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Chapter 5 Antipsychotic agents
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Chapter 5 Antipsychotic agents
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Chapter 5 Antipsychotic agentsMULTIPLE CHOICE
1. The nurse is assessing a patient who is complaining of hearing voices. What is this
patient experiencing?
a. Delusions
b. Flight of ideas
c. Disorganized thinking
d. Hallucinations
ANS: D
Hallucinations are false sensory perceptions that are experienced without an external
stimulus but seem real to the patient. Auditory hallucinations are prominent in a
schizophrenic patient. Additional sensory hallucinations include those of touch, sight,
smell, and body sensation. Delusions are false beliefs that persist despite evidence to
the contrary. Flight of ideas is characterized by rapid changes in thought from one
topic to another. Disorganized thinking is commonly associated with psychoses and
consists of a flight of ideas during which the individual jumps from one idea or topic
to another one.
2. A patient with schizophrenia has been nonadherent with his home medication
regimen. He requires frequent admissions to the intensive psychiatric unit for
treatment of acute psychotic episodes. Which medication regimen would be
appropriate for this patient?
a. Daily home nursing visits to administer the prescribed oral medication
b. Continuous inpatient hospitalization for medication therapy
c. Administration of depot antipsychotic medication
d. Subcutaneous medication administration
ANS: C
Depot antipsychotic medications are long acting injections that may be used with
noncompliant patients and may assist in avoiding repeated hospital admissions. Daily
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, home nursing visits are not an efficient way to ensure medication compliance.
Continuous inpatient hospitalization is not an efficient way to ensure medication
compliance. Subcutaneous medication administration is not an option for this patient.
3. What is the most common cause of nonadherence to antipsychotic pharmacologic
treatment?
a. Expense
b. Increased symptoms of chemical dependency
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