The nurse spends several sessions with a client with paranoid schizophrenia and the client's family
to help them understand the importance of the client regularly taking antipsychotic medication.
The
client repeatedly states he does not like taking pills, and family members say they feel helpless to
foster his compliance. The treatment strategy the nurse should discuss with the physician is
a. use of an antipsychotic decanoate preparation.
b. adjunctive use of amitriptyline (Elavil).
c. use of benzodiazepines such as diazepam (Valium).
d. use of chlordiazepoxide (Librium).
A
Medications such as fluphenazine decanoate and haloperidol decanoate are long-acting forms of
antipsychotic medication. They are given by depot injection every 2 to 4 weeks, thus reducing daily
opportunities for noncompliance. The other options do not address the client's dislike of taking pills.
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