An elderly patient with dementia exhibits hostility and uncooperativeness. The primary care NP prescribes clozapine (Clozaril) and should counsel the family about:
a. a decreased risk of extrapyramidal symptoms.
b. improved cognitive function.
c. the need for long-term use of the medication.
d. a possible increased risk of heart disease and stroke.
D
Antipsychotics are useful in treating some psychiatric symptoms of dementia and help to improve quality of life in many patients. They do not improve cognitive function, however. They increase the risk of extrapyramidal symptoms and should be used only on a short-term basis. They increase the risk of heart disease and stroke.
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