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Questions and Answers
What defense mechanism is the client exhibiting when refusing to talk to staff and demanding to see their doctor?
What is the main effect of most antipsychotic medications on the central nervous system?
Which medication would be most appropriate for an acutely aggressive schizophrenic client?
What is an advantage of the newer antipsychotic medication risperidone (Risperdal)?
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What should the nurse report to the healthcare provider when caring for a client with schizophrenia treated with Quetiapine (Seroquel)?
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A client receiving haloperidol (Haldol) is experiencing restlessness and feeling jittery. What should the nurse do to manage this situation?
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Which of the following is a side effect of haloperidol (Haldol) that must be reported immediately to the healthcare provider?
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A client with schizophrenia begins treatment with haloperidol (Haldol) and is experiencing neck and jaw spasms. What should the nurse do?
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A client is being discharged with a prescription for haloperidol (Haldol). What instruction should the nurse provide during the discharge teaching session?
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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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Description
This quiz covers defense mechanisms, specifically splitting, and the effects of antipsychotic medications on the central nervous system.
