A client with schizophrenia has received standard antipsychotics for a year. His hallucinations are less intrusive, but the client remains apathetic, has poverty of thought, cannot work, and is socially isolated.

To address these symptoms, the nurse might expect the psychiatrist to prescribe which medication?

Haloperidol

Olanzapine

Diphenhydramine

Chlorpromazine

Answer and Explanation

The Correct Answer is B

A.   Haloperidol is a first-generation antipsychotic and may not be as effective in addressing the negative symptoms (e.g., apathy, poverty of thought) as second-generation antipsychotics.
B.   Olanzapine is a second-generation antipsychotic known to be effective in treating both positive and negative symptoms of schizophrenia.
C.   Diphenhydramine is not typically used as a primary treatment for schizophrenia.
D.   Chlorpromazine is a first-generation antipsychotic and may not be as effective in addressing the negative symptoms as second-generation antipsychotics.

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Correct Answer is A

Explanation

A. Delirium is characterized by a fluctuating level of consciousness, which can include periods of hypervigilance.
B. A slow onset of confusion and agitation is more characteristic of dementia rather than delirium.
C. A decrease in output and vital signs may indicate a different condition, but it is not specific to delirium.
D. Delirium is characterized by an acute onset and is typically short-lived, usually lasting days to weeks. Symptoms lasting longer than a month would suggest a different diagnosis.

A. "There may be an increased risk of socialization while taking this drug." B. "Clients may lose all inhibitions while on this drug." C. "There may be an increased risk of suicide while taking this drug." D. "If you miss a dose of this drug, double the dose the next time you take it."

Correct Answer is C

Explanation

A) Incorrect. This statement does not provide relevant information about the medication or potential risks.

B) Incorrect. This statement is not accurate and may cause unnecessary concern or confusion for the client.

C) Correct. Adolescents and young adults prescribed with antidepressant medications should be informed about the potential increased risk of suicidal thoughts or behaviors, especially in the early stages of treatment. This information is important for the client's safety and allows for appropriate monitoring.

D) Incorrect. Doubling the dose if a dose is missed is not a safe or appropriate practice. The client should be instructed on what to do if they miss a dose according to their healthcare provider's instructions.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse suspects the client is experiencing delirium. Which of the following assessment findings would support the nurse's suspicion?

Correct Answer is A

Explanation

A physician has prescribed an antidepressant medication for a 15yearold client. Which statement would be appropriate for inclusion in medication teaching?

Correct Answer is C

Explanation

A client with chronic alcoholism has been found to have Wernicke encephalopathy. What is this irreversible complication characterized by?

The nurse is caring for a client with poor self-esteem. What intervention would be important for the nurse to include in the plan of care?

The nurse is admitting a client with the diagnosis of schizophreniform disorder. What should the nurse expect to find?

Which of the following is the most therapeutic response by the nurse when a client states, "I no longer need my medication since I do not hear voices"?

The nurse is monitoring a client who abuses alcohol for signs of alcohol withdrawal delirium. The nurse would monitor for which symptoms?

A nurse in the emergency department is implementing a plan of care for an older adult client who is experiencing delirium tremens. Which of the following actions should the nurse take first?

The nurse receives report on a male client diagnosed with schizoaffective disorder and is informed that the client's verbal communication includes "circumstantiality." What intervention is most therapeutic when caring for this client?