A client with a long history of schizophrenia is being switched from a conventional antipsychotic medication to a newer antipsychotic. The client asks, "I wonder why I am being switched since I have not had hallucinations for years
The psychiatrist said something about negative symptoms." Which response by the nurse is correct? 1. Negative symptoms are those that interrupt your life, such as hearing voices or thinking that people are out to get you.
2. The conventional antipsychotic medications do not work well with positive symptoms, such as hallucinations.
3. You must have heard wrong because medications would not be switched due to negative symptoms.
4. Newer antipsychotic medications work on hallucinations as well as negative symptoms, such as lack of motivation.
4
Rationale: The newer antipsychotic medications work on the negative as well as the positive symptoms of schizophrenia. The conventional antipsychotic medications worked well with the positive symptoms, such as hallucinations and delusions. The negative symptoms include flat affect and lack of motivation. Treating significant negative symptoms would be one reason for switching from a conventional to an atypical antipsychotic medication.
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Areas in which nursing assistive personnel (NAP) need training and skill development are:
a. critical thinking, decision making, communication skills, and basic care procedures. b. basic care procedures, decision making, communication, and reliable thinking. c. communication, basic care procedures, critical thinking, and teamwork. d. basic care procedures, reliable thinking, communication, and teamwork.
In preparing a teaching plan for adult clients, the nurse incorporates evidence-based information. The nurse recognizes that evidence obtained about adult learners identified that this group pre-ferred which of the following methods of learning?
a. Computer-assisted instruction b. Traditional classroom settings c. Long sessions with lots of technical information d. Effective communication techniques
Which of the following should the nurse recognize as untrue about sexuality and aging?
a. male erections may take longer to achieve and not be as full as in younger years b. male orgasm may not occur with each encounter c. sexual desire will permanently disappear after years without a partner d. decreased vaginal lubrication is often a problem for women
A 16-year-old client has been prescribed metronidazole (Flagyl) for treatment of a sexually transmitted infection
This client has been seen in the clinic four times in the last 6 months for the same condition. The client just wants the nurse to give her the medication so that she can go home. What would be considered the priority nursing diagnosis for this client? 1. Noncompliance (antimicrobial therapy) related to therapeutic regimen 2. Diarrhea related to effects of drug therapy 3. Infection, Risk for 4. Knowledge, Deficient (infection) related to disease process, transmission, and drug therapy