A patient with schizophrenia says, “The medicine makes me feel better, so I can stop it today.” Which teaching is most appropriate?
Correct answer: B. Continue it as prescribed and discuss concerns with the prescriber
- A. Stop it immediately to prevent dependence
- B. Continue it as prescribed and discuss concerns with the prescriber
- C. Skip doses whenever sleepiness occurs
- D. Double the next dose after any missed dose
Explanation
Antipsychotics should be continued as prescribed and not stopped suddenly without medical advice, because abrupt discontinuation can lead to symptom recurrence or withdrawal effects. Dose changes and troublesome adverse effects should be discussed with the prescriber.
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About Psychotic Disorders
Psychotic disorders involve disturbances in reality testing, including delusions, hallucinations, disorganized speech, disorganized behavior, and negative symptoms. Coverage includes schizophrenia and related disorders, assessment of thought content and perception, risk management, antipsychotic treatment, and the distinction between psychosis, delirium, substance effects, and mood disorders.
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