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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A: A cocaine abuser with chest pain should be assessed first because chest pain can indicate a life-threatening condition such as a myocardial infarction (heart attack). Cocaine use increases the risk of cardiovascular events, making this client a priority.
B: An intoxicated client with a long history of alcoholism needs medical attention, but their condition is likely less immediately life-threatening compared to chest pain from cocaine use.
C: A client who recently experienced a “bad trip” from LSD may be experiencing psychological distress, but this is generally not as immediately life-threatening as chest pain.
D: A young man who thinks they have been given flunitrazepam (Rohypnol) needs to be assessed for potential drug-facilitated assault, but this situation is less immediately critical than chest pain from cocaine use.
Correct Answer is ["B","C","D","E"]
Explanation
A: Providing a detailed account of school work is not typically associated with ADHD, as children with ADHD often have difficulty with sustained attention and organization.
B: Talking excessively and interrupting are common behaviors in children with ADHD due to impulsivity and hyperactivity.
C: Blurting out responses or thoughts is a characteristic behavior of ADHD, reflecting impulsivity.
D: Fidgeting and squirming in the chair are signs of hyperactivity, which are common in children with ADHD.
E: Being easily distracted is a hallmark symptom of ADHD, indicating difficulty with sustained attention.
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