The nurse is caring for a patient with schizotypal personality disorder. The nurse anticipates providing patient education regarding which type of medication?
1. Typical antipsychotic
2. Atypical antipsychotic
3. Tricyclic antidepressant
4. Mood stabilizer
Answer: 1
Explanation: Patients who have schizotypal personality disorder are best treated with typical antipsychotics. It is thought that a dopamine dysregulation is a primary cause of the psychotic symptoms these patients experience. It is for this reason that typical antipsychotics work best for these patients. Atypical antipsychotics work best for patients with Cluster B disorders, specifically borderline personality disorder. Tricyclic antidepressants are helpful in treating emotional dysregulation; however, these medications increase the lethality of suicide attempts due to their cardiotoxicity. Mood stabilizers work best for patients experiencing emotional dysregulation.
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