Joniief is teaching her patient about the importance of adherence to antipsychotic medication. Which is the most important point she should convey?
Increased physical activity negates the need for medication.
Antipsychotics cure mental illness.
Taking medication at bedtime always prevents side effects.
Skipping doses can lead to relapse of symptoms.
The Correct Answer is D
Choice A reason: Physical activity is beneficial for overall health and can support mental well-being by reducing stress and improving mood. However, it does not replace the need for antipsychotic medication, which is specifically designed to manage symptoms of serious mental health conditions like schizophrenia or bipolar disorder by targeting neurotransmitter imbalances.
Choice B reason: Antipsychotics do not cure mental illnesses. They are effective in managing symptoms, such as hallucinations or delusions, by stabilizing brain chemistry, but they do not address the underlying cause of the condition or eliminate it entirely. Most mental illnesses require long-term management, not a cure.
Choice C reason: Taking antipsychotics at bedtime may help reduce certain side effects, like drowsiness, for some patients. However, it does not universally prevent all side effects, as these medications can cause a range of issues, including weight gain, movement disorders, or metabolic changes, regardless of the time of administration.
Choice D reason: Adherence to antipsychotic medication is critical because skipping doses can disrupt the therapeutic levels of the drug in the body, leading to a relapse of symptoms such as psychosis, mania, or severe mood disturbances. Consistent use helps maintain stability and prevent worsening of the condition, making this the most important point to convey.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:Informing the family without addressing the client’s emotional concern misses the opportunity to explore their feelings. This response does not directly respond to the client’s expressed fear about their mother’s death.
Choice B reason:Promising to call the family in time assumes the client’s primary concern is family presence, which may not address the underlying fear of dying alone. It also risks making a promise that may not be feasible.
Choice C reason:Ensuring a staff member’s constant presence is supportive but does not directly address the client’s stated concern about their mother’s death or explore their emotional needs, making it less therapeutic.
Choice D reason:Acknowledging the client’s potential fear of dying alone directly addresses the emotional content of their statement. This therapeutic response encourages the client to express their fears, fostering emotional support and understanding.
Correct Answer is B
Explanation
Choice A reason:Obtaining a blood specimen is important to assess electrolyte levels, liver function, or alcohol levels, but it is not the first priority in acute alcohol withdrawal. Immediate safety concerns, such as preventing seizures, take precedence.
Choice B reason:Acute alcohol withdrawal carries a high risk of seizures, which can be life-threatening. Implementing seizure precautions, such as ensuring a safe environment and having emergency medications available, is the first priority to protect the client from harm.
Choice C reason:Performing a neurological exam is valuable to assess the client’s mental status and neurological function, but it is not the first action. Addressing immediate risks like seizures is more urgent in the acute phase of withdrawal.
Choice D reason:Inserting an IV access site is important for administering fluids or medications, such as benzodiazepines, to manage withdrawal symptoms. However, ensuring seizure precautions are in place is a higher priority to address immediate safety risks.
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