A patient with schizophrenia is managing his illness with the antipsychotic Clozaril (clozapine)
During his clinic visit he complains of not feeling rested during the day. As the nurse seeing patients on an outpatient basis, you would encourage the patient to do which of the following?
A) Take a nap during the day
B) Take his dose of Clozaril at bedtime
C) Take his medication as soon as awakens in the morning
D) Consult with the psychiatrist to modify his medicines
Ans: B
Feedback:
Treatment of schizophrenia involves antipsychotic drugs, which exert effects on dopamine systems. First-generation antipsychotics and clozapine (Clozaril) cause sedation and increased total sleep time (Benson, 2006; Monti and Monti, 2004). Risperidone (Risperdal) and olanzapine (Zyprexa) cause less sedation. Giving antipsychotic medications at bedtime maximizes their sedative effects and improves sleep (Benson and Zarcone, 2000).
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