Nokea
A patient with schizophrenia is being educated about the significance of medication adherence. Which statement by the patient indicates understanding?
- A. I will take my medication only when I feel symptoms returning.
- B. I understand that taking my medication regularly is important to manage my symptoms.
- C. I can stop taking my medication once I feel better.
- D. I should take my medication on an as-needed basis.
Correct Answer: B
Rationale: The correct answer is B because it demonstrates an understanding that medication adherence is vital for managing schizophrenia symptoms. Taking medication regularly helps maintain stability and prevent symptom recurrence. Choice A indicates inconsistent medication use, C suggests premature discontinuation, and D implies erratic dosing. Overall, choice B aligns with evidence-based treatment guidelines for schizophrenia.
You may also like to solve these questions
When a patient is diagnosed with major depressive disorder, which nursing diagnosis should be the priority?
- A. Imbalanced nutrition: less than body requirements
- B. Risk for suicide
- C. Disturbed sleep pattern
- D. Ineffective coping
Correct Answer: B
Rationale: The correct answer is B: Risk for suicide. This is the priority nursing diagnosis because individuals with major depressive disorder have an increased risk of suicidal ideation and behaviors. Assessing and addressing this risk is crucial for patient safety. Choice A is not the priority as nutritional imbalances may not pose immediate harm compared to suicide risk. Choice C, disturbed sleep pattern, and choice D, ineffective coping, are important but not as critical as addressing the risk of suicide in a patient with major depressive disorder.
A patient with posttraumatic stress disorder (PTSD) is experiencing nightmares. Which intervention should the nurse include in the care plan?
- A. Encouraging the patient to journal before bedtime
- B. Teaching relaxation techniques
- C. Avoiding discussing the nightmares directly
- D. Developing a safety plan
Correct Answer: B
Rationale: The correct answer is B: Teaching relaxation techniques. This intervention is effective in managing PTSD-related nightmares by helping the patient reduce anxiety and promote better sleep. Relaxation techniques, such as deep breathing and progressive muscle relaxation, can calm the nervous system and improve sleep quality. Encouraging the patient to journal before bedtime (Choice A) may help with processing emotions but may not directly address the nightmares. Avoiding discussing the nightmares directly (Choice C) can lead to avoidance behaviors and hinder the therapeutic process. Developing a safety plan (Choice D) is important for overall safety but does not specifically target the nightmares.
Which of the following medications is commonly used to treat panic disorder?
- A. Lithium
- B. Diazepam
- C. Haloperidol
- D. Clozapine
Correct Answer: B
Rationale: The correct answer is B: Diazepam. Diazepam is a benzodiazepine commonly used to treat panic disorder due to its anxiolytic properties. It works by enhancing the effects of GABA in the brain, reducing anxiety and promoting relaxation. Lithium (A) is typically used to treat bipolar disorder, not panic disorder. Haloperidol (C) and Clozapine (D) are antipsychotic medications primarily used for schizophrenia and other psychotic disorders, not panic disorder. Diazepam is the most suitable choice for treating panic disorder due to its anxiolytic effects and quick onset of action.
A patient with panic disorder is prescribed alprazolam. Which instruction is most important for the nurse to include in the teaching plan?
- A. Avoid driving until you know how the medication affects you.
- B. Take the medication with food to avoid stomach upset.
- C. Take the medication at bedtime to help with sleep.
- D. Increase the dose if you do not feel better in a few days.
Correct Answer: A
Rationale: The correct answer is A: Avoid driving until you know how the medication affects you. This is crucial because alprazolam can cause drowsiness and impair cognitive function. It is important to prioritize safety and prevent accidents. Choice B is incorrect as alprazolam does not necessarily need to be taken with food. Choice C is incorrect as alprazolam is typically taken during the day due to its sedative effects. Choice D is incorrect as increasing the dose without medical guidance can lead to overdose and adverse effects.
When a patient with schizophrenia is taking haloperidol, what is a priority assessment for the nurse?
- A. Assessing for signs of tardive dyskinesia
- B. Monitoring for signs of neuroleptic malignant syndrome
- C. Checking for signs of depression
- D. Monitoring for changes in appetite
Correct Answer: B
Rationale: The correct answer is B: Monitoring for signs of neuroleptic malignant syndrome. This is because neuroleptic malignant syndrome is a potentially life-threatening side effect of haloperidol, characterized by fever, muscle rigidity, altered mental status, and autonomic dysfunction. It requires immediate medical intervention. Assessing for tardive dyskinesia (A) is important but not as urgent as monitoring for neuroleptic malignant syndrome. Checking for signs of depression (C) is relevant but not a priority when the patient is at risk of a serious adverse reaction. Monitoring changes in appetite (D) is less critical than assessing for neuroleptic malignant syndrome, as it is a common side effect that does not pose an immediate threat to the patient's life.