Deck 17: Drugs Used for Psychoses

Question 1

A young male patient taking an antipsychotic is experiencing an oculogyric crisis.The nurse prepares to administer

A) diphenhydramine.
B) haloperidol.
C) aripiprazole.
D) risperidone.

Answer 1

diphenhydramine.

Question 2

What is the most common cause of nonadherence to antipsychotic pharmacologic treatment?

A) Expense
B) Increased symptoms of chemical dependency
C) Extrapyramidal effects
D) Inability of the patient to understand the need to take medications

Answer 2

Extrapyramidal effects

Question 3

To what does potency of an antipsychotic medication refer?

A) Severity of adverse effects associated with the drug
B) Length of time that it takes to reach a therapeutic blood level of the drug
C) Milligram doses used for the medication
D) Effectiveness of the drug in alleviating psychotic behavior

Answer 3

Milligram doses used for the medication

Question 4

Which statement is true regarding the adverse effects associated with antipsychotic medications?

A) Tardive dyskinesia is a common, reversible condition.
B) Painful dystonic reactions can occur in the first 72 hours of initiation of therapy.
C) Neuroleptic malignant syndrome (NMS) is a common adverse effect.
D) Pseudoparkinsonian symptoms can cause Parkinson's disease.

Question 5

The nurse is teaching a patient who is taking clozapine (Clozaril)to have weekly blood tests for the first 6 months of treatment to monitor for which potential complication?

A) Agranulocytosis
B) Vitamin deficiencies
C) Clotting abnormalities
D) Polycythemia

Question 6

The nurse is assessing a patient who is complaining of hearing voices.What is this patient experiencing?

A) Delusions
B) Flight of ideas
C) Disorganized thinking
D) Hallucinations

Question 7

Which is an appropriate nursing intervention for a patient who has recently been prescribed clozapine (Clozaril)?

A) Assess for signs and symptoms of hypoglycemia.
B) Encourage a low-fiber diet.
C) Measure the patient's waist circumference.
D) Monitor for insomnia.

Question 8

The psychiatric nurse is educating an elderly patient and family about antipsychotic drug therapy.When providing this education,the nurse will include which statement(s)?

A) Hallucinations may be reduced within 1 week of starting.
B) Rapid increase in dosages will increase frequency of adverse effects.
C) Older patients should be observed for hypertension.
D) Tardive dyskinesia may be reversible in early stages.
E) Full therapeutic response may require 6 to 8 weeks to be achieved.

Question 9

Which is/are extrapyramidal adverse effect(s)of antipsychotic agents?

A) Spasmodic movements of muscle groups
B) Masklike expression
C) Lip smacking
D) Inability to sit in one place for an extended period
E) Weight gain

Question 10

Which type of adverse effects is present when a patient displays prolonged tonic contractions of the tongue,oculogyric crisis,and torticollis?

A) Dystonic reactions
B) Pseudoparkinsonism
C) Akathisia
D) Tardive dyskinesia

Question 11

A patient admitted to a psychiatric facility is hallucinating,pacing,and acting highly suspicious.Based on this information,the nurse will take which action(s)?

A) Use the most restrictive restraints available to subdue the patient.
B) Be open and direct when handling the patient.
C) Encourage a variety of interactions with others.
D) Provide high-protein, high-calorie foods.
E) Reinforce hallucinations.

Question 12

A patient with schizophrenia has been nonadherent with his home medication regimen.He requires frequent admissions to the intensive psychiatric unit for treatment of acute psychotic episodes.Which medication regimen would be appropriate for this patient?

A) Daily home nursing visits to administer the prescribed oral medication
B) Continuous inpatient hospitalization for medication therapy
C) Administration of depot antipsychotic medication
D) Subcutaneous medication administration

Question 13

A patient admitted to the hospital is exhibiting psychotic behavior.Which sign(s)and/or symptom(s)would support the diagnosis of psychosis?

A) Constant eye contact during the admission history
B) Deterioration of social functioning
C) Reporting that the FBI has solicited important secret information from his phone conversations
D) Confirmation of hearing voices in his head
E) Changing the topic of conversation inappropriately

Question 14

Dystonic reactions,pseudoparkinsonism,akathisia,and tardive dyskinesia are types of which effect?

A) Extrapyramidal symptoms
B) Allergic reactions
C) Idiosyncratic reactions
D) Therapeutic responses

Question 15

Why is a combination of antipsychotic agents with benzodiazepines useful in initial treatment of the agitated patient?

A) Antipsychotics are not effective for 2 days.
B) Benzodiazepines allow for lower dosages of antipsychotic agents to be used, thereby decreasing serious adverse effects seen with high-dose therapy.
C) It assists in calming the psychotic patient.
D) It allows for rapid increase in dosing of the antipsychotic agents to expedite treatment of hallucinations.
E) It effectively treats extrapyramidal adverse effects associated with antipsychotic agents.

Question 16

A male patient becomes verbally aggressive and insists the nurse is poisoning him as she attempts to administer haloperidol (Haldol).Which action will the nurse take?

A) Support the patient's decision to refuse the medication.
B) Discreetly ask an assistant to put the medication in the patient's food.
C) Firmly redirect the patient to take the medication.
D) Speak privately with the patient and reinforce medication action.

Question 17

Which adverse effect(s)may occur as a result of antipsychotic drug therapy?

A) Acute dystonia
B) Akathisia
C) Weight loss
D) Neuroleptic malignant syndrome
E) Hypoglycemia
F) Tardive dyskinesia

Question 18

Which sign(s)and symptom(s)may occur in neuroleptic malignant syndrome?

A) Fever
B) Hypertension
C) Severe extrapyramidal symptoms
D) Alterations in consciousness
E) Bradycardia