SOLVED1293

A 40-year-old woman presents to the emergency department with persecutory and command hallucinations. She describes them as “voices telling me to kill myself” and is subsequently admitted to the inpatient psychiatry unit. The patient has a past psychiatric history of schizophrenia and takes quetiapine 300 mg daily and paliperidone 3 mg twice a day. She has had multiple inpatient admissions for similar episodes in the past, and this is her third admission in the past 2 months. The patient was previously on olanzapine, haloperidol, and aripiprazole. She actively smokes 1 pack of cigarettes per day. A collateral history indicates the patient is compliant with her medications and follow-up with the help of her family. The patient appears moderately distressed with delusions, suicidal ideation, responding to internal stimuli, and has a tangential thought process. She also has chewing movements of her mouth and lip-smacking. Which agent should be considered in the management of this patient? A. Olanzapine B. Clozapine C. Risperidone D. Thorazine
SCIENCE
HEALTH SCIENCE
NURSING

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