Pharmacology Psych Meds #5

Question

A client with schizophrenia believes the nurse is a CIA special agent and has placed cameras in the client’s room to monitor spy activity. Those that come in the room are plotting a revolt against the government and have asked the client to be their leader. Which class of medication is the nurse expecting the health care provider to prescribe to treat these symptoms?

Answers

  1. Lorazepam
    • Rationale:

      This answer is not correct because lorazepam is an anti-anxiety medication. Although the client is likely experiencing anxiety, the medication of choice to treat these delusions associated with the psychosis this client with schizophrenia is experiencing is an antipsychotic medication.

  2. Clozapine
    • Rationale:

      This answer is correct because clozapine is an antipsychotic used to treat delusions and other psychotic features associated with schizophrenia. Psychosis is the state in which a person can not tell the difference between what is true and not true. Delusions are strong beliefs by the individual in something that is not true, such as that the nurse is a CIA agent, the presence of cameras to spy on the client, medical professionals and housekeeping revolting against the government, and have asked the client to be their leader. These beliefs can f

  3. Lithium
    • Rationale:

      This answer is not correct because lithium is a mood stabilizing agent often used in clients with bipolar disorder. This medication helps stabilize mania in the client with bipolar disorder who have exaggerated mood swings of euphoria and deep depression. Although sometimes the client may experience some delusions, this is not the medication of choice to treat the client with schizophrenia experiencing psychosis and delusions.

  4. Memantine
    • Rationale:

      This answer is not correct because memantine is a N-Methyl-D-Aspartate (NMDA) receptor antagonist used to treat moderate to severe confusion associated with dementia. Although sometimes psychosis with hallucinations and delusions can be experienced by some clients with dementia, memantine is not used to treat this.

Overview

Antipsychotic medications, such as clozapine, are prescribed to treat psychosis and delusions associated with schizophrenia and other mental illnesses.

Explanation

Learning Outcomes

The antipsychotic class of medications are used to treat delusions and other psychotic features such as hallucinations. Delusions are strong beliefs by the individual in something that is not true. This can produce paranoia in the client. Psychosis is the state in which a person can not tell the difference between what is true and not true. The most common mental illness which has these symptoms is schizophrenia. Antipsychotics are extremely important for these clients to help them cope and be able to function in society.

Test Taking Tip

Remember, the NCLEX does not expect the nursing test-taker to be a seasoned nurse. The Council wants to ensure that the licensing examination measures entry-level nursing behaviors.

Video Rationale