A nurse is assisting in the care of a client who is taking chlorpromazine. Which of the following findings indicates a therapeutic effect medication?
Increase in concentration
Decrease in delusions
Increase in alertness
Decrease in anxiety
The Correct Answer is B
A) Increase in concentration: Chlorpromazine is an antipsychotic medication used to manage symptoms of schizophrenia and other psychotic disorders. While it may have some effects on cognition, an increase in concentration is not the primary therapeutic effect of chlorpromazine.
B) Decrease in delusions: Chlorpromazine is effective in reducing symptoms of psychosis, such as delusions and hallucinations, which are common in conditions like schizophrenia. A decrease in delusions is a direct indicator that the medication is having its intended therapeutic effect.
C) Increase in alertness: Chlorpromazine can cause sedation and drowsiness as side effects, particularly during the initial stages of treatment. An increase in alertness would not be a typical therapeutic outcome, and it may even suggest a side effect like overstimulation or anxiety rather than the intended effect.
D) Decrease in anxiety: While chlorpromazine may have some calming effects, it is primarily used to treat symptoms of psychosis, not anxiety disorders. A decrease in anxiety is not the main therapeutic effect of chlorpromazine. Other medications, such as benzodiazepines, are typically used for anxiety management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Nutritionist:
While a nutritionist can provide valuable advice on feeding, including breastfeeding or formula feeding, the primary issue here is not related to nutritional guidance but rather the financial concern about paying for baby formula. A nutritionist may provide support, but they are not typically responsible for addressing financial needs or coordinating resources for assistance.
B) Case manager:
The case manager is the most appropriate team member to refer to in this situation. A case manager is responsible for assessing the client’s needs and connecting them with resources such as financial assistance, community support programs, or social services. Since the client is unable to afford baby formula, the case manager can help by referring the client to programs that may provide formula at no cost or at a reduced price, such as the Women, Infants, and Children (WIC) program.
C) Primary care provider:
The primary care provider may offer support and referrals but would generally not be the first point of contact for addressing financial barriers to obtaining baby formula. The primary care provider can provide medical advice related to the client's postpartum care and the infant's health, but they are not typically the best person to address financial concerns directly.
D) Pediatric nurse practitioner:
A pediatric nurse practitioner focuses on providing care for the child, not necessarily addressing the financial needs of the family. While they can provide guidance on infant care and feeding, the issue of financial support for formula is outside their role. The case manager would be the more appropriate referral to assist with financial concerns.
Correct Answer is C
Explanation
A) "You owe it to your mother to take care of her now that she needs you.":
This response is not supportive and places unnecessary guilt on the son. Caregiving for a loved one with Alzheimer's disease is demanding, and expecting the son to provide care without considering his own needs is unrealistic. Guilt-tripping him may lead to burnout, as it does not acknowledge the emotional and physical strain of caregiving.
B) "You should think about placing your mother in a long-term care facility.":
While this may be a viable option for some families, this statement does not acknowledge the son’s emotional struggle or immediate need for support. Suggesting a long-term care facility may be premature without exploring other options and may cause the son to feel as though he is being pushed into a decision he is not ready to make.
C) "Let me give you some information about respite care for your mother.":
This is the most appropriate response. Respite care provides temporary relief for family caregivers, allowing them time to rest and recharge. It is a supportive approach that acknowledges the son’s exhaustion and provides him with a helpful resource. Respite care can alleviate caregiver burnout and help maintain the quality of care for the client.
D) "I think you should find other family members who could help your mother.":
While involving other family members can be helpful, this response does not provide immediate support or acknowledge the son’s current feelings of exhaustion. Suggesting that he simply find other family members may come across as dismissive of his current emotional state and may not offer the practical help he needs at this moment.
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