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    Mental Health Proctored Exam(Examplify)

    A nurse is caring for a client who is experiencing delusions, hallucinations, and alterations in speech. Which of the following medications should the nurse anticipate the provider to prescribe?

    Explanation & Rationale

    Choice A reason: Benzodiazepines are primarily used for anxiety and agitation. They do not treat core psychotic symptoms such as delusions or hallucinations and carry a risk of dependence. Choice B reason: This is correct. Second-generation antipsychotics (e.g., risperidone, olanzapine, quetiapine) are effective in treating positive symptoms of schizophrenia such as hallucinations, delusions, and disorganized speech. They also have a lower risk of extrapyramidal side effects compared to first-generation agents. Choice C reason: SSRIs are used to treat depression and anxiety disorders. They do not address psychotic symptoms and may exacerbate mania in bipolar disorder if used without mood stabilizers. Choice D reason: Anticonvulsant mood stabilizers are used in bipolar disorder to manage mood swings but are not first-line treatments for psychosis. They may be used adjunctively but not as primary therapy for schizophrenia.

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