Chapter 17: Drugs Used for Psychoses Clayton/Willihnganz: Basic Pharmacology for Nurses, 17th Edition questions with 100% correct answers Download for an A+

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. DIF: Cognitive Level: Knowledge REF: Page 254 OBJ: 1 TOP: Nursing Process Step: Assessment MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: CONCEPT(S): Clinical Judgment; Psychosis; Sensory Perception 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 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. DIF: Cognitive Level: Application REF: Page 255 OBJ: 2 | 3 TOP: Nursing Process Step: Evaluation MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: CONCEPT(S): Clinical Judgment; Psychosis; Adherence Behavior; Sensory Perception 3. What is the most common cause of nonadherence to antipsychotic pharmacologic treatment? a. Expense b. Incre