Psych Evolve

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Nortriptyline is prescribed for a depressed client. When would the nurse expect a therapeutic response?

2 to 3 weeks

atypical antipsychotics

Antipsychotics that do not have significant side effects common to older antipsychotics

A client receiving fluphenazine decanoate develops dystonia early in therapy. Which medication would the nurse anticipate administering to reverse this side effect?

Benztropine

Which medication is indicated for treating obsessive-compulsive disorder?

Clomipramine

A client with schizophrenia who is receiving an antipsychotic medication begins to exhibit a shuffling gait and tremors. The primary health care provider prescribes the anticholinergic medication benztropine, 2 mg daily. The nurse should inquire about which symptom when assessing the client?

Constipation

Which behavior would the nurse observe in a child with oppositional defiant disorder?

Deliberately annoys others

When the nurse tries to bathe a young client with a spinal cord injury who has an incontinence episode he says, "Leave me alone. Having you care for me is worse than lying in this mess." Which response is the best?

During the bath, I'll start teaching you about bowel training

Which medication acts as an antidote to benzodiazepine?

Flumazenil

The nurse recognizes which atypical antipsychotics as being approved for long-term use to prevent the recurrence of mood episodes in clients with bipolar disease? Select all that apply. One, some, or all responses may be correct.

Olanzapine, Ziprasidone, Aripiprazole

Which medication is contraindicated in a pregnant client?

Paroxetine

Which intervention would the nurse use in the care of a drug-dependent mother and infant?

Support the mother's positive responses toward her infant

A client with a diagnosis of schizophrenia is prescribed an antipsychotic medication. The nurse understands which side effect of antipsychotic medications may be irreversible?

Tardive dyskinesia

An older adult living in a long-term care facility has been receiving 600 mg of lithium twice a day for 3 weeks to ease manic behavior. The client is experiencing nausea and vomiting, diarrhea, thirst, polyuria, slurred speech, and muscle weakness. Which intervention is appropriate?

Withholding the next dose of lithium and drawing blood for a lithium level

Tardive dyskinesia

involuntary movements of the facial muscles, tongue, and limbs; a possible neurotoxic side effect of long-term use of antipsychotic drugs that target certain dopamine receptors

Nortriptyline

tricyclic antidepressant

TCA

tricyclic antidepressant


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