The physician and advanced practice nurse are considering which antipsychotic medication to
prescribe for a client with schizophrenia who demonstrates auditory hallucinations, apathy,
anhedonia, and poor social functioning.
The client is overweight and has hypertension. Bearing these
facts in mind, the drug the nurse should advocate would be
a. clozapine (Clozaril).
b. ziprasidone (Geodon).
c. olanzapine (Zyprexa).
d. aripiprazole (Abilify).
D
Aripiprazole is a new atypical antipsychotic effective against both positive and negative symptoms
of schizophrenia. It causes little or no weight gain and no increase in glucose, high- or low-density
lipoprotein cholesterol, or triglycerides, making it a reasonable choice for a client with obesity or
heart disease. Option A: Clozapine may produce agranulocytosis, making it a poor choice as a
first-line agent. Option B: Ziprasidone may prolong the QT interval, making it a poor choice for a
client with cardiac disease. Option C: Olanzapine fosters weight gain.
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Before treatment of an addiction can actually begin, many persons must first go through the process of removing the substance from their bodies under medical supervision. This is known as
1. abstinence. 2. withdrawal. 3. detoxification. 4. intoxification.
A patient was the restrained front seat passenger in a slow-speed automobile crash in which the car was struck in the middle of the passenger side. Where would the nurse look first for injuries in this patient?
1. Right head, arm, and hip 2. Left knee and ankle 3. Low back 4. There is no pattern to the potential injury.
A couple has come to the health care provider's office with concerns about infertility. While collecting data, the woman questions the nurse about who is at fault for the inability to conceive
Which of the following statements by the nurse is most appropriate at this time? 1. "The causes of infertility are varied and will require further investigation.". 2. "Most causes of infertility are never explained.". 3. "Unfortunately, infertility is usually the fault of the woman.". 4. "As long as you get pregnant, there is no need to place blame.".
Schizophrenia is caused by:
A) Anxiety B) Substance abuse C) A biochemical disease D) Childhood abuse