A client with severe and persistent paranoid schizophrenia has had several hospitalizations. He
responds quickly to antipsychotic medication but stops taking the medication soon after discharge.
Discharge planning after this hospitalization will include follow-up at the adult mental health clinic,
placement in a group home, and daily attendance at a psychosocial rehabilitation program.
Evidence-based pharmacologic guidelines recommend prescribing
a. chlorpromazine (Thorazine).
b. thioridazine (Mellaril).
c. fluphenazine decanoate (Prolixin decanoate).
d. long-acting risperidone (Risperdal).
D
First-line treatment with atypical antipsychotics such as risperidone, olanzapine, or quetiapine is
recommended in evidence-based pharmacological guidelines. A long-acting form of risperidone is
available and appropriate given the client's propensity for medication nonadherence. The other
options are typical antipsychotics that are less effective in treating secondary symptoms of
schizophrenia.
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Indicate whether the statement is true or false
When providing care for a client receiving peritoneal dialysis, the nurse notices that the effluent is cloudy. Which intervention is most important for the nurse to carry out?
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Outcome identification serves which of the following purposes? Select all that apply.
A. Providing individualized care B. Identifying potential health problems C. Planning care that is realistic and measurable. D. eliminating the need for the involvement of support people.
Following a kidney transplant, which specific food on the client's meal tray should be removed?
a. steamed broccoli b. fresh, washed bean sprouts c. commercially prepared pudding d. low-fat chocolate milkshake from an ice cream shop