A Patient Diagnosed with Schizophrenia Has Had Multiple Relapses

question 14

Multiple Choice

A patient diagnosed with schizophrenia has had multiple relapses. The patient usually responds quickly to antipsychotic medication but soon discontinues the medication. Discharge plans include follow-up at the mental health centre, group home placement, and a psychosocial day program. Which strategy should apply as the patient transitions from hospital to community?

• A) Administer a second-generation antipsychotic to help negative symptoms.
• B) Use a quick-dissolving medication formulation to reduce "cheeking."
• C) Prescribe a long-acting intramuscular antipsychotic medication.
• D) Involve the patient in decisions about which medication is best.

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Definitions:

Vestibule

An entrance or enclosed area just inside the entrance of a building, or, in anatomy, a cavity, chamber, or channel opening into another cavity, especially of the ear, nose, or mouth.

Romberg Test

A neurological test that assesses the sense of balance and proprioception, wherein an individual is asked to stand with feet together and eyes closed to detect problems in the vestibular or proprioceptive systems.

Vestibular Apparatus

A complex system within the inner ear that provides information about spatial orientation and balance.

Weber Test

A quick screening test for hearing that involves placing a tuning fork in the center of the forehead to help diagnose unilateral (one-sided) hearing loss.