Question 1

The nurse is concerned that a client being treated with antipsychotic medication for schizophrenia is developing extrapyramidal symptoms.Which assessment findings support the nurse's concern?
Select all that apply.

Accepted Answer

Extrapyramidal symptoms (EPS) are drug-induced movement disorders and include dystonia (neck spasms), akathisia (fidgeting and rocking), parkinsonism (shuffling gait), and tardive dyskinesia (lip smacking and rapid eye blinking). Diaphoresis and muscle rigidity are more indicative of neuroleptic malignant syndrome, not EPS.

Question 2

The nurse is instructing a client on the importance of having routine blood work preformed while taking a prescribed antipsychotic medication.Which symptoms would warrant the client to notify the health care provider immediately? Select all that apply.

Accepted Answer

Abdominal pain may indicate liver dysfunction, which can be a side effect of antipsychotic medication. Change in stool color may also indicate liver dysfunction. Increased thirst and urination may indicate high blood sugar levels, which is a potential side effect of some antipsychotic medications. Frequent infections may be a sign of lowered immune function, which can be a side effect of some antipsychotic medications. Dry mouth is a common side effect of antipsychotic medication but does not generally warrant immediate notification of the healthcare provider.

Question 3

The nurse is instructing a client on the medication risperidone (Risperdal).What should be included in this teaching?

Accepted Answer

Risperidone can interact with alcohol, increasing the risk of side effects such as drowsiness and dizziness.

Question 4

A client with acute symptoms of schizophrenia is prescribed ziprasidone (Geodon)IM.Which rhythm will the nurse assess this client for prior to administering the medication?

Accepted Answer

Ziprasidone (Geodon) can cause QT prolongation, which can lead to torsades de pointes, a life-threatening ventricular arrhythmia. Therefore, before administering the medication, the nurse should assess the client's QT interval on an electrocardiogram (ECG) and hold the medication if the QT interval is prolonged. The other options (A, B, and D) are not directly related to the side effects of ziprasidone.

Question 5

While conducting a health history,the nurse notes that the client is demonstrating positive signs of schizophrenia.Which clinical manifestations did the nurse find during the assessment of this client?
Select all that apply.

Accepted Answer

The answer of While conducting a health history,the nurse notes...

Question 6

A client is experiencing fever,diaphoresis,muscle rigidity,and tachycardia for 4 hours.Current medications include aripiprazole (Abilify),enalapril (Vasotec),and atenolol (Tenormin).What will the nurse prepare to administer to this client?

Accepted Answer

The client is likely experiencing Neuroleptic Malignant Syndrome (NMS), a rare but serious side effect of antipsychotic medications like aripiprazole. Treatment includes antipyretics for fever, electrolytes to correct imbalances, and muscle relaxants to alleviate muscle rigidity.

Question 7

A client prescribed olanzapine (Zyprexa)for mania associated with bipolar disorder is being discharged.Which client statement indicates more teaching is necessary about this medication?

Accepted Answer

St. John's wort may interact with olanzapine and decrease its effectiveness, so it should not be taken together without medical supervision. The client needs more teaching about this potential drug interaction. The other statements indicate appropriate understanding of the medication's potential side effects and the need for monitoring.

Question 8

A client prescribed aripiprazole (Abilify)for schizophrenia is experiencing signs of hypotension with certain activities since starting this medication.What should the nurse teach the client?
Select all that apply.

Accepted Answer

Aripiprazole can cause orthostatic hypotension, leading to dizziness or fainting when changing positions. Avoiding heat and hot baths or showers can help prevent vasodilation and further drops in blood pressure. Changing positions slowly allows the body time to adjust, reducing the risk of hypotension symptoms.

Question 9

A client is being evaluated for appropriate medication treatment for a new onset of psychosis.Which information in the history would indicate that haloperidol (Haldol)is contraindicated for this client?
Select all that apply.

Accepted Answer

The answer of A client is being evaluated for appropriate...

Question 10

The family of a client diagnosed with schizophrenia asks why medications are needed to help control the client's symptoms.Which responses by the nurse are appropriate in this situation?
Select all that apply.

Accepted Answer

The answer of The family of a client diagnosed with...

Question 11

The family of a client being treated for schizophrenia asks the nurse why the client's medication was changed to a new type just out on the market.Which responses by the nurse are appropriate?
Select all that apply.

Accepted Answer

Newer medications for schizophrenia often have fewer adverse effects and may be preferred by clients due to better tolerability and potentially improved efficacy, which can lead to better adherence and outcomes.

Question 12

A client being treated for chronic schizophrenia develops tardive dyskinesia.Which interventions will the nurse prepare to perform for this client?
Select all that apply.

Accepted Answer

The answer of A client being treated for chronic schizophrenia...

Question 13

A client prescribed antipsychotic medication for chronic schizophrenia abruptly stops taking the medication and is in the emergency department.Which findings does the nurse anticipate when assessing this client?
Select all that apply.

Accepted Answer

Abruptly stopping antipsychotic medication can cause withdrawal symptoms such as nausea, sweating, vomiting, and increased salivation. Paralysis is not a common withdrawal symptom of antipsychotic medication.

Question 14

During an assessment,the nurse determines a client is demonstrating symptoms of a psychosis.Which clinical manifestations did the nurse find during the assessment of this client?
Select all that apply.

Accepted Answer

The answer of During an assessment,the nurse determines a client...

Question 15

A client prescribed an atypical antipsychotic medication for bipolar disorder reports difficulty sleeping.What might the nurse want to discuss with the client?

Accepted Answer

Valerian is an herbal supplement that can interact with atypical antipsychotic medications and cause increased drowsiness and sedation. Therefore, the nurse should advise the client to avoid the use of valerian for sleep. A is incorrect because using alcohol to aid with sleep can worsen the client's symptoms and interact with the atypical antipsychotic medication. B is incorrect because increasing fluid intake before bed can cause the client to have to wake up frequently to urinate, which can disrupt sleep. C is incorrect because St. John's wort is not typically used for sleep and can interact with the atypical antipsychotic medication, potentially worsening the client's symptoms.

Question 16

A client being treated for schizophrenia admits to occasionally skipping medication doses.Based on this information,what will the nurse include in the client assessment?
Select all that apply.

Accepted Answer

The nurse should assess for alcohol use as it can affect medication adherence. Side effects can influence the client's willingness to take medication. Understanding of the health problem is crucial for adherence. Belief that the medication is poison can indicate delusions affecting adherence. Cost is not directly related to the client's admission of skipping doses.

Question 17

Treatment with an antipsychotic medication is being considered for an older adult client with dementia-related psychosis.Which medication would not be appropriate for this client?

Accepted Answer

The answer of Treatment with an antipsychotic medication is being...

Question 18

A client being treated with antipsychotic medication for schizophrenia is overheard telling family that the problem has improved because the new medication is given at a low dose.How should the nurse respond to this client's comment?
Select all that apply.

Accepted Answer

A) Higher potency antipsychotics require lower doses to achieve therapeutic effects, explaining why symptoms can improve with a lower dose. B) Lower doses can effectively control symptoms, especially if the medication has higher potency, without implying that previous medications were ineffective or too strong, just that the current regimen is effective at a lower dose.

Quiz 20: Pharmacotherapy of Psychoses

The nurse is concerned that a client being treated with antipsychotic medication for schizophrenia is developing extrapyramidal symptoms.Which assessment findings support the nurse's concern? Select all that apply.

The nurse is instructing a client on the importance of having routine blood work preformed while taking a prescribed antipsychotic medication.Which symptoms would warrant the client to notify the health care provider immediately? Select all that apply.

The nurse is instructing a client on the medication risperidone (Risperdal) .What should be included in this teaching?

A client with acute symptoms of schizophrenia is prescribed ziprasidone (Geodon) IM.Which rhythm will the nurse assess this client for prior to administering the medication?

While conducting a health history,the nurse notes that the client is demonstrating positive signs of schizophrenia.Which clinical manifestations did the nurse find during the assessment of this client? Select all that apply.

A client is experiencing fever,diaphoresis,muscle rigidity,and tachycardia for 4 hours.Current medications include aripiprazole (Abilify) ,enalapril (Vasotec) ,and atenolol (Tenormin) .What will the nurse prepare to administer to this client?

A client prescribed olanzapine (Zyprexa) for mania associated with bipolar disorder is being discharged.Which client statement indicates more teaching is necessary about this medication?

A client prescribed aripiprazole (Abilify) for schizophrenia is experiencing signs of hypotension with certain activities since starting this medication.What should the nurse teach the client? Select all that apply.

A client is being evaluated for appropriate medication treatment for a new onset of psychosis.Which information in the history would indicate that haloperidol (Haldol) is contraindicated for this client? Select all that apply.

The family of a client diagnosed with schizophrenia asks why medications are needed to help control the client's symptoms.Which responses by the nurse are appropriate in this situation? Select all that apply.

The family of a client being treated for schizophrenia asks the nurse why the client's medication was changed to a new type just out on the market.Which responses by the nurse are appropriate? Select all that apply.

A client being treated for chronic schizophrenia develops tardive dyskinesia.Which interventions will the nurse prepare to perform for this client? Select all that apply.

A client prescribed antipsychotic medication for chronic schizophrenia abruptly stops taking the medication and is in the emergency department.Which findings does the nurse anticipate when assessing this client? Select all that apply.

During an assessment,the nurse determines a client is demonstrating symptoms of a psychosis.Which clinical manifestations did the nurse find during the assessment of this client? Select all that apply.

A client prescribed an atypical antipsychotic medication for bipolar disorder reports difficulty sleeping.What might the nurse want to discuss with the client?

A client being treated for schizophrenia admits to occasionally skipping medication doses.Based on this information,what will the nurse include in the client assessment? Select all that apply.

Treatment with an antipsychotic medication is being considered for an older adult client with dementia-related psychosis.Which medication would not be appropriate for this client?

A client being treated with antipsychotic medication for schizophrenia is overheard telling family that the problem has improved because the new medication is given at a low dose.How should the nurse respond to this client's comment? Select all that apply.