A patient with schizophrenia has been admitted to an inpatient facility. Since admission, the patient has been either refusing medication or cheeking their medications. What interventions should the nurse implement? Select all that apply.
Determine if the medication can be switched to a difficult-to-conceal form (e.g., liquid, fast-dissolving tablet).
Address underlying reasons for not wanting to take medications.
Assess for delusions and hallucinations once a shift.
Administer medications in a seclusion room so they can be closely monitored.
Don’t allow the patient to attend group activities if medication was not taken.
Correct Answer : A,B
A: Switching to a difficult-to-conceal form of medication can help ensure that the patient takes their medication as prescribed. Liquid or fast-dissolving tablets are harder to hide or spit out.
B: Addressing the underlying reasons for not wanting to take medications is crucial for understanding the patient’s perspective and finding solutions that encourage adherence.
C: While assessing for delusions and hallucinations is important, it is not directly related to ensuring medication adherence.
D: Administering medications in a seclusion room is not a standard practice and can be seen as punitive. It should only be used if the patient poses a risk to themselves or others.
E: Not allowing the patient to attend group activities if medication was not taken can be counterproductive and may increase the patient’s resistance to treatment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A: Devoting extended 1:1 time with the client to vent about their feelings is not appropriate because it can reinforce the behavior by providing attention. It is important to provide support without reinforcing maladaptive behaviors.
B: Asking the client to write down feelings prior to injury is an appropriate intervention as it encourages the patient to express emotions in a non-harmful way.
C: Maintaining a neutral tone when assessing the injury is important to avoid reinforcing the behavior through emotional reactions.
D: Helping the patient identify healthy ways to respond to negative emotions is a key intervention in managing borderline personality disorder and preventing self-harm.
Correct Answer is C
Explanation
A: Expressive Arts Therapy involves using various art forms such as drawing, painting, and sculpture to express emotions and thoughts. While it can be therapeutic and help children process their feelings, it does not specifically involve reading stories to reflect on personal experiences.
B: Journaling is a therapeutic technique where individuals write about their thoughts and feelings. It helps in self-reflection and emotional processing but does not involve reading stories as a primary method.
C: Bibliotherapy is a therapeutic approach that uses literature to help individuals understand and reflect on their own experiences. By reading stories that mirror their situations and feelings, children can gain insights and coping strategies. This method is specifically designed to use books and stories for therapeutic purposes.
D: Music therapy involves using music to address emotional, cognitive, and social needs. It can include listening to music, playing instruments, or composing songs. While it is effective for many therapeutic goals, it does not involve reading stories for self-reflection.
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