When prescribing temazepam (Restoril) for insomnia, patient education includes:
1. Take temazepam nightly approximately 15 minutes before bedtime.
2. Temazepam should not be used more than three times a week for less than 3 months.
3. Drinking 1 ounce of alcohol will cause additive effects and the patient will sleep better.
4. Exercise for at least 30 minutes within 2 hours of bedtime to enhance the effects of temazepam.
Question 2
Jake, a 45-year-old patient with schizophrenia, was recently hospitalized for acute psychosis due to medication noncompliance. He was treated with IM long-acting haloperidol.
Besides monitoring his schizophrenia symptoms, the patient should be assessed by his primary care provider:
1. For excessive weight loss
2. With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal symptoms (EPS)
3. Monthly for tolerance to the haloperidol
4. Only by the mental health provider, as most NPs in primary care do not care for mentally ill patients
Signs and symptoms of a patient with heart failure.
Patient with rheumatoid arthritis
Patient education
A patient examination room should be simple and efficiently designed.
An example of a medical history sheet to list patient problems.
(a) Chicken pox vesicles. (b) Chicken pox on back of young patient.