The patient is receiving clozapine (Clozaril) for the treatment of schizophrenia. The nurse evaluates that this medication has been effective when the patient makes which statement?
1. "I will start going to group therapy."
2. "I think I am ready for discharge, as I feel better."
3. "I am not hearing the voices anymore."
4. "I promise not to skip breakfast anymore."
3
Rationale 1: A patient stating he will go to group therapy does not indicate the remission of any psychotic symptoms.
Rationale 2: A patient stating he feels better and is ready for discharge does not indicate the remission of any psychotic symptoms.
Rationale 3: Therapeutic effects of clozapine (Clozaril) include remission of a range of psychotic symptoms to include delusions, paranoia, auditory hallucinations, and irrational behavior.
Rationale 4: A patient stating he will not skip breakfast does not indicate the remission of any psychotic symptoms.
Global Rationale: Therapeutic effects of clozapine (Clozaril) include remission of a range of psychotic symptoms to include delusions, paranoia, auditory hallucinations, and irrational behavior. A patient stating he feels better and is ready for discharge does not indicate the remission of any psychotic symptoms. A patient stating he will go to group therapy does not indicate the remission of any psychotic symptoms. A patient stating he will not skip breakfast does not indicate the remission of any psychotic symptoms.
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