A client with schizophrenia receives a prescription for fluphenazine. Which instruction is most important for the nurse to include when teaching the client about this drug?

Wear sunscreen when going outside to prevent effects of sun sensitivity.

Notify your healthcare provider immediately if involuntary movements develop.

Drink water frequently throughout the day as the medication increases thirst.

Check blood pressure daily and notify the healthcare provider if it increases

Answer and Explanation

The Correct Answer is B

A) Wearing sunscreen when going outside to prevent effects of sun sensitivity is important for clients taking certain antipsychotic medications, but it is not the most critical instruction. While fluphenazine can cause photosensitivity, the risk of developing involuntary movements (extrapyramidal symptoms) is a more immediate concern that could significantly affect the client’s quality of life.

B) Notifying the healthcare provider immediately if involuntary movements develop is crucial when taking fluphenazine. This medication can lead to extrapyramidal symptoms such as tardive dyskinesia or acute dystonia, which require prompt assessment and intervention to prevent long-term complications. Educating the client about these potential side effects empowers them to seek timely help.

C) Drinking water frequently throughout the day is generally good advice for overall hydration, but fluphenazine does not significantly increase thirst. While maintaining hydration is important, the focus should be on the potential for serious side effects like involuntary movements, making this instruction secondary in priority.

D) Checking blood pressure daily and notifying the healthcare provider if it increases is relevant for some medications, particularly antihypertensives or those that can cause orthostatic hypotension. However, with fluphenazine, the more critical instruction revolves around recognizing and responding to neurological side effects rather than routine blood pressure monitoring, making this less of a priority.

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Correct Answer is C

Explanation

A) Providing education on methods to enhance sleep may be helpful, especially since hypersomnia is a symptom. However, simply focusing on sleep does not address the broader functional impairments that the client is experiencing. While improving sleep hygiene can contribute to overall well-being, it is not the most comprehensive approach for facilitating a return to normal functioning.

B) Encouraging the client to exercise can be beneficial, as physical activity is known to have positive effects on mood and energy levels. However, for someone experiencing significant psychomotor retardation and amotivation, initiating an exercise routine can be daunting and may not be the most immediate or effective intervention. A structured approach is often more helpful in these cases.

C) Teaching the client to develop a plan for daily structured activities is likely to be the most effective intervention. Structured activities provide a framework that can help combat psychomotor retardation and amotivation by breaking down tasks into manageable parts. This approach encourages the client to engage in routine, which can gradually enhance motivation and overall functioning, helping them feel a sense of accomplishment and purpose.

D) Suggesting that the client develop a list of pleasurable activities could provide some motivation, but it may not be sufficient on its own, especially given the client's current level of amotivation. While identifying pleasurable activities is valuable, it is essential to pair this with a structured plan that encourages active participation and accountability, making the structured activities approach more effective in this context.

A. Grandiosity. B. Compulsive behavior. C. Sadness. D. Poor concentration. E. Disrupted sleep.

Correct Answer is ["C","D","E"]

Explanation

A) Grandiosity is not typically associated with postpartum depression. Instead, it is more commonly seen in conditions such as mania or bipolar disorder. This finding would not be consistent with postpartum depression.

B) Compulsive behavior may occur in various mental health conditions, but it is not a core symptom of postpartum depression. This symptom would need further evaluation to determine its relevance in this context.

C) Sadness is a hallmark symptom of postpartum depression. Clients often report feelings of intense sadness and hopelessness, making this a key finding in the assessment.

D) Poor concentration is commonly observed in postpartum depression. Many clients experience difficulties with focus and decision-making, which can be distressing and interfere with daily functioning.

E) Disrupted sleep is another significant symptom associated with postpartum depression. Clients may experience insomnia or altered sleep patterns, which can exacerbate feelings of fatigue and sadness.

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A client with schizophrenia receives a prescription for fluphenazine. Which instruction is most important for the nurse to include when teaching the client about this drug?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A middle-aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and amotivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning?

Correct Answer is C

Explanation

The nurse is assessing a client with postpartum depression for changes in the mood and cognitive state. Which subjective finding(s) should the nurse identify that are consistent with postpartum depression? Select all that apply.

Correct Answer is ["C","D","E"]

Explanation

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