A client with schizophrenia is reluctant to take his prescribed oral medication. The most therapeutic response by the nurse to this refusal is:

"I can see that you're uncomfortable now, so we can wait until tomorrow."

"If you refuse these pills, you'll have to get an injection

"What is it about the medicine that you don't like?"

"You know you have to take this medicine for your own good."

Answer and Explanation

The Correct Answer is C

A. "I can see that you're uncomfortable now, so we can wait until tomorrow." Delaying the medication could worsen the client's condition and does not address the underlying reason for the refusal.

B. "If you refuse these pills, you'll have to get an injection." This response is coercive and could damage trust between the client and the nurse. It does not explore the client's concerns.

C. "What is it about the medicine that you don't like?" This response is therapeutic as it opens a dialogue with the client to understand their concerns, which can help in addressing the reluctance and promoting adherence to the medication.

D. "You know you have to take this medicine for your own good." This response is paternalistic and dismisses the client's autonomy and concerns, which may lead to further resistance.

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Correct Answer is D

Explanation

A. Benzodiazepines: Benzodiazepines are commonly prescribed for short-term management of anxiety disorders due to their rapid anxiolytic effects.

B. SSRIs: Selective serotonin reuptake inhibitors (SSRIs) are frequently used as first-line treatment for various anxiety disorders due to their efficacy and favorable side effect profile.

C. Tricyclic antidepressants: Tricyclic antidepressants (TCAs) are also used in the treatment of anxiety disorders, although they are less commonly prescribed than SSRIs due to their side effect profile.

D. Calcium channel blockers: Calcium channel blockers are not typically used to treat anxiety disorders. They are mainly used for cardiovascular conditions, such as hypertension and arrhythmias.

A. drink adequate noncaffeinated and nonalcoholic beverages. B. take nutrient-dense foods or to combine plant-based proteins. C. take protein-based liquid supplements. D. get dental care and practice dental hygiene daily.

Correct Answer is A

Explanation

A. Drink adequate noncaffeinated and non-alcoholic beverages: Xerostomia (dry mouth) can be alleviated by staying hydrated with noncaffeinated and non-alcoholic beverages, which help to moisten the mouth and improve comfort.

B. Take nutrient-dense foods or to combine plant-based proteins: While nutrient-dense foods are important for overall health, they do not specifically address the issue of xerostomia. Plant-based proteins do not directly impact the symptoms of dry mouth.

C. Take protein-based liquid supplements: Protein-based liquid supplements are not specifically designed to address dry mouth and may not help in alleviating xerostomia.

D. Get dental care and practice dental hygiene daily: While dental care and hygiene are important for overall oral health, they do not specifically address xerostomia. Drinking fluids is more directly helpful for managing dry mouth.

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A client with schizophrenia is reluctant to take his prescribed oral medication. The most therapeutic response by the nurse to this refusal is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is aware that all the following pharmacological agents are useful in treating anxiety disorders except:

Correct Answer is D

Explanation

A nurse is caring for a client with complaints of xerostomia. The nurse should encourage the client to:

Correct Answer is A

Explanation

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