (Haldol)
3. Clozapine (Clozaril)
4. Chlorpromazine (Thorazine)

Question 2

An elderly female psychotic patient has been taking haloperidol (Haldol) for 1 week. The patient has been making wormlike movements with her tongue. The nurse identifies this to most likely be

1. an adverse effect likely caused by the medication, known as tardive dyskinesia.
2. a normal reaction to the medication that will likely go away in a week or two.
3. a sign that the patient has not been taking the medication.
4. a sign of the patient's underlying psychosis, indicating that the medication is not effective.

Ksh22 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale: Clozaril is an atypical antipsychotic indicated for positive and negative symptoms of schizophrenia. Conventional antipsychotic agents (phenothiazines and phenothiazine-like drugs) are indicated for positive symptoms.

Answer to Question 2

Correct Answer: 1
Rationale: Elderly female patients on Haldol have a higher incidence of tardive dyskinesia (an adverse effect). Tardive dyskinesia is characterized by wormlike movements of the tongue.