Psychotherapeutic Agents Q&A

While caring for a patient who is receiving anitpsychotic therapy, the nurse observes lip shaking, darting tongue, and slow and aimless arm movements. The nurse interprets this as which of the following? a. tardive dyskinesia b. akathisia c. pseudoparkinsonism d. dystonia

a. tardive dyskinesia abnormal muscle movements

What is most type of psychosis?

Schizophrenia

A nurse is assessing a patient who is receiving an antipsychotic agent for possible anticholinergic effects. Which of the following would the nurse assess? a. nasal congestion b. neuroleptic malignant syndrome c. laryngospasm d. arrhythmia

a. nasal congestion response with anticholinergic effects

The nurse administers chlorpromazine intramuscularly to a patient. The nurse would maintain the patient in bed for at least how long after administering the drug? a. 1/2 hr b. 1hr c. 2hr d. 3hr

a. 1/2 hr

A patient with a history of schizophrenia has been receiving antipsychotic therapy for several years, which of the following would indicate to the nurse that the patient is experiencing pseudoparkinsonism? a. cogwheel rigidity b. abnormal eye movement c. neck spasm d. excessive salivation

a. cogwheel rigidity also muscle tremors, drooling shuffling gait, slow movement

A patient has a serum lithium of 1.8 mEq/L. Which of the following would the nurse assess? Select all that apply a. electrocardiogram changes b. hypotension c. slurred speech d. hyperreflexis e. polyuria f. seizures

a. electrocardiogram changes c. slurred speech e. polyuria lithium normal levels are 1.5-2.0 mEq/L Above normal s/sx hypotension, hyperrelexia and seizures between 2.0-2.5 mEq/L

The parents of a child receiving a central nervous system stimulant for treatment of attention deficit disorder asks the nurse why they are stopping the drug for a time. Which statement by the nurse would be most appropriate? a. "he probably doesn't need the medication anymore since he is getting older" b. "we need to check and see if he still has symptoms that require drug therapy" c. "the drug should be used for a specified period of time and then switched to another. d. "he is prone to developing severe adverse effects if he stays on it any longer"

b. "we need to check and see if he still has symptoms that require drug therapy" periodically therapy needs to be interrupted to determine is symptoms are still recurring, this would indicate need for further treatment

A nurse is reviewing a pt's serum lithium level and determines that the level is therapeutic by which result? a. 0.2 mEq/L b. 0.8 mEq/L c. 1.4 mEq/L d. 2.0 mEq/L

b. 0.8 mEq/L Normal is 0.6-1.2 anything above is toxic

The use of which of the following would a nurse identify as placing a patient receiving lithium therapy at increased risk for toxicity? a. tromethamine b. thiazide diuretic c. psyllium d. antacids

b. thiazide diuretic

Which of the following would be important for a nurse to include in the teaching plan for a patient taking fluphenazine? a. possible development of fatal arrhythmias b. urine turning pink to reddish-brown c. possible severe rhinorrhea d. development of diabetes mellitus

b. urine turning pink to reddish-brown

A child with attention deficit hyperactivity disorder is to receive methylphenidate 2xday. The nurse would instruct the parents to administer the last dose before which time? a. 4pm b. 5pm c. 6pm d. 8pm

c. 6pm to reduce insomnia

After reviewing information about antipsychotic agents a group of students demonstrate understanding of the material when they identify which of the following as an atypical antipsychotic agent? a. haloperidol b. loxapine c. clozapine d. pimozide

c. clozapine

A nurse expects to monitor a patients white blood count weekly when the patient is prescribed which of the following? a. aripiprazole b. olanzapine c. clozapine d. quetiapine

c. clozapine is associated with significant leukopenia

A patient is receiving haloperidol. The nurse would be most especially alert for the development of which of the following adverse effects? a. sedation b. anticholinergic c. extrapyramidal d. hypotension

c. extrapyramidal Physical symptoms, including tremor, slurred speech, akathesia, dystonia, anxiety, distress, paranoia, and bradyphrenia, that are primarily associated with improper dosing of or unusual reactions to neuroleptic (antipsychotic) medications.

Which of the following would a nurse identify as being used as treatment for mania as well as schizophrenia? a. lithium b. risperidone c. lamotrigine d. aripirazole

d. aripirazole

Which of the following antipsychotics would the nurse identify as a highly potent agent? a. chlorpromazine b. thioridazine c. prochlorperazine d. fluphenazine

d. fluphenazine

Which drug would be indicated for the treatment of narcolepsy? a. atomoxetine b. dexmethylphenidate c. lisdexamfetamine d. modafinil

d. modafinil