00:01
The nurse who is
creating a plan of care
for clients with a
diagnosis of schizophrenia
has several medication
administration options.
00:10
For which client would the nurse
plan to administer
long acting injectable
antipsychotics?
All right, let's break it down.
00:18
Remember one sentence at a time.
00:21
We're looking for
diagnoses or numbers,
because we know what
to do with those.
00:25
But let's look at this one.
00:27
I'm the nurse.
00:28
I'm creating a plan
of care for clients
with a diagnosis of schizophrenia.
00:34
So when I'm thinking
about schizophrenia,
that's a diagnosis
what I remember.
00:38
Oh, that's right,
they have a hard time recognizing
the difference between
reality and their delusions.
00:45
Now, this nurse has several
medication administration options.
00:49
So, so far, that's what we know.
00:51
I'm a nurse, planning care
for patients with schizophrenia.
00:54
And I have several medication
options as far as administration.
00:58
Now for which client
would the nurse plan to administer
long acting injectable
antipsychotics?
Okay, we know that
somebody with schizophrenia
has a hard time
knowing reality from delusions.
01:13
We're thinking about
what type of medication
they're going to be on
our anti-psychotics.
01:17
So who is going to require
look at what's specific
about those anti-psychotics?
Long acting injectable.
01:26
Okay, now, when we bring
the answer choices in,
you're going to see four options.
01:31
But before we do,
don't click through that
question stem too quickly.
01:36
We're looking at this for something
is unique about long acting,
injectable antipsychotics.
01:44
What are the rationale
that we would choose
this type of medication?
Now, when you see
the four patient options,
what I want you to do
after you pause the video
and work through this on your own,
I want you to think
client number one,
would this make sense
for them to have
long acting
and injectable antipsychotics?
Think through each answer.
Eliminate them. And say why?
Remember, we always ask you
to use your scratch paper
that has the numbers
only not the answer choices,
the number 1, 2, 3, and 4,
written down
before you start
eliminating answers.
02:20
So, pause the video.
02:22
Do the work take
as much time as it takes you.
02:24
Remember, this is not timed.
02:26
We're just practicing and
learning how to rip apart
those test questions.
02:39
Welcome back.
02:40
Let's take a look at this.
02:41
Yep, you saw that we had for clients
just like we knew that you would.
02:46
We know we're looking at
an injectable long acting
antipsychotic.
02:51
Now, would that make sense
for a client who often travels?
Well, I guess it would because
you know, you're going to need to
take it very often.
03:00
So I can't get rid of one
right away.
03:03
What about number two?
A client without health insurance.
03:09
Well, we do have lots of programs
for providing things, but
I'm not really sure
about that one either.
03:15
What about number three?
A client without access
to transportation.
03:21
Oh, so they could get injectables?
Wait a minute.
03:25
These medications are given
in a physician's office.
03:28
So this probably isn't
going to be a good one.
03:31
I can get rid of number three.
03:33
Now what about number four?
A client who frequently
loses medications?
Ah, okay.
03:41
I see, while long acting
injectable medication
might be a good idea.
03:47
But remember, I didn't eliminate
number one, or number two.
03:51
That's okay.
03:52
Sometimes through the first time
through the answer choices,
you're not very clear.
03:57
Just keep moving through
the answer choices.
03:59
Sometimes you have to go
through them multiple times
before you find the best one.
04:04
So I have to think,
would it be better for someone
who often travels
to have an injectable?
Someone who doesn't have
health insurance
to have an injectable
or somebody who frequently
loses medications?
Well, the reason we give
long acting injectable
antipsychotics
is that the responsibility
for taking the medication
doesn't lie with the patient.
04:25
Right, the health care provider
or the nurse assist the client
with getting their medications
on a routine basis.
04:32
Now they have to come in
to get that medication,
so no access to transportation.
That's not a good idea.
04:38
That's why that one was eliminated.
04:40
But someone who often travels
and they might be hard
to get an appointment.
04:45
Just because they travel a lot
doesn't mean that they don't take
their medications regularly
on their own.
04:51
A client without health insurance.
04:53
Hey, this is a funding thing and
we can work with social workers
try to get them coverage for their
antipsychotic medications.
05:01
But a client who frequently
loses their medication
is not going to take them
consistently.
05:07
And an antipsychotic
needs to be taken consistently,
especially for
something as significant
as a diagnosis of schizophrenia.
05:16
So, out of these four,
the best answer for this question is
who should have a long acting,
injectable antipsychotic
is number four.
05:27
A client who frequently loses
their medication.
05:30
Why?
Because they are the one
that is most likely
to not take their
medication consistently.
05:37
And that's why that is the
best answer for this question.
05:42
Okay, let's talk about it.
05:43
I want you to think about, how you
work through these answer choices.
05:47
Now, you may be saying,
well, wouldn't it be nice for
somebody who travels to have it?
Or what about health insurance?
Then we know they would get it.
05:53
Or what are some I can't --
I hear all those arguments and
debates going on in your head.
06:00
It's okay.
06:01
Remember,
when you're taking the NCLEX exam,
when you're taking
passing level questions,
you're above that passing standard,
you can miss up to 50% of them,
and you are still fine.
06:14
Just be sure that you're
answering the questions
one at a time,
and taking your time.
06:20
Because you've got to be
answering levels that questions
with a level of difficulty
that is above the passing standard.
06:28
All right. Now, with that said,
Can you sometimes talk yourself
into multiple different answers?
I know I can.
06:37
And you may feel that
way about this question.
06:40
All you can do is be systematic
on every question.
06:44
Make sure you're clear what you
think the topic of the question is.
06:48
And then when you have four options,
you need to keep eliminating them.
06:52
Say why?
And then you'll eventually eliminate
it down to your best answer.
06:58
- Will it always be correct?
No. Nobody gets 100% on the NCLEX.
07:04
But know that what you learned
from this question,
let's see what you can
take to another question.
07:10
Keep in mind,
an injectable antipsychotic
is going to be a healthcare
assisted administration.
07:17
So we would likely
do this for people
who are not consistent
in taking their medication.
07:22
Of these four options,
it's most likely that a client
who loses the medication
will be the most inconsistent,
and therefore will benefit
from a long acting
injectable antipsychotic.
07:35
All right, whether you got it
right or whether you got it wrong,
you know the drill.
07:39
Reflect for a minute.
07:41
Think about why you
chose your answer.
07:43
If you had a solid rationale,
if you felt like,
"Hey, I think that a client who
doesn't have health insurance
would more likely be inconsistent
with their medications.
07:54
And that's why I picked it.
Don't change your answer.
07:56
Don't change your thought process.
Right?
That was a solid thought process.
08:01
Just know, you're not
always going to be right.
08:04
You have to learn to be
uncomfortable and be okay with it.
08:08
Because you're just gonna
give your best effort.
08:10
Remember, it's one question.
08:13
Do your best. Pick your answer.
And then let it go.
08:18
Move on to the next one,
when you're taking an exam.
08:21
When you're studying with us,
take the time to reflect
see what notes
need to go in your notebook.
08:26
And I promise you,
you're going to get stronger at
answering test questions correctly.