What are the primary goals of pharmacotherapy for patients diagnosed with schizophrenia? (Select all that apply.)

Reduce psychotic symptoms to a level that allows the patient to perform self-care.

Decrease psychotic symptoms so the patient can maintain employment.

Reduce psychotic symptoms to a level that allows the patient to maintain normal social relationships.

Cure schizophrenia.

Increase delusional symptoms.

Answer and Explanation

Correct Answer : A,B,C

Choice A reason: One of the primary goals of pharmacotherapy in schizophrenia is to reduce psychotic symptoms to improve the patient's ability to perform daily self-care activities.

Choice B reason: Decreasing psychotic symptoms to help the patient maintain employment is another goal, as it contributes to the patient's independence and quality of life.

Choice C reason: Reducing symptoms to allow for the maintenance of normal social relationships is also a key goal, as social functioning is often impaired in schizophrenia.

Choice D reason: While the ultimate goal may be to cure schizophrenia, currently, pharmacotherapy aims to manage symptoms as there is no cure for the condition.

Choice E reason: Increasing delusional symptoms is not a goal of treatment; the aim is to decrease such symptoms.

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Correct Answer is A

Explanation

Choice A reason: This response acknowledges the client's feelings without agreeing with the delusion or challenging their reality, which can help in building trust and rapport.

Choice B reason: Asking "Why do you think you are being lied about and poisoned?" could potentially reinforce the delusion and lead the client to further justify their beliefs.

Choice C reason: Directly telling the client they are mistaken can be confrontational and may damage the therapeutic relationship.

Choice D reason: Asking "Who is lying about you and trying to poison you?" can validate the delusion and is not a therapeutic response.

A. Divorce at age 50 B. Whatever the patient says is stressful C. Loss of job at age 55 D. Gallbladder surgery at age 60

Correct Answer is B

Explanation

Choice A reason: Divorce can be a stressor, but it is not universally stressful to every individual; it depends on the person's experience and perception.

Choice B reason: Stress is subjective, and what one person finds stressful may not be stressful to another. Therefore, if the patient identifies an event as stressful, it should be considered as such.

Choice C reason: Loss of job can be a significant stressor due to financial and social implications, but again, it depends on the individual's circumstances and perception.

Choice D reason: Surgery can be a stressor due to its impact on physical health and potential for causing anxiety about medical procedures and outcomes.

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What are the primary goals of pharmacotherapy for patients diagnosed with schizophrenia? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia. The client states, "They lie about me all the time and are trying to poison my food." Which of the following responses should the nurse make?

Correct Answer is A

Explanation

The nurse is collecting admission data on a new patient with a long health history. Which of the following life events is considered a stressor?

Correct Answer is B

Explanation

Michael's parents have always told him that he is not a good student. Michael starts a small business selling things on the internet and devotes all his time and energy to building it, becoming a successful entrepreneur. Michael's situation is an example of:

A nurse is reinforcing preoperative teaching to a client who is undergoing total hip replacement surgery. Which of the following statements should the nurse include in the teaching?

The nurse is collecting data on a patient with minor chronic venous disease. What findings are anticipated?

When setting limits with patients with personality disorders, the consequences of violating those limits should be set at which time?

The most current thinking on the cause of schizophrenia is that it is:

A nurse is reinforcing teaching with a client who is preoperative following abdominal surgery about deep breathing and coughing exercises. Which of the following client statements should indicate to the nurse an understanding of the instructions?

Which of the following are NOT nursing interventions for people with anxiety disorders? Select all that apply.

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