WEEK 4 BSN 315 ANTIPSYCHOTIC DRUG THERAPY QUESTIONS
AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST
UPDATE
Patient Teaching for Fluphenazine and Haloperidol:
-The nurse should educate the patient regarding the following:
-Full therapeutic effect may take several weeks.
-Urine may darken when taking fluphenazine or haloperidol decanoate.
Do not abruptly discontinue long-term drug therapy.
-Avoid tasks that require alertness and motor skills until a response to drug is
established.
-Drowsiness generally subsides during continued therapy.
Avoid skin contact with fluphenazine solution because it may cause contact
dermatitis.
-Dilute oral concentrate only with water, milk, or juice. Do not dilute with caffeine-
containing beverages (coffee, cola), tannics (tea), or pectinates (apple juice)
because of potential incompatibility.
Sucking on sugarless hard candy can alleviate the symptoms of dry mouth.
Question 1 of 4
The nurse is caring for a patient who takes aripiprazole who states, "My friend
takes haloperidol; why can't I take that?" Which nursing response is appropriate?
,"We can talk with your health care provider to change to haloperidol."
"Second-generation antipsychotics (SGAs) have fewer side effects than first-
generation antipsychotics (FGAs)."
"Do you not wish to take your medication?"
"Yo
"Second-generation antipsychotics (SGAs) have fewer side effects than first-generation
antipsychotics (FGAs)."
"SGAs have fewer side effects than FGAs" is accurate and provides the patient with
necessary education. FGAs carry a high number of side effects, whereas SGAs have
fewer side effects.
Question 2 of 4
Which drug would the nurse discuss with the health care provider as an option
for a patient with psychosis who needs drug therapy with a long duration of
action?
Aripiprazole
Fluphenazine
Haloperidol
Haloperidol decanoate
Haloperidol decanoate
Haloperidol decanoate has an extremely long duration of action; therefore the nurse
would discuss this drug with the health care provider.
Question 3 of 4
The nurse is caring for four patients with psychosis. Which patient may benefit
, most from haloperidol decanoate?
21 year old who is homeless and moves from city to city
30 year old who lives with parents and works at a restaurant
44 year old who engages in therapy in addition to drug therapy
52 year old who is married and who works from home
21 year old who is homeless and moves from city to city
Haloperidol decanoate, which has an extremely long duration of action, is useful for
patients who need long-term therapy but may be at risk for being nonadherent. The 21-
year-old patient who is homeless and moves from city to city does not have a stable
living location, nor a support system to help encourage treatment, so this individual may
benefit most from haloperidol decanoate.
Questerm-5tion 4 of 4
Which teaching would the nurse provide to a patient newly prescribed
fluphenazine for schizophrenia?
"Be certain to take this medication with food."
"This drug may change the color of your urine."
"Take an antacid at the same time that you take this drug."
"If you miss a dose, contact your health care provider to determine whether you
should take it."
"If you miss a dose, contact your health care provider to determine whether you should
take it."
Fluphenazine can accumulate in the body. Depending on the time of day that the patient
missed the dose, it may be more beneficial to take it or to wait until the next dose.
AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST
UPDATE
Patient Teaching for Fluphenazine and Haloperidol:
-The nurse should educate the patient regarding the following:
-Full therapeutic effect may take several weeks.
-Urine may darken when taking fluphenazine or haloperidol decanoate.
Do not abruptly discontinue long-term drug therapy.
-Avoid tasks that require alertness and motor skills until a response to drug is
established.
-Drowsiness generally subsides during continued therapy.
Avoid skin contact with fluphenazine solution because it may cause contact
dermatitis.
-Dilute oral concentrate only with water, milk, or juice. Do not dilute with caffeine-
containing beverages (coffee, cola), tannics (tea), or pectinates (apple juice)
because of potential incompatibility.
Sucking on sugarless hard candy can alleviate the symptoms of dry mouth.
Question 1 of 4
The nurse is caring for a patient who takes aripiprazole who states, "My friend
takes haloperidol; why can't I take that?" Which nursing response is appropriate?
,"We can talk with your health care provider to change to haloperidol."
"Second-generation antipsychotics (SGAs) have fewer side effects than first-
generation antipsychotics (FGAs)."
"Do you not wish to take your medication?"
"Yo
"Second-generation antipsychotics (SGAs) have fewer side effects than first-generation
antipsychotics (FGAs)."
"SGAs have fewer side effects than FGAs" is accurate and provides the patient with
necessary education. FGAs carry a high number of side effects, whereas SGAs have
fewer side effects.
Question 2 of 4
Which drug would the nurse discuss with the health care provider as an option
for a patient with psychosis who needs drug therapy with a long duration of
action?
Aripiprazole
Fluphenazine
Haloperidol
Haloperidol decanoate
Haloperidol decanoate
Haloperidol decanoate has an extremely long duration of action; therefore the nurse
would discuss this drug with the health care provider.
Question 3 of 4
The nurse is caring for four patients with psychosis. Which patient may benefit
, most from haloperidol decanoate?
21 year old who is homeless and moves from city to city
30 year old who lives with parents and works at a restaurant
44 year old who engages in therapy in addition to drug therapy
52 year old who is married and who works from home
21 year old who is homeless and moves from city to city
Haloperidol decanoate, which has an extremely long duration of action, is useful for
patients who need long-term therapy but may be at risk for being nonadherent. The 21-
year-old patient who is homeless and moves from city to city does not have a stable
living location, nor a support system to help encourage treatment, so this individual may
benefit most from haloperidol decanoate.
Questerm-5tion 4 of 4
Which teaching would the nurse provide to a patient newly prescribed
fluphenazine for schizophrenia?
"Be certain to take this medication with food."
"This drug may change the color of your urine."
"Take an antacid at the same time that you take this drug."
"If you miss a dose, contact your health care provider to determine whether you
should take it."
"If you miss a dose, contact your health care provider to determine whether you should
take it."
Fluphenazine can accumulate in the body. Depending on the time of day that the patient
missed the dose, it may be more beneficial to take it or to wait until the next dose.
