Pharmacology PrepU; Chapter 22- Psychotherapeutic Agents #3

The nurse is planning care for a client who is receiving treatment for acute psychosis. What goals would be appropriate during the first week of treatment? Select all that apply. decreasing the client's symptoms ensuring the client's compliance with oral drug therapy normalizing the client's ability to cope with environment normalizing the patterns of sleeping and eating preventing additional psychotic episodes

decreasing the client's symptoms normalizing the patterns of sleeping and eating

A nursing instructor is describing the effects of CNS stimulants and their potential for addiction due to their euphoric sensations. The instructor determines that the discussion was successful when the students identify which substance as being involved with this pleasurable feeling? epinephrine norepinephrine serotonin dopamine

dopamine

A nurse observes rhythmic, involuntary facial movements in a patient who has been administered antipsychotic drugs. The patient also makes chewing movements and, at times, his tongue protrudes. What is the most likely reason for the patient's behavior? Extrapyramidal syndrome Tardive dyskinesia Stevens-Johnson syndrome Neuroleptic malignant syndrome

Tardive dyskinesia

While reviewing a medication history, the nurse sees that a school-age client has been prescribed haloperidol. Based on this information, the nurse suspects that the client may have been diagnosed with what disease process? Myasthenia gravis Tourette's syndrome Alzheimer's disease Muscular dystrophy

Tourette's syndrome

A client is taking antipsychotic medication and asks the nurse what dopamine is. What is a correct response by the nurse? "Dopamine is a medication that is given to fight infections and help with pain." "Dopamine is a neurotransmitter that deals with pleasure and reward in the brain." "Dopamine is an enzyme that regulates your temperature." "Dopamine is a part of the brain that controls your impulses and thoughts."

"Dopamine is a neurotransmitter that deals with pleasure and reward in the brain."

A 14 year-client with symptoms of psychosis has been prescribed pimozide 0.05 mg/kg PO at bedtime. The client weighs 154 lbs. How many mg of pimozide should the client be administered?

3.5

A nurse who works at an outpatient mental health clinic follows numerous clients who have schizophrenia, many of whom are being treated with olanzapine. Which client likely has the highest susceptibility to the adverse effects of olanzapine? A client who has type 1 diabetes and who practices poor glycemic control A client who was recently treated with intravenous antibiotics because of cellulitis in his lower leg A client who is morbidly obese and who has a sedentary lifestyle A client who has a body mass index of 16.5 (underweight) and who smokes one pack of cigarettes daily

A client who has type 1 diabetes and who practices poor glycemic control

The nurse expects to monitor a client's white blood count weekly when the client is prescribed: Quetiapine Clozapine Aripiprazole Olanzapine

Clozapine

A young client has been prescribed an antipsychotic agent to relieve psychotic symptoms. Which goal of care is the priority? The client will participate in activities of daily living (ADL). The client will remain safe. The client will demonstrate independent health maintenance. The client will interact therapeutically with peers.

The client will remain safe.

The nurse is caring for a patient who is receiving drug therapy for a psychotic disorder. Which goals should the nurse include in a care plan for the patient following discharge from the hospital? The patient will return for follow-up appointments when the patient believes they are necessary. The patient will take medications as prescribed. The patient will exhibit decreased symptoms of acute psychosis. The patient will normalize sleeping and eating patterns. SUBMIT ANSWER

The patient will take medications as prescribed.