Psychotic Disorders no. 4025
QUESTION: Which nonantipsychotic medication is used to treat some clients with schizoaffective disorder?
✘O a.) phenelzine (Nardil)
✘O b.) chlordiazepoxide (Librium)
✓O c.) lithium carbonate (Lithane)
✘O d.) imipramine (Tofranil)
RATIONALERATIONALE: Lithium carbonate, an antimania drug, is used to treat clients with cyclical schizoaffective disorder, a psychotic disorder once classified under schizophrenia that causes affective symptoms, including maniclike activity. Lithium helps control the affective component of this disorder. Phenelzine is a monoamine oxidase inhibitor prescribed for clients who don't respond to other antidepressant drugs such as imipramine. Chlordiazepoxide, an antianxiety agent, generally is contraindicated in psychotic clients. Imipramine, primarily considered an antidepressant agent, is also used to treat clients with agoraphobia and those undergoing cocaine detoxification.NURSING PROCESS STEP: ImplementationCLIENT NEEDS CATEGORY: Physiological integrityCLIENT NEEDS SUBCATEGORY: Pharmacological and parenteral therapiesCOGNITIVE LEVEL: Knowledge
