The family of a client diagnosed with schizophrenia asks why medications are needed to help control the client's symptoms. Which responses by the nurse are appropriate in this situation?
Standard Text: Select all that apply.
1. "Medications for schizophrenia work on the basal ganglia of the brain."
2. "Most antipsychotic drugs block dopamine receptors to reduce the symptoms of the disorder."
3. "They help correct the genetic component of the disorder."
4. "They are really sedatives to stop the client from causing harm."
5. "They stimulate dopamine receptors to reduce the symptoms of the disorder."
Correct Answer: 1,2
Rationale 1: There is a theory that overactive dopaminergic pathways in the basal ganglia are associated with the symptoms of schizophrenia.
Rationale 2: Most antipsychotic drugs act by entering dopaminergic synapses and competing with dopamine. By blocking dopamine receptors, antipsychotic drugs reduce the symptoms of schizophrenia.
Rationale 3: Antipsychotic medications do not correct the genetic component of schizophrenia.
Rationale 4: Antipsychotic medications are not sedatives.
Rationale 5: Antipsychotic medications do not stimulate dopamine receptors.
Global Rationale: There is a theory that overactive dopaminergic pathways in the basal ganglia are associated with the symptoms of schizophrenia. Most antipsychotic drugs act by entering dopaminergic synapses and competing with dopamine. By blocking dopamine receptors, antipsychotic drugs reduce the symptoms of schizophrenia. Antipsychotic medications do not correct the genetic component of schizophrenia; they are not sedatives; and they do not stimulate dopamine receptors.
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