Mary is receiving antipsychotic medication for dementia-related psychosis because she was combative with other individuals despite other interventions tried by staff. After the last dose reduction, her behavioral symptoms returned. The team has decided that another reduction is clinically contraindicated. What should they do next?Get the provider to diagnose Mary with a mental illness.Stop using nonpharmacological interventions.Discontinue monitoring for adverse drug effects.Document the reason that a reduction would be harmful.

An individual with dementia displays expressions or indications of distress. As part of the evaluation when considering the use of an antipsychotic medication, what should the team do?Wait to include the individual and/or their representative in discussions until a decision is made.Refer the individual to a psychiatrist for a full mental health workup.Assess for causes or triggers for the symptoms and address these if possible.Ensure a diagnosis of a serious mental illness is received from the provider.

A 38-year-old woman was referred to a psychiatrist after tellingher primary care physician that she had difficulty sleeping(awakening at 4 AM frequently for the past few months) anda lack of appetite causing a weight loss of over 20 lb. She alsosaid she no longer enjoyed going out with her friends or doingvolunteer service for underprivileged children. What type ofdrug is her doctor most likely to suggest as an initial step in hertherapy?A. A serotonergic receptor antagonistB. A selective serotonin reuptake inhibitorC. An inhibitor of monoamine oxidaseD. An amphetamine-like drugE. A drug that causes an increase in both serotonin anddopamine levels

Trevor, aged 38, has bipolar affective disorder (a mental illness). His condition is now stable, and he is living with his long-term girlfriend. Which of the following combinations of professionals should be involved in his care and why? Group of answer choices A psychologist to prescribe antipsychotic medication and evaluate its effectiveness, a mental health social worker to help Trevor and his girlfriend recognize early signs of a psychotic episode so that he can seek help, and a pharmacist to help Trevor adhere to his medication regimen. A psychiatrist to prescribe antipsychotic medication and evaluate its effectiveness, a psychologist to help Trevor and his girlfriend recognize early signs of a psychotic episode so that he can seek help, and a rehabilitation counsellor to assist Trevor to gain and maintain meaningful employment. A registered nurse to prescribe antipsychotic medication and evaluate its effectiveness, a psychologist to help Trevor and his girlfriend recognize early signs of a psychotic episode so that he can seek help, and an occupational therapist to help Trevor develop coping strategies through meaningful everyday activities. A pharmacist to prescribe antipsychotic medication and evaluate its effectiveness, a psychiatrist to help Trevor and his girlfriend recognize early signs of a psychotic episode so that he can seek help and a health services manager to help Trevor navigate through the mental health care system.

What should happen after an individual is started on a new psychotropic medication?The dose should be increased until the maximum daily dose is achieved.Nonpharmacological interventions should be continued as part of the care plan.A dose reduction should occur within 30 days of the start of the medication.Staff should stop documenting the signs and symptoms that led to medication use

During the evening hours you notice your patient with Moderate Alzheimer’s Disease (Middle Stage) begins to experience an increase in confusion, agitations, and hallucinations. What intervention below could the nurse implement to help decrease this occurrence? aProvide the patient with coffee at bedtime bProvide a relaxing and low noise environment in the evening cUse stimulating distractions at night dLimit patient’s contact with sunlight during the day