A nurse is assessing a client during a follow-up at a health clinic. The client reports that they struggle to take antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?
Tell the client they will be admitted to an inpatient care facility if they do not take the medication.
Discuss the provider's goals for the client's care.
Ask the client if the medication is causing adverse effects.
Request the provider prescribe a second antipsychotic medication to the client.
The Correct Answer is C
Choice A reason:
Telling the client that they will be admitted to an inpatient care facility if they do not take their medication can be perceived as a threat and may damage the therapeutic relationship. It is not an effective strategy for improving medication adherence, as it does not address the underlying reasons for the client's struggle with taking the medication.
Choice B reason:
Discussing the provider's goals for the client's care is important, but it does not directly address the issue of medication adherence. While understanding the treatment plan can be beneficial, it is more crucial to engage the client in a conversation about their experiences and concerns with the medication.
Choice C reason:
Asking the client if the medication is causing adverse effects is a direct approach to understanding potential barriers to medication adherence. Adverse effects can be a significant reason why clients may be reluctant to take their medication regularly. Addressing these concerns can lead to adjustments in the medication regimen that may improve adherence.
Choice D reason:
Requesting the provider to prescribe a second antipsychotic medication is not an appropriate first step without first understanding the reasons for non-adherence. Adding another medication could complicate the regimen and potentially lead to more adverse effects or interactions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E","F","I"]
Explanation
Choice A: Impaired cognition can occur during alcohol withdrawal but is not typically an immediate concern requiring urgent intervention. It is more of a general symptom that can be monitored over time.
Choice B: Insomnia is a common symptom of alcohol withdrawal but does not usually require immediate follow-up. It can be managed with supportive care and medications if necessary.
Choice C: Seizures are a severe and potentially life-threatening complication of alcohol withdrawal. They require immediate medical attention to prevent further complications and ensure the client’s safety.
Choice D: Increased blood pressure is a sign of autonomic hyperactivity during alcohol withdrawal. It can indicate severe withdrawal and requires immediate follow-up to prevent complications such as hypertensive crises.
Choice E: An increased heart rate is another sign of autonomic hyperactivity and can indicate severe withdrawal. Immediate follow-up is necessary to manage the client’s cardiovascular status and prevent complications.
Choice F: Diaphoresis (excessive sweating) is a common symptom of severe alcohol withdrawal and indicates autonomic hyperactivity. It requires immediate follow-up to manage the client’s condition.
Choice G: Lack of appetite is a common symptom of alcohol withdrawal but does not typically require immediate follow-up. It can be managed with supportive care and nutritional support1.
Choice H: Vomiting can lead to dehydration and electrolyte imbalances, which are serious concerns during alcohol withdrawal. Immediate follow-up is necessary to manage these risks3.
Choice I: Tremulousness (tremors) is a common and early sign of alcohol withdrawal. It indicates autonomic hyperactivity and requires immediate follow-up to prevent progression to more severe symptoms.
Choice J: Malaise is a general feeling of discomfort and is common during alcohol withdrawal. It does not typically require immediate follow-up but should be monitored as part of the overall care plan.
Correct Answer is A
Explanation
Choice A reason:
St. John's wort is known to interact adversely with fluoxetine. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) used to treat depression and other conditions. St. John's wort also has effects on serotonin, and when taken with fluoxetine, it can increase the risk of serotonin syndrome, a potentially life-threatening condition. Symptoms of serotonin syndrome include confusion, rapid heart rate, dilated pupils, loss of muscle coordination, heavy sweating, and muscle rigidity³. Therefore, it is crucial for patients on fluoxetine to avoid taking St. John's wort to prevent any serious complications.
Choice B reason:
Soy protein is not known to have a significant interaction with fluoxetine. Soy products are commonly consumed foods and are generally considered safe. However, patients should always consult with their healthcare provider before starting any new supplement to ensure it does not interfere with their medication regimen.
Choice C reason:
Echinacea is commonly used to support the immune system, especially for colds and other respiratory infections. There is no well-documented interaction between echinacea and fluoxetine, but as with any supplement, it is advisable to consult with a healthcare provider before combining it with prescription medications.
Choice D reason:
Ginkgo biloba is often used for memory enhancement or to improve circulation. While there are some concerns about ginkgo's potential to affect bleeding due to its blood-thinning properties, there is no direct adverse interaction with fluoxetine. However, patients taking fluoxetine should be cautious with any supplements that can affect bleeding, especially if they are also taking other medications with similar effects.
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