A client diagnosed with schizophrenia is brought to the hospital from a group home where he became agitated, threw a chair at another client, and has been refusing medication for 8 weeks.
The client exhibits a flat affect, is not caring for his hygiene, and has become increasingly withdrawn and asocial.
The primary health care provider prescribes treatment with risperidone to improve the client's negative and positive symptoms.
When evaluating the drug's effectiveness on the client's negative symptoms, the nurse should expect improvement in which of the following?
Question 10 options:
a)
Agitation, delusions, hallucinations
b)
Hostility, aggression, tangential speech
c)
Aggression, bizarre behavior, illusions
d)
Apathy, affect and social isolation
Trending nowThis is a popular solution!
Step by stepSolved in 3 steps
- You are responding to a private residence for an 80-year-old female, with altered mental status. The husband called 911. When you arrive, their adult son is on the scene. He was not aware of the 911 call and says his dad has dementia and must have gotten scared and called just before he got there. He says his mom is a diabetic and this is a pretty common occurrence, but he's not sure how it happened this time. The son said her blood sugar was 400, and he was just about to administer her normal dose of insulin. He says that since her sugar is so high, he wants to increase the dose. He is willing to sign a refusal on her behalf. Do you allow him to give the insulin? Assume the insulin is not expired and is prescribed to her. If yes, do you allow the refusal? Why or why not? Explain your decision to the son, including what is happening on a physiologic level (in terms a layman can understand) What is the long-term solution for this situation of repeated episodes of hyperglycemia?arrow_forwardWhen reviewing the chart for a client diagnosed with schizophrenia, you find a notation that the client exhibits stereotypy. When interacting with the client, you may expect them to: Question 42 options: a) Exhibit involuntary, repetitive movements b) Exhibit a reduction in their range of emotions c) Hold their posture in a strange, fixed position d) Imitate your behavioursarrow_forwardDefine antisocial personality disorder and the symptoms that we may see from an early age and discuss what kind of preventative measures we could take at the family and social level. Think about not only reactive approaches but also proactive (e.g., training for parenthood, the impact of TV and movies, drug culture, unemployment, etc.). Find articles that validate your point. Make sure to incorporate your thoughts about how culture may influence the diagnosis of personality disorders.arrow_forward
- A 26-year-old woman was in a car accident months ago that killed her mother, husband, and 2-year-old son. She and her father were the only survivors of the crash, She is seeking care for depression. Click 4 interventions that should occur about the diagnosis of PTSD. INFORM THE CLIENT THAT THEY MUST DEAL WITH THIS ON THEIR OWN REMAIN NONJUDGMENTAL TEACH COGNITIVE AND BEHAVIORAL STRATAGIES TO MANAGE SYMPTOMS OF EMOTIONAL AND PHYSICAL REACTIVITY LISTEN ATTENTIVELY TELL THE CLIENT THEY MUST STOP TALKING ABOUT THE LOSS IDENTIFY AND REFER THE CLIENT TO APPROPRIATE SUPPORT GROUPSarrow_forwarddiscuss two drug therapies from different drug classes used for the treatment or prophylaxis of migraine headaches. For each drug therapy, discuss the following: The drug class it belongs to Mechanism of action Dosing of the medication (including how long onset of action takes) Contraindications Adverse effects Drug Interaction Monitoring needed Also, include counseling points/administration tips that would be pertinent to discuss about each drug therapy.arrow_forwardPsychedelic drug use in healthy individuals: A review of benefits, costs, and implications for drug policy by James W.B. Elsey 1) a brief summary of the acute neurological effects of psychedelic and how this potential relates to the subjective effects 2) a brief summary of the positive and negative impact of psychedelic drugs on healthy volunteers 3) how does this information inform/change or view other these drugs, drug policy, and the potential use in clinical populations? 3a) If you were a clinician (and you might be at some point), would you consider using these drugs on a patient? a brief summary of the psychedelic drug state as discussed in the article and how this relates to our class materialarrow_forward
- well explain all question with important point.arrow_forwardDiscuss the differences between the symptoms of obsession vs compulsion when considering the diagnosis of OCD. In addition, please discuss how you would diagnose a client with OCD vs GAD.arrow_forwardHow can patient care nursing interventions be implementedor improved for bipolar disorder?arrow_forward
- 3) A 28 year old graduate student has a diagnosed history of bipolar disorder, characterized by his episodes of depression and mania. He has been experiencing recurrent manic episodes that significantly disrupt his daily functioning, impairing his relationships and work performance. Visiting his psychiatrist, he reports symptoms of restlessness, elevated mood, excessive talking, and a decreased need for sleep. As well, he discloses a previous history of depressive episodes. Based on his clinical presentation and medical history, his psychiatrist considers starting him on lithium treatment. a) Lithium has a very narrow therapeutic index, what are the implications of this that the student should be aware of? With so little room for error, what are some precautions the doctor should take to individualize the dosing to the patient's body? b) Lithium cations (Lit) have similar properties to sodium (Na), being directly above it in the periodic table, which enables it to enter cells through…arrow_forwardDiscuss the use of electroconvulsive therapy (ECT) for depressive disorders?arrow_forwardA nurse is caring for a client in the emergency department (ED). Exhibit 1 Nurses' Notes 0600: Client presents with acute altered mental status. Client has a history of frequent ED visits for alcohol intoxication. Client states that they had an episode of binge drinking yesterday afternoon. Client awoke this morning on the living room floor trembling and flushed; remembers having intense dreams and was afraid they had a seizure so they called a family member to bring them to the ED. Client reports their average alcohol intake has been "two or three beers" after work each day and "more on the weekends" for the past 6 months. Client reports headache, nausea, agitation, and is noted to be diaphoretic. 0800: Client states "I've got bugs crawling on me. Get them off me!" Client tremulous and diaphoretic. Exhibit 2 History and Physical Alcohol use disorder Delirium tremens Nicotine use disorder Hypertension, diet and exercise controlled. Exhibit 3 Vital Signs 0600: Temperature 37°…arrow_forward
- Phlebotomy EssentialsNursingISBN:9781451194524Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)Publisher:JONES+BARTLETT PUBLISHERS, INC.Gould's Pathophysiology for the Health Profession...NursingISBN:9780323414425Author:Robert J Hubert BSPublisher:SaundersFundamentals Of NursingNursingISBN:9781496362179Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.Publisher:Wolters Kluwer,
- Fundamentals of Nursing, 9eNursingISBN:9780323327404Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNEPublisher:Elsevier ScienceStudy Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:SaundersIssues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning