A nurse is caring for a client who is experiencing delusions, hallucinations, and alterations in speech. Which of the following medications should the nurse anticipate the provider to prescribe?

Mood stabilizer

Selective serotonin reuptake inhibitor

Dopamine antagonist

Benzodiazepine

Answer and Explanation

The Correct Answer is C

Delusions, hallucinations, and alterations in speech are characteristic symptoms of psychosis, which can occur in various psychiatric disorders such as schizophrenia. Dopamine antagonists, also known as antipsychotic medications, are the primary pharmacological treatment for psychosis.

A Mood stabilizers are primarily used to manage mood swings in conditions like bipolar disorder. While they can help stabilize mood, they are not typically the first-line treatment for psychotic symptoms like delusions and hallucinations.

B. SSRIs are antidepressant medications that primarily target serotonin levels in the brain. They are used to treat conditions such as depression, anxiety, and some other mood disorders.

D. Benzodiazepines are a class of medications primarily used to treat anxiety, insomnia, and seizures.

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Correct Answer is D

Explanation

D. Serotonin syndrome is a potentially life-threatening condition that can occur when there is an excess of serotonin in the body. Certain herbal remedies, such as St. John's Wort, can increase serotonin levels and may lead to serotonin syndrome, particularly when used in combination with prescription medications that also affect serotonin levels, such as selective serotonin reuptake inhibitors (SSRIs) or monoamine oxidase inhibitors (MAOIs).

A. It's important for the nurse to provide accurate and balanced information about the potential benefits and limitations of herbal remedies, rather than dismissing them outright.

B. Simply discouraging the use of herbal remedies without addressing the client's concerns or providing information about potential risks may not be effective or conducive to open communication.

C. Many herbal remedies can interact with prescription medications, altering their effectiveness or increasing the risk of adverse effects

A. State, "Only doctors are allowed to write prescriptions for medications." B. Ask, "Why are you asking for another prescription when you already have one at home?" C. Inform the client that this will be discussed with their provider. D. Recommend alternative options, such as attending an additional group therapy session.

Correct Answer is C

Explanation

C. It acknowledges the client's request and communicates that their request will be addressed in collaboration with their healthcare provider. This response respects the client's autonomy while also ensuring that medication decisions are made within the context of a comprehensive healthcare plan overseen by a qualified provider.

A. This statement may come across as dismissive or confrontational to the client. It does not effectively address the client's request or provide guidance on how to proceed.

B. This question may imply suspicion or judgment about the client's motives for seeking a new prescription. It does not foster open communication or collaboration between the nurse and the client and may create a barrier to effective communication.

D. This option is not the appropriate response to a request for a new medication prescription. This option does not address the client's specific request and may not be relevant to their current healthcare needs.

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A nurse is caring for a client who is experiencing delusions, hallucinations, and alterations in speech. Which of the following medications should the nurse anticipate the provider to prescribe?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is inquiring about the use of herbal remedies in treating manifestations of mental illness. Which of the following topics should the nurse prepare to discuss with the client?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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