A patient with schizophrenia says, “I feel well now, so I will stop my antipsychotic.” Which response by the nurse is most appropriate?
Correct answer: B. “Continue it as prescribed and discuss concerns before stopping.”
- A. “Stop it now if your voices have completely gone.”
- B. “Continue it as prescribed and discuss concerns before stopping.”
- C. “Take it only on days when you feel suspicious.”
- D. “Replace it with an over-the-counter sleep medicine.”
Explanation
Improvement usually reflects effective treatment, not elimination of the risk of relapse. Antipsychotics should be continued as prescribed, and any dose reduction or discontinuation should be planned with the prescriber.
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About Psychopharmacology
Psychopharmacology covers the actions, uses, adverse effects, and nursing responsibilities associated with antipsychotics, antidepressants, mood stabilizers, anxiolytics, sedatives, and stimulants. It includes extrapyramidal symptoms, tardive dyskinesia, neuroleptic malignant syndrome, serotonin syndrome, lithium toxicity, medication adherence, and monitoring of therapeutic response.
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