Deck 12: Drugs for Psychoses

Question 1

Haloperidol (Haldol)has been prescribed for an elderly client.What does the nurse expect in regards to the initial dose?
1)Two times the adult dose
2)One-half the adult dose
3)Withheld due to client age
4)The same as an adult dose

Answer 1

2

Question 2

A client is being discharged home with a prescription for chlorpromazine (Thorazine).What should the nurse instruct this client to avoid?
1)Increased fiber intake
2)Chewing gum
3)Caffeine
4)Increased fluids

Answer 2

3

Question 3

A client has been prescribed chlorpromazine (Thorazine).The client asks the nurse when the medication will become effective.Based on the knowledge of the medication,which response by the nurse is most appropriate?
1)In 7-8 weeks
2)Immediately
3)Within a few days
4)In 6 months

Answer 3

1

Question 4

A female client has been prescribed risperidone (Risperdal).The physician monitors the client for increased prolactin levels.The nurse anticipates which symptoms to be present in a female client with increased prolactin levels? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Menstrual disorders
2)Decreased libido
3)Sense of euphoria
4)Osteoporosis
5)Facial hair

Question 5

The nurse is preparing to assess a client exhibiting extrapyramidal adverse effects.The nurse expects to see which symptoms? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Dry mouth
2)Akathisia
3)Parkinsonism
4)Tardive dyskinesia
5)Incontinence

Question 6

The nurse is caring for a client with delusions,hallucinations,paranoia,disorganized behavior,and difficulty relating to others.The nurse identifies these symptoms as indicative of which disorder?
1)ADHD
2)Psychosis
3)Bipolar disorder
4)Depression

Question 7

A client receives risperidone (Risperdal).The nurse observes that the client is experiencing severe muscle spasms of the back and neck.Which nursing action is a priority for this client?
1)Administer an additional dose of risperidone (Risperdal).
2)Withhold risperidone (Risperdal)until the symptoms subside.
3)Encourage the client to take a warm shower to relax the muscles.
4)Administer benztropine (Cogentin)IM.

Question 8

Positive symptoms of schizophrenia are most effectively controlled by which medications? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Chlorpromazine (Thorazine)
2)Perphenazine (Phenazine)
3)Clonidine (Catapres)
4)Citalopram (Celexa)
5)Amitriptyline (Elavil)

Question 9

A schizophrenic client is being assessed by the nurse.The client is demonstrating positive symptoms.Which symptoms would be considered positive? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Hallucinations
2)Lack of interest
3)Disorganized thoughts
4)Unresponsiveness
5)Confused speech

Question 10

The client receives clozapine (Clozaril).Which clinical finding is most important for the nurse to report immediately?
1)Increased appetite
2)Sore throat
3)Drowsiness
4)Constipation

Question 11

Which medication has less EPS and anticholinergic symptoms than haloperidol (Haldol)?
1)Thiothixene (Navane)
2)Loxapine (Loxitane)
3)Pimozide (Orap)
4)Aripiprazole (Abilify)

Question 12

The client receives clozapine (Clozaril).Before this drug is administered,the nurse should check which lab data?
1)Serum protein
2)Renal function
3)Liver function
4)White blood count

Question 13

What are the primary goals of pharmacotherapy for patients diagnosed with schizophrenia? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Cure schizophrenia.
2)Reduce psychotic symptoms to a level that allows the patient to maintain normal social relationships.
3)Increase delusional symptoms.
4)Reduce psychotic symptoms to a level that allows the patient to perform self-care.
5)Decrease psychotic symptoms so the patient can maintain employment.

Question 14

The client has a medical diagnosis of schizophrenia,and receives aripiprazole (Abilify).What is the primary expected client outcome related to dopamine reduction?
1)Client will have reduced psychotic behavior.
2)Client will have improved sleep patterns.
3)Client will decrease anxiety.
4)Client will improve social relationships.

Question 15

The nurse is caring for a client with psychosis-like symptoms.Which explanation of these symptoms to the family is the most appropriate?
1)The only causes for psychosis are delusions,illusions,and disorganized behaviors.
2)Psychotic symptoms are only seen in clients with schizoaffective disorder.
3)Psychosis-like symptoms can be caused by trauma,overdoses of certain medications,and brain damage.
4)Psychotic symptoms are only seen in clients who become hospitalized.

Question 16

The nurse administers an IM dose of risperidone (Risperdal)to a client.How long until the nurse will need to administer another dose?
1)1 day
2)3 weeks
3)4-6 weeks
4)1-2 weeks

Question 17

Which statement is true regarding schizophrenia?
1)There appears to be a genetic component to schizophrenia.
2)There is not a genetic component to schizophrenia.
3)Schizophrenia is caused by a brain tumor.
4)It is caused by underactive dopaminergic pathways found in the basal nuclei.

Question 18

The client receives ziprasidone (Geodon).What is priority teaching at time of discharge?
1)To avoid drinking alcohol
2)To be on a low-fat diet
3)To stop smoking
4)To exercise at least 60 minutes per day

Question 19

A client with schizophrenia exhibits positive and negative symptoms.The nurse anticipates which drug to be prescribed for this client?
1)Chlorpromazine (Thorazine)
2)Clozapine (Clozaril)
3)Thioridazine (Mellaril)
4)Clonidine (Catapres)

Question 20

A schizophrenic client is being assessed by the nurse.The client is demonstrating negative symptoms.Which symptoms would be considered negative? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Delusions
2)Irrational actions
3)Lack of interest
4)Neglect of personal hygiene
5)Hyperactivity

Question 21

Which drug class can cause bone marrow suppression?
1)Nonphenothiazine drugs
2)Atypical antipsychotic drugs
3)Phenothiazine drugs
4)Beta blockers

Question 22

Which statements are true regarding chlorpromazine (Thorazine)? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Many clients overdose on this medication.
2)Delay in achieving an orgasm.
3)Anticholinergic effects such as dry mouth,postural hypotension,and urinary retention are common.
4)Chlorpromazine (Thorazine)has a wide safety margin between a therapeutic and a lethal dose.
5)This drug will cause psychological dependence.

Question 23

According to the nurse,which side effects are possible for a client receiving a dopamine system stabilizer? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Drowsiness
2)Diarrhea
3)Constipation
4)Nausea
5)Vomiting

Question 24

Which drug class can cause diabetes mellitus type II?
1)Atypical antipsychotic drugs
2)Phenothiazine drugs
3)Beta blockers
4)Nonphenothiazine drugs