Psychosis

Which vitamin B deficiency will result in Wernicke encephalopathy?

Severe deficiency of thiamine (Vitamin B1) will result in Wernicke encephalopathy.

At which point in the daily routine do clients who experience alterations in perception tend to have more problems with vivid hallucinations?

After going to bed, auditory hallucinations are most troublesome because environmental stimuli are diminished and there are few competing distractions.

neuroleptic medications MOA

Block access to dopamine receptors at the postsynaptic receptor site.

Which antidepressant is a second-generation medication?

Citalopram

Which manifestations are an EPS side effect of Chlorpromazine?

Drooling, facial tics, shuffling gait, tongue rolling, restless movements

Which second-generation antidepressant can worsen uncontrolled angle-closure glaucoma?

Duloxetine

What is the parrotlike echoing of spoken words or sounds called?

Echolalia

Which antipsychotic medications have the highest risk of causing TD?

First-generation "typical" antipsychotics such as Haloperidol and Loxapine may cause EPS symptoms like TD.

Which adverse effect is least likely to occur in a client who is prescribed clozapine?

Myocarditis is a very rare side effect of clozapine. It is a second-generation anti-psychotic med, so seizures, sedation, and akathisia are common SE of clozapine.

Which clinical manifestation would best indicated that to the nurse that the mental status of a client with schizophrenia and paranoid delusions is improving?

The ability to function effectively in activities of daily living would indicate improvement. A person who can handle ADLs and function in society is considered mentally stable.

Which toxic effect would the nurse find in a client who has overdosed on isocarboxazid?

The clinical symptoms of monoamine oxidase inhibitors (MAOIs) generally appear after 12 hours of ingestion. Circulatory collapse is associated with MAOI toxicity.

Which action by the nurse would decrease the risk of injury for a child with oppositional defiant disorder?

The nurse would work with the child to learn how to take control of, take responsibility for, and redirect their angry outbursts.

Which medications are considered typical antipsychotics?

Thioridazine and Chlorpromazine are first-generation or "typical" antipsychotics.

What are loose associations?

Thoughts that are presented with minimal logical connections. Common in schizophrenia