• Option A: Arguing with the client or denying his belief isn’t therapeutic. By using nonverbal
and verbal cues such as nodding and saying “I see,” nurses can encourage patients to continue
talking. Active listening in
...
• Option A: Arguing with the client or denying his belief isn’t therapeutic. By using nonverbal
and verbal cues such as nodding and saying “I see,” nurses can encourage patients to continue
talking. Active listening involves showing interest in what patients have to say, acknowledging
that you’re listening and understanding, and engaging with them throughout the conversation.
Nurses can offer general leads such as “What happened next?” to guide the conversation or
propel it forward.
• Option C: Arguing can also inhibit development of a trusting relationship. Continuing to talk
about delusions may aggravate the psychosis. It’s frequently useful for nurses to summarize
what patients have said after the fact. This demonstrates to patients that the nurse was listening
and allows the nurse to document conversations. Ending a summary with a phrase like “Does
that sound correct?” gives patients explicit permission to make corrections if they’re
necessary.
• Option D: Asking the client if a foreign government is trying to kill him may increase his
anxiety level and can reinforce his delusions. Voicing doubt can be a gentler way to call
attention to the incorrect or delusional
3. Question 3 of 75
3. Question
A client receiving haloperidol (Haldol) complains of a stiff jaw and difficulty swallowing. The nurse’s
first action is to:
• 1. A. Reassure the client and administer as needed lorazepam (Ativan) I.M.
• 2. B. Administer as needed dose of benztropine (Cogentin) I.M. as ordered.
• 3. C. Administer as needed dose of benztropine (Cogentin) by mouth as ordered.
• 4. D. Administer as needed dose of haloperidol (Haldol) by mouth.
Correct
Incorrect
Correct Answer: B. Administer as needed dose of benztropine (Cogentin) I.M. as ordered.
The client is most likely suffering from muscle rigidity due to haloperidol. I.M. benztropine should be
administered to prevent asphyxia or aspiration. The extrapyramidal symptoms are muscular weakness
or rigidity, a generalized or localized tremor that may be characterized by the akinetic or agitation
types of movements, respectively. Haloperidol overdose is also associated with ECG changes known
as torsade de pointes, which may cause arrhythmia or cardiac arrest.
• Option A: Lorazepam treats anxiety, not extrapyramidal effects. Lorazepam is a
benzodiazepine medication developed by DJ Richards. It went on the market in the United
States in 1977. Lorazepam has common use as the sedative and anxiolytic of choice in the
inpatient setting owing to i
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