The patient was receiving haloperidol (Haldol), a dopamine antagonist. The psychiatrist changed the order to aripiprazole (Abilify), a partial dopamine antagonist. Which statement best describes the effect of the change of medication on the patient?
1. The patient is more compliant in taking his medication.
2. The patient experiences greater efficacy.
3. The patient experiences a greater reduction in symptoms.
4. The patient experiences fewer side effects.
4
Rationale 1: The patient will not necessarily be more compliant in taking the medicine.
Rationale 2: The patient will not necessarily experience greater efficacy.
Rationale 3: Experiencing a greater reduction in symptoms is the same as greater efficacy.
Rationale 4: Partial blocking of dopamine results in fewer side effects than complete blocking of dopamine.
Global Rationale: Partial blocking of dopamine results in fewer side effects than complete blocking of dopamine. The patient will not necessarily experience greater efficacy or be more compliant in taking the medicine. Experiencing a greater reduction in symptoms is the same as greater efficacy.
You might also like to view...
The home health nurse assesses the home for possible dangers because of her awareness that the second leading cause of accidental death in children 1 to 4 years of age is:
a. falls. b. asphyxiation. c. poisons. d. burns.
After auscultating a patient's chest, the nurse reports the findings to the preceptor. Which statement would indicate the need for immediate reassessment by the preceptor?
1. "I heard coarse crackles earlier, but now they sound finer.". 2. "I heard wheezing earlier, but now I don't hear it.". 3. "There are coarse crackles that clear with coughing.". 4. "The patient was clear, but now there are scattered wheezes bilaterally.".
The nurse teaches a class for clients in their first trimester of pregnancy. The nurse evaluates that learning has occurred when the clients make which statements?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. "Ovulation occurs on approximately Day 21 of the ovarian cycle." B. "Ovulation is caused by a surge of luteinizing hormone." C. "Ovulation is caused by a surge of human chorionic gonadotropin." D. "Follicle-stimulating hormone causes ovarian follicles to develop." E. "The pituitary gland secretes gonadotropin-releasing hormone."
In the case of the Elixir Sulfanilamide tragedy in 1937, the U.S. government intervened because
3 A. the drug was unsafe when used as directed B. the drug was ineffective for the disorders listed on the label C. the product has been mislabeled with regard to its ingredients D. the drug was far more effective than anything else on the market, and the profits of the manufacturer had been excessive