Question 1

The nurse is caring for a client who is being treated for schizophrenia, but who also has a history of benign prostatic hypertrophy.Which of the following medications might not be the most advantageous for this client, given the above information?

Accepted Answer

Chlorpromazine, a typical antipsychotic, has anticholinergic effects that can exacerbate urinary retention, a concern for patients with benign prostatic hypertrophy.

Question 2

The nurse is taking care of a client with severe cardiovascular disease and schizophrenia.Which of the following antipsychotic medications would be the safest treatment for this client with the given information?

Accepted Answer

C

Question 3

A nurse working in a psychiatric center notices a patient walking down the hall with his head tilted to the left, as if having a muscle spasm in his neck.There is no facial expression, and the patient is having difficulty speaking.The nurse checks the patient's MAR and sees that the patient was recently started on fluphenazine (Prolixin).Which of the following actions should the nurse take?

Accepted Answer

The patient is exhibiting symptoms of acute dystonia, a side effect of fluphenazine (Prolixin), an antipsychotic medication. Biperiden (Akineton) is an anticholinergic medication used to treat this condition.

Question 4

A client recently prescribed an atypical antipsychotic medication for bipolar disorder is smoking a cigarette outside the office while waiting to be seen by the health care provider for a routine follow-up visit.The nurse might discuss which of the following with the patient

Accepted Answer

The answer of A client recently prescribed an atypical antipsychotic...

Question 5

A client is being treated in the ED for abrasions and deep wounds received after running through thick brush and briars in the woods.The client states that she was being followed by a large man in dark clothing.A witness to this event claims there was no one chasing the client into the woods.The nurse should further assess the client for which of the following? (Select all that apply.)

Accepted Answer

The answer of A client is being treated in the...

Question 6

A client who was started on trifluoperazine (Stelazine)two days ago presents with muscle spasms of the tongue.The physician orders diphenhydramine (Benadryl)50 mg IV.The reason for administering Benadryl to this client is:

Accepted Answer

Diphenhydramine (Benadryl) is administered to reverse acute dystonia, a side effect of trifluoperazine (Stelazine), which is an antipsychotic medication. Acute dystonia can cause muscle spasms and abnormal postures, including those affecting the tongue.

Question 7

A teenager is brought to the family physician's office for fever, complaints of a sore throat, and abdominal discomfort.The caretaker indicates that the teen has been diagnosed with a psychosis and is having some difficulty maintaining friendships through school.Which of the following behaviors might the nurse suspect is causing the client difficulty with peers?

Accepted Answer

Laughing inappropriately at sad events is a behavior that could cause difficulty with peers, as it is directly related to social interactions and could be perceived as odd or insensitive by others. This behavior can be indicative of psychosis, where an individual might have impaired perception of reality, leading to inappropriate emotional responses.

Question 8

A mother brings her 18-year-old daughter to the health care clinic to be seen because she has noted that her daughter has gradually displayed symptoms of depression, such as loss of desire for personal hygiene, a lack of interest in her normal social activities, a sudden drop in grades at school, and recent unwillingness to get out of bed to go to school.The nurse will want to assess for which of the following?

Accepted Answer

The symptoms described, such as loss of desire for personal hygiene, lack of interest in normal social activities, and unwillingness to get out of bed, are indicative of depression and align with the negative symptoms of schizophrenia, which include social withdrawal, lack of motivation, and reduced emotional expression. Positive symptoms of schizophrenia involve hallucinations and delusions, which are not mentioned. Insomnia and post-traumatic stress syndrome could be related to depression but are not directly suggested by the symptoms described.

Question 9

A client who was started on treatment for schizophrenia with clozapine (Clozaril)is complaining of drowsiness on the medication after the first two weeks of therapy.The best response of the nurse would be:

Accepted Answer

Taking clozapine at bedtime can help manage drowsiness, a common side effect, by allowing the patient to sleep through the peak sedative effects.

Question 10

The police were called to report a naked client running from house to house in a quiet suburban neighborhood, banging on the front door frantically asking to get in because of being chased by a "serial killer".The client was apprehended and brought to the ED.Upon arrival at the ED, the client became paranoid, and aggressively fought against any treatment by ED personnel.The nurse can anticipate administering which of the following?

Accepted Answer

Lorazepam (Ativan) IM is often used in emergency situations to quickly calm a patient who is agitated or aggressive, as it is a fast-acting benzodiazepine that can help reduce anxiety and agitation.

Question 11

The nurse is performing an assessment for a routine follow up on a 25-year-old female client who takes chlorpromazine for schizophrenia.Which of the following should the nurse perform? Select all that apply.

Accepted Answer

Chlorpromazine can cause menstrual irregularities, so it's important to check the menstrual history. It can also cause vision changes, so an eye exam is necessary. Alcohol use should be assessed as it can interact with chlorpromazine.

Question 12

The nurse is caring for a client who has been prescribed haloperidol (Haldol)2 mg p.o.Symptoms of psychotic behavior have not improved after the fifth day on the Haldol.Because the dose is such a small amount, the nurse anticipates which of the following?

Accepted Answer

Haloperidol, like many antipsychotics, can take 2-4 weeks to show significant improvement in symptoms.

Question 13

Proper diagnosis of positive and negative symptoms of schizophrenia is important for selection of proper drug treatment.Clients with negative symptoms of schizophrenia are more challenging to recognize.The nurse recognizes the following as barriers to treatment: (Select all that apply.)

Accepted Answer

The answer of Proper diagnosis of positive and negative symptoms...

Question 14

The nurse is reading though a client's physical and social history prior to planning discharge instructions.The client was admitted with symptoms of delusions and a dysfunctional affect.The diagnosis was schizophrenia.The client was placed on appropriate medication and follow-up with psychotherapy.Which of the following should the nurse address with the client prior to discharge?

Accepted Answer

DC) Alcohol consumption can interact with medications used to treat schizophrenia, potentially exacerbating symptoms or reducing the effectiveness of the medication. It's important for the nurse to address this issue to ensure the client's safety and the effectiveness of their treatment plan.D) Grapefruit can interact with certain medications by increasing their levels in the blood, which can lead to adverse effects. Since the client is on medication for schizophrenia, it's important to address the potential interaction between grapefruit and the prescribed medication to avoid any negative outcomes.

Question 15

The nurse is providing discharge instructions to a client who has recently been prescribed ziprasidone (Geodon)for acute mania associated with bipolar disorder.The nurse recognizes that further instruction is needed when the client states:

Accepted Answer

The client expressing hope to discontinue the medication after a follow-up visit indicates a misunderstanding of the chronic nature of bipolar disorder and the need for ongoing medication management to prevent relapse. Ziprasidone (Geodon) is often prescribed for long-term management, not just for acute episodes.

Question 16

A caregiver returns to the office with a family member who had been placed on clozapine (Clozaril)for suicidal behavior with schizophrenia.The caregiver states that the client quit taking the medicine after four weeks of therapy, and symptoms of hallucinations are returning.Which of the following might the nurse assess to determine the reason the client quit taking treatment? Select all that apply.

Accepted Answer

The answer of A caregiver returns to the office with...

Question 17

The nurse is performing the initial assessment on a client admitted to the psychiatric unit.The client hears voices that tell him that he must cut the skin on his arms with razor blades until he bleeds from the cuts.The nurse should assess for: (Select all that apply.)

Accepted Answer

The answer of The nurse is performing the initial assessment...

Question 18

A client returns for a four-week follow-up visit with the health care provider after having been started on olanzapine (Zyprexa)for symptoms of schizophrenia.The care provider states that the family has noted only a small amount of improvement in symptoms, and questions the need to change to another treatment.The nurse's best response is:

Accepted Answer

The answer of A client returns for a four-week follow-up...

Question 19

A client is being discharged from the psychiatric unit after starting treatment for schizophrenia.The client is going to receive haloperidol decanote (Haldol LA)IM once monthly after discharge.Of which of the following would the nurse teach the client to notify the health care provider immediately?

Accepted Answer

D) Involuntary, unusual tongue and face movements, such as lip smacking or rapid eye blinking, are symptoms of tardive dyskinesia, a serious and potentially irreversible side effect of antipsychotic medications like haloperidol. Immediate notification of the healthcare provider is crucial for assessment and potential adjustment of the medication regimen.

Question 20

According to categories, haloperidol (Haldol)is a high-potency drug, while chlorpromazine is a low-potency drug.The nurse could anticipate the doses of each drug to be which of the following?

Accepted Answer

High-potency antipsychotics like haloperidol require lower doses to achieve therapeutic effects compared to low-potency antipsychotics like chlorpromazine, which require higher doses.

Quiz 24: Pharmacotherapy of Psychoses

The nurse is caring for a client who is being treated for schizophrenia, but who also has a history of benign prostatic hypertrophy.Which of the following medications might not be the most advantageous for this client, given the above information?

The nurse is taking care of a client with severe cardiovascular disease and schizophrenia.Which of the following antipsychotic medications would be the safest treatment for this client with the given information?

A client recently prescribed an atypical antipsychotic medication for bipolar disorder is smoking a cigarette outside the office while waiting to be seen by the health care provider for a routine follow-up visit.The nurse might discuss which of the following with the patient

A client who was started on trifluoperazine (Stelazine) two days ago presents with muscle spasms of the tongue.The physician orders diphenhydramine (Benadryl) 50 mg IV.The reason for administering Benadryl to this client is:

A client who was started on treatment for schizophrenia with clozapine (Clozaril) is complaining of drowsiness on the medication after the first two weeks of therapy.The best response of the nurse would be:

The nurse is performing an assessment for a routine follow up on a 25-year-old female client who takes chlorpromazine for schizophrenia.Which of the following should the nurse perform? Select all that apply.

The nurse is caring for a client who has been prescribed haloperidol (Haldol) 2 mg p.o.Symptoms of psychotic behavior have not improved after the fifth day on the Haldol.Because the dose is such a small amount, the nurse anticipates which of the following?

Proper diagnosis of positive and negative symptoms of schizophrenia is important for selection of proper drug treatment.Clients with negative symptoms of schizophrenia are more challenging to recognize.The nurse recognizes the following as barriers to treatment: (Select all that apply.)

The nurse is providing discharge instructions to a client who has recently been prescribed ziprasidone (Geodon) for acute mania associated with bipolar disorder.The nurse recognizes that further instruction is needed when the client states:

The nurse is performing the initial assessment on a client admitted to the psychiatric unit.The client hears voices that tell him that he must cut the skin on his arms with razor blades until he bleeds from the cuts.The nurse should assess for: (Select all that apply.)

A client is being discharged from the psychiatric unit after starting treatment for schizophrenia.The client is going to receive haloperidol decanote (Haldol LA) IM once monthly after discharge.Of which of the following would the nurse teach the client to notify the health care provider immediately?

According to categories, haloperidol (Haldol) is a high-potency drug, while chlorpromazine is a low-potency drug.The nurse could anticipate the doses of each drug to be which of the following?