A nurse is assessing a client during a follow-up visit at a behavioral health clinic. The client reports that they have not been taking the prescribed antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?

Discuss the provider's goals for the client's care.

Ask the client if the medication is causing adverse effects.

Request the provider prescribe a second antipsychotic medication to the client.

Tell the client they will be admitted to an inpatient care facility if they do not take the medication.

Answer and Explanation

The Correct Answer is B

A.   Discussing the provider's goals for the client's care may be helpful but does not directly address the client's reported non-adherence or potential barriers to medication compliance.
B.   Asking the client if the medication is causing adverse effects allows the nurse to assess for potential reasons why the client is not taking the medication regularly, such as side effects or discomfort, and address those concerns.
C.   Requesting a second antipsychotic medication without addressing the client's reasons for non- adherence may not effectively improve medication compliance and could increase the risk of adverse effects or drug interactions.
D.   Threatening the client with admission to an inpatient care facility is coercive and may not address the underlying reasons for non-adherence, potentially worsening the therapeutic
relationship and trust.

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Correct Answer is C

Explanation

A. Soy protein is not known to interact adversely with fluoxetine.

B. Echinacea is not known to interact adversely with fluoxetine.

C. St. John's wort is known to interact adversely with fluoxetine by increasing serotonin levels, which can lead to serotonin syndrome, a potentially life-threatening condition characterized by symptoms such as confusion, agitation, rapid heart rate, and high blood pressure.
D. Ginkgo biloba is not known to interact adversely with fluoxetine.

A. The client develops an inability to concentrate. B. The client exhibits an inflated sense of self. C. The client begins sleeping more than usual. D. The client increases participation in social activities.

Correct Answer is A

Explanation

A. Inability to concentrate is a common early sign of relapse in schizophrenia. It can indicate worsening symptoms and difficulty in maintaining focus and attention.
B. An inflated sense of self is not typically associated with relapse in schizophrenia. It may be a symptom of other psychiatric disorders, such as bipolar disorder or narcissistic personality disorder.
C. Increased sleeping can be a symptom of depression but is not specific to schizophrenia relapse.
D. Increased participation in social activities is not typically associated with relapse in schizophrenia. It may indicate improvement in social functioning or adaptation to the illness.

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Body system	Findings
Neurological	Impaired cognition

	Insomnia Seizures
Cardiovascular	Increased blood pressure Increased heart rate Diaphoresis
Gastrointestinal	Lack of appetite Vomiting
Musculoskeletal	Malaise Tremulousness

A nurse is assessing a client during a follow-up visit at a behavioral health clinic. The client reports that they have not been taking the prescribed antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?

Nursing Test Bank

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Correct Answer is C

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Correct Answer is A

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