A 20-year-old client is admitted for treatment of acute schizophrenia and started on risperidone. Which of the following indicates a therapeutic outcome for this medication?
Orthostatic hypotension and sedation
Decreased delusional thinking and lessened audiovisual hallucinations
Restful sleep and increased coping abilities
Decreased anxiety and improved dietary habits
The Correct Answer is B
Risperidone is an atypical antipsychotic medication used to treat schizophrenia ¹. It works by changing the activity of certain natural substances in the brain ¹. A therapeutic outcome for this medication would be a decrease in symptoms of schizophrenia such as delusional thinking and audiovisual hallucinations ¹.
Option A is not correct because orthostatic hypotension and sedation are side effects of risperidone, not therapeutic outcomes ¹.
Option C is not correct because restful sleep and increased coping abilities are not specific therapeutic outcomes for risperidone in the treatment of schizophrenia.
Option D is not correct because decreased anxiety and improved dietary habits are not specific therapeutic outcomes for risperidone in the treatment of schizophrenia.
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Correct Answer is D
Explanation
A selective serotonin reuptake inhibitor (SSRI) would be chosen as a first-line treatment option over a tricyclic antidepressant (TCA) for several reasons, including reducing the risk of suicide with overdose ³. TCAs have a higher potential for serious or fatal toxicity when taken in large amounts compared to SSRIs ³.
Option A is incorrect because SSRIs can cause sexual dysfunction as a side effect.
Option B is incorrect because both SSRIs and TCAs can cause weight gain and gastrointestinal (GI) effects.
Option C is incorrect because SSRIs can increase the risk of serotonin syndrome when taken with other medications that affect serotonin levels.
Correct Answer is C
Explanation
Benzodiazepines are medications that work in the central nervous system and are used for a variety of medical conditions such as anxiety, seizures, and alcohol withdrawal ². They work by blocking excessive activity of nerves in the brain and other areas in the central nervous system ². While benzodiazepines can be effective in treating these conditions, they are not a cure and should be used as part of a comprehensive treatment plan that may include counseling or other forms of therapy ¹.
Option A is not correct because benzodiazepines do not require frequent blood counts to avoid adverse effects.
Option B is not correct because the decision to stop a medication should be made by a healthcare provider based on an individual's response to treatment.
Option D is not correct because benzodiazepines are not intended for long-term use and should be used for the shortest possible time to achieve therapeutic goals ².
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