Answer to Question 1
Correct Answer: 4
Rationale 1: Clozaril is given only by mouth and if there is no response to safer drugs.
Rationale 2: The intramuscular form of risperidone takes three weeks to produce a therapeutic response.
Rationale 3: Even though Loxitane may be given intramuscularly, it is restricted to treating mental illness refractory to treatment with safer drugs.
Rationale 4: Benzodiazepines such as Ativan may be administered intramuscularly during the initial treatment period; they provide sedation for agitated clients.
Global Rationale: Benzodiazepines such as Ativan may be administered intramuscularly during the initial treatment period; they provide sedation for agitated clients. Clozaril is given only by mouth and if there is no response to safer drugs. The intramuscular form of risperidone takes three weeks to produce a therapeutic response. Even though Loxitane may be given intramuscularly, it is restricted to treating mental illness refractory to treatment with safer drugs.
Answer to Question 2
Correct Answer: 2
Rationale 1: Psychotherapy is an essential component of treatment for clients with psychosis to return to society, but this is not the best answer. There should be a major improvement in symptoms with medication alone.
Rationale 2: By 68 weeks, definite improvement should be noted in most symptoms.
Rationale 3: After 812 weeks of therapy, if there has not been substantial improvement, the health care provider will need to explore reasons for lack of response and might need to change the medication.
Rationale 4: After 24 weeks (not 12 weeks), there is usually improvement in mood, socialization, and ability to provide self-care.
Global Rationale: By 68 weeks, definite improvement should be noted in most symptoms. Psychotherapy is an essential component of treatment for clients with psychosis to return to society, but this is not the best answer. There should be a major improvement in symptoms with medication alone. After 812 weeks of therapy, if there has not been substantial improvement, the health care provider will need to explore reasons for lack of response and might need to change the medication. After 24 weeks (not 12 weeks), there is usually improvement in mood, socialization, and ability to provide self-care.