The physician and advanced practice nurse are considering which antipsychotic medication to prescribe for a patient with schizophrenia who demonstrates auditory hallucinations,apathy,anhedonia,and poor social functioning.The patient is overweight and has hypertension.Bearing these facts in mind,the drug the nurse should advocate would be:

Question

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Aripiprazole is a new atypical antipsychotic effective against both positive and negative symptoms of schizophrenia.It causes little or no weight gain and no increase in glucose,high- or low-density lipoprotein cholesterol,or triglycerides,making it a reasonable choice for a patient with obesity or heart disease.Clozapine may produce agranulocytosis,making it a poor choice as a first-line agent.Haloperidol is unlikely to be effective against negative symptoms.Olanzapine fosters weight gain.

The Physician and Advanced Practice Nurse Are Considering Which Antipsychotic