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.
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 D
Explanation
Choice A reason: The theory that schizophrenia is primarily related to a disturbed mother-child relationship is outdated and not supported by current research.
Choice B reason: While prenatal factors may contribute to the risk, schizophrenia is not solely caused by brain damage from the mother's use of tranquilizers during pregnancy.
Choice C reason: Alterations in opioid receptors are not currently considered a primary cause of schizophrenia.
Choice D reason: Schizophrenia is considered a brain disorder, with current research focusing on a combination of genetic and environmental factors, brain chemistry, and structure.
Correct Answer is B
Explanation
Choice A reason: While patients with HbA1c levels below 6% are generally considered to have good glycemic control, this does not guarantee they will be free from complications.
Choice B reason: Diabetes complications often involve vascular issues, affecting both large (macrovascular) and small (microvascular) blood vessels, leading to a range of complications such as cardiovascular disease and neuropathy.
Choice C reason: Chronic hypoglycemia can lead to various health issues, but it is not typically classified as a long-term complication of diabetes. Instead, it is a risk associated with diabetes management, particularly with insulin use.
Choice D reason: Both Type 1 and Type 2 diabetics are at risk for complications. Tight glycemic control can reduce the risk, but it does not eliminate it, and Type 1 diabetics are not necessarily at the greatest risk.
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