Podcast
Questions and Answers
What defense mechanism is the client exhibiting when refusing to talk to staff and demanding to see their doctor?
What defense mechanism is the client exhibiting when refusing to talk to staff and demanding to see their doctor?
- Denial
- Projection
- Rationalization
- Splitting (correct)
What is the main effect of most antipsychotic medications on the central nervous system?
What is the main effect of most antipsychotic medications on the central nervous system?
- Depress the CNS by blocking the postsynaptic transmission of dopamine, serotonin, and norepinephrine (correct)
- Depress the CNS by stimulating the release of acetylcholine
- Stimulate the CNS by blocking postsynaptic dopamine, norepinephrine, and serotonin receptors
- Sedate the CNS by stimulating serotonin at the synaptic cleft
Which medication would be most appropriate for an acutely aggressive schizophrenic client?
Which medication would be most appropriate for an acutely aggressive schizophrenic client?
- Chlorpromazine (Thorazine)
- Haloperidol (Haldol) (correct)
- Amitriptyline (Elavil)
- Lithium carbonate (Lithonate)
What is an advantage of the newer antipsychotic medication risperidone (Risperdal)?
What is an advantage of the newer antipsychotic medication risperidone (Risperdal)?
What should the nurse report to the healthcare provider when caring for a client with schizophrenia treated with Quetiapine (Seroquel)?
What should the nurse report to the healthcare provider when caring for a client with schizophrenia treated with Quetiapine (Seroquel)?
A client receiving haloperidol (Haldol) is experiencing restlessness and feeling jittery. What should the nurse do to manage this situation?
A client receiving haloperidol (Haldol) is experiencing restlessness and feeling jittery. What should the nurse do to manage this situation?
Which of the following is a side effect of haloperidol (Haldol) that must be reported immediately to the healthcare provider?
Which of the following is a side effect of haloperidol (Haldol) that must be reported immediately to the healthcare provider?
A client with schizophrenia begins treatment with haloperidol (Haldol) and is experiencing neck and jaw spasms. What should the nurse do?
A client with schizophrenia begins treatment with haloperidol (Haldol) and is experiencing neck and jaw spasms. What should the nurse do?
A client is being discharged with a prescription for haloperidol (Haldol). What instruction should the nurse provide during the discharge teaching session?
A client is being discharged with a prescription for haloperidol (Haldol). What instruction should the nurse provide during the discharge teaching session?
A client with schizophrenia who receives fluphenazine (Prolixin) develops pseudoparkinsonism and akinesia. What drug would the nurse administer to minimize extrapyramidal symptoms?
A client with schizophrenia who receives fluphenazine (Prolixin) develops pseudoparkinsonism and akinesia. What drug would the nurse administer to minimize extrapyramidal symptoms?
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Study Notes
Defense Mechanisms
- A client refusing to talk to staff and demanding to see their doctor is using the defense mechanism of splitting.
Antipsychotic Medications
- Most antipsychotic medications depress the CNS by blocking the postsynaptic transmission of dopamine, serotonin, and norepinephrine.
Medication for Aggressive Schizophrenic Client
- Haloperidol (Haldol) would probably be ordered for an acutely aggressive schizophrenic client.
Advantages of Risperidone (Risperdal)
- One of the advantages of risperidone (Risperdal) is a lower incidence of extrapyramidal effects.
Quetiapine (Seroquel) Side Effects
- Muscle stiffness and agitation are potential side effects of Quetiapine (Seroquel).
- The nurse should report muscle spasms and seizures to the healthcare provider.
Haloperidol (Haldol) Side Effects
- Akathisia is a potential side effect of haloperidol (Haldol), characterized by restlessness, jitteriness, and constant movement.
- The nurse should manage akathisia by giving an as-needed dose of a prescribed anticholinergic agent.
Haloperidol (Haldol) Long-term Side Effects
- A side effect of haloperidol (Haldol) that must be reported immediately to the healthcare provider is dystonic reaction.
- Muscle flaccidity and mood swings are not necessarily side effects that require immediate reporting.
Haloperidol (Haldol) Adverse Reactions
- Neck and jaw spasms are potential adverse reactions to haloperidol (Haldol) that require evaluation and reporting.
Discharge Instructions for Haloperidol (Haldol)
- Clients taking haloperidol (Haldol) should be instructed to apply sunscreen before exposure to the sun to avoid photosensitivity.
Readmission Assessment for Schizophrenia
- The focus of the first assessment for a client readmitted for schizophrenia should be on medication compliance.
Extrapyramidal Symptoms
- Benztropine (Cogentin) is used to minimize extrapyramidal symptoms such as pseudoparkinsonism and akinesia in clients taking fluphenazine (Prolixin).
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