A patient diagnosed with schizophrenia has been stable for 2 months. Today the patient's spouse calls the nurse to report the patient has not taken prescribed medication and is having disorganized thinking

The patient forgot to refill the prescription. The nurse arranges a refill. Select the best outcome to add to the plan of care.

a. The patient's spouse will mark dates for prescription refills on the family calendar.
b. The nurse will obtain prescription refills every 90 days and deliver to the patient.
c. The patient will call the nurse weekly to discuss medication-related issues.
d. The patient will report to the clinic for medication follow-up every week.


ANS: A
The nurse should use the patient's support system to meet patient needs whenever possible. Delivery of medication by the nurse should be unnecessary for the nurse to do if patient or a significant other can be responsible. The patient may not need more intensive follow-up as long as medication is taken as prescribed.

Nursing

You might also like to view...

Order the description of the progressive phases of Walker's model of the "cycle of battering?"

1. ________ This phase is the most violent and the shortest, usually lasting up to 24 hours. 2. ________ In this phase, the man's tolerance for frustration is declining. 3. ________ In this phase, the batterer becomes extremely loving, kind, and contrite.

Nursing

Which drugs would be affected by the first-pass effect? (Select all that apply.)

a. Morphine given by IV push injection b. Sublingual nitroglycerin tablets c. Diphenhydramine (Benadryl) elixir d. Levothyroxine (Synthroid) tablets e. Transdermal nicotine patches f. Esomeprazole (Nexium) capsules g. Penicillin given by IV piggyback infusion

Nursing

A patient who is prescribed gabapentin (Neurontin) is also taking morphine sulfate for severe pain. What dosage adjustment should you expect?

a. Decreased dosage of gabapentin b. Increased dosage of gabapentin c. Decreased dosage of morphine d. Increased dosage of morphine

Nursing

A patient with depression tells the nurse, "Bad things that happen are always my fault." To assist the patient in reframing this overgeneralization, the nurse should respond:

a. "I really doubt that one person can be blamed for all the bad things that happen." b. "Let's look at one bad thing that happened to see if another explanation exists." c. "You are being exceptionally hard on yourself when you imply you are a jinx." d. "What about the good things that happen; are any of them ever your fault?"

Nursing