The nurse is caring for a patient with borderline personality disorder (BPD) who is experiencing psychotic symptoms. Which medication will the nurse anticipate the health care provider ordering for the patient? Select all that apply
1. Olanzapine (Zyprexa)
2. Lorazepam (Ativan)
3. Ripiprazole (Abilify)
4. Haloperidol (Haldol)
5. Thiothixene (Navane)
Answer: 1, 3
Explanation: For patients with BPD experiencing psychotic symptoms and disinhibition, atypical antipsychotics, particularly olanzapine (Zyprexa) and aripiprazole (Abilify), have been found to have a greater range of efficacy than typical antipsychotics, such as haloperidol (Haldol) and thiothixene (Navane). Lorazepam (Ativan) is used for sedation in patients with extreme agitation, not for those with BPD experiencing psychotic symptoms.
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