A nurse is providing teaching to a client diagnosed with schizophrenia and is prescribed haloperidol (Haldol). Which of the following information should the nurse include in the teaching?
"You may experience dizziness upon standing while taking this medication.”
"This medication will decrease your symptoms of OCD.”
"You can stop taking the medication if the side effects are bothersome.”
"This medication may cause excessive salivation.”
The Correct Answer is A
The correct answer is choice A: "You may experience dizziness upon standing while taking this medication."
Choice A rationale:
This choice is the correct answer because haloperidol, an antipsychotic medication, can cause orthostatic hypotension, which leads to dizziness upon standing. Antipsychotic medications often affect blood pressure regulation and can result in a sudden drop in blood pressure when transitioning from sitting or lying down to standing. This explanation provides essential information to the client to help them understand potential side effects and take necessary precautions.
Choice B rationale:
This choice is incorrect. Haloperidol is not indicated for treating symptoms of obsessive-compulsive disorder (OCD). It is primarily used to manage symptoms of schizophrenia and other psychotic disorders. Providing false information about its indications is not appropriate and may lead to confusion.
Choice C rationale:
This choice is incorrect. Clients should never stop taking antipsychotic medications abruptly without consulting their healthcare provider. Discontinuing such medications can lead to withdrawal effects and a worsening of symptoms. Encouraging the client to stop the medication if side effects are bothersome is not appropriate and could potentially jeopardize their well-being.
Choice D rationale:
This choice is partially correct but not the best answer. While haloperidol can cause excessive salivation (sialorrhea) as a side effect, the primary concern in this situation should be related to orthostatic hypotension and dizziness upon standing. Mentioning excessive salivation would be helpful, but it's secondary to the risk of falls associated with orthostatic hypotension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice: B. Sibling position.
Choice A rationale:
Marital skew is not a concept associated with Bowen's family systems theory. It does not correspond to any recognized pattern in this theoretical approach.
Choice B rationale:
Sibling position is an important concept in Bowen's family systems theory. It refers to the birth order of siblings within a family and how this birth order can influence the roles and dynamics within the family unit.
Choice C rationale:
Pseudomutuality is not a concept of Bowen's family systems theory. This term does not align with the terminology or principles of this theoretical approach.
Choice D rationale:
Double-bind communication is a concept introduced by Gregory Bateson and is associated with the communication patterns within dysfunctional families. While it is related to family interactions, it is not specifically attributed to Bowen's theoretical approach.
Correct Answer is A
Explanation
Choice A rationale:
Demonstrating genuineness involves being authentic, sincere, and transparent in interactions with clients. This helps build trust by showing that the nurse's intentions and emotions align with their words. Genuineness fosters a sense of safety and openness in the therapeutic relationship.
Choice B rationale:
While focusing on the words of the clients is important, it's not the only factor. Nonverbal cues, emotions, and context also play significant roles in effective communication. Only focusing on words could result in missing important nuances and emotions.
Choice C rationale:
Controlling the pace of the nurse-client relationship contradicts the principle of client-centered care, where the client's readiness and comfort should guide the pace. Pushing the pace might lead to resistance or discomfort, hindering the development of trust.
Choice D rationale:
Providing sympathy involves expressing pity or sorrow for the client's situation. However, empathy, which involves understanding and sharing the client's feelings, is more appropriate. Sympathy might create a sense of pity, while empathy establishes a deeper connection and understanding.
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