CMN 350 Exam 2 Questions With Correct
Answers
A |patient |receives |a |traditional |low-potency |antipsychotic |medication. |The |nurse |should
assess |closely |for:
a. |urinary |frequency.
b. |urinary |retention.
c. |hypertension.
d. |diarrhea. |- |CORRECT |ANSWER✔✔-B
A |patient |diagnosed |with |schizophrenia |has |taken |thiothixene |(Navane) |5 |mg/day |for |4 |years |
with |good |symptom |control. |Today, |the |patient |is |admitted |with |paranoia |and |auditory |
hallucinations. |The |nurse |should |determine |if |the |patient's |symptoms |are |related |to:
a. |not |taking |the |drug |as |prescribed.
b. |activation |of |serotonin |receptors.
c. |development |of |tolerance |to |the |drug.
d. |an |expected |illness-exacerbation |cycle. |- |CORRECT |ANSWER✔✔-A
When |assessing |for |a |positive |outcome |to |drug |therapy |with |fluphenazine |(Prolixin), |the
nurse |would |look |primarily |for |improvement |in:
a. |hallucinations.
b. |range |of |affect.
,c. |personal |hygiene.
d. |social |interactions. |- |CORRECT |ANSWER✔✔-A
A |patient |receiving |a |traditional |high-potency |antipsychotic |medication |should |be
closely |monitored |for:
a. |adrenergic |effects.
b. |extrapyramidal |side |effects.
c. |anticholinergic |side |effects.
d. |changes |in |pain |perception. |- |CORRECT |ANSWER✔✔-B
A |patient |diagnosed |with |schizophrenia |tells |the |clinic |nurse, |"I |stopped |taking |my
antipsychotic |medication |two |days |ago." |Previously, |the |patient |was |compliant |and |had |good
symptom |control. |What |assessment |finding |would |the |nurse |expect |at |this |visit?
a. |Mood |instability
b. |Paranoid |delusions
c. |No |evidence |of |symptoms
d. |Mental |clouding |and |confusion |- |CORRECT |ANSWER✔✔-C
A |patient |is |diagnosed |with |neuroleptic |malignant |syndrome. |Which |medication |from
the |patient's |pharmacologic |profile |most |likely |led |to |this |problem?
a. |Divalproex |sodium |(Depakote)
b. |Amitriptyline |(Elavil)
c. |Haloperidol |(Haldol)
,d. |Paroxetine |(Paxil) |- |CORRECT |ANSWER✔✔-C
During |a |psychiatric |emergency, |a |patient |is |given |a |traditional |antipsychotic |drug
intramuscularly |and |placed |in |seclusion. |Over |the |next |2 |hours, |concerns |for |safety |and |
physiologic
stability |require |that |the |patient |be |carefully |monitored |for:
a. |tardive |dyskinesia.
b. |gastrointestinal |hyperactivity.
c. |drug-induced |parkinsonian |movements.
d. |orthostatic |hypotension |and |cardiac |arrhythmias. |- |CORRECT |ANSWER✔✔-D
During |a |psychiatric |emergency, |a |patient |is |given |a |traditional |antipsychotic |drug
intramuscularly |and |placed |in |seclusion. |Over |the |next |2 |hours, |which |aspect |of |physical
assessment |is |most |important?
a. |All |vital |signs
b. |Urinary |output
c. |AIMS |scale
d. |Temperature |- |CORRECT |ANSWER✔✔-A
Thioridazine |(Mellaril) |is |prescribed |for |a |72-year-old |patient |with |a |psychiatric
disorder. |It |is |most |critical |for |the |nurse |to |obtain |information |about |preexisting:
a. |cataracts.
b. |heart |disease.
, c. |diabetes |mellitus.
d. |chronic |bronchitis. |- |CORRECT |ANSWER✔✔-B
When |a |patient |is |taking |a |traditional |antipsychotic |medication, |the |nurse |should |assess
carefully |for |EPSEs, |particularly:
a. |akathisia.
b. |mydriasis.
c. |hypotension.
d. |constipation. |- |CORRECT |ANSWER✔✔-A
A |patient |who |takes |haloperidol |(Haldol) |10 |mg/day |orally |developed |restlessness,
agitation, |and |an |inability |to |sit |still. |The |nurse |then |administered |a |PRN |dose |of |haloperidol |5
|mg
intramuscularly. |One |hour |later |the |patient's |symptoms |were |worse. |What |is |the |most |likely
explanation?
a. |The |PRN |medication |has |not |yet |taken |effect.
b. |The |patient |needs |an |additional |PRN |dose |of |haloperidol |to |control |the |rising |agitation.
c. |The |patient |was |experiencing |akathisia, |which |worsened |after |receiving |the |PRN |medication.
d. |The |nurse |should |consider |an |adjunctive |dose |of |an |antianxiety |drug |such |as |lorazepam |
(Ativan). |- |CORRECT |ANSWER✔✔-C
A |patient |is |to |be |discharged |on |a |maintenance |dose |of |a |high-potency |antipsychotic
medication. |Which |remark |indicates |that |discharge |teaching |about |the |medication |was |
effective?
Answers
A |patient |receives |a |traditional |low-potency |antipsychotic |medication. |The |nurse |should
assess |closely |for:
a. |urinary |frequency.
b. |urinary |retention.
c. |hypertension.
d. |diarrhea. |- |CORRECT |ANSWER✔✔-B
A |patient |diagnosed |with |schizophrenia |has |taken |thiothixene |(Navane) |5 |mg/day |for |4 |years |
with |good |symptom |control. |Today, |the |patient |is |admitted |with |paranoia |and |auditory |
hallucinations. |The |nurse |should |determine |if |the |patient's |symptoms |are |related |to:
a. |not |taking |the |drug |as |prescribed.
b. |activation |of |serotonin |receptors.
c. |development |of |tolerance |to |the |drug.
d. |an |expected |illness-exacerbation |cycle. |- |CORRECT |ANSWER✔✔-A
When |assessing |for |a |positive |outcome |to |drug |therapy |with |fluphenazine |(Prolixin), |the
nurse |would |look |primarily |for |improvement |in:
a. |hallucinations.
b. |range |of |affect.
,c. |personal |hygiene.
d. |social |interactions. |- |CORRECT |ANSWER✔✔-A
A |patient |receiving |a |traditional |high-potency |antipsychotic |medication |should |be
closely |monitored |for:
a. |adrenergic |effects.
b. |extrapyramidal |side |effects.
c. |anticholinergic |side |effects.
d. |changes |in |pain |perception. |- |CORRECT |ANSWER✔✔-B
A |patient |diagnosed |with |schizophrenia |tells |the |clinic |nurse, |"I |stopped |taking |my
antipsychotic |medication |two |days |ago." |Previously, |the |patient |was |compliant |and |had |good
symptom |control. |What |assessment |finding |would |the |nurse |expect |at |this |visit?
a. |Mood |instability
b. |Paranoid |delusions
c. |No |evidence |of |symptoms
d. |Mental |clouding |and |confusion |- |CORRECT |ANSWER✔✔-C
A |patient |is |diagnosed |with |neuroleptic |malignant |syndrome. |Which |medication |from
the |patient's |pharmacologic |profile |most |likely |led |to |this |problem?
a. |Divalproex |sodium |(Depakote)
b. |Amitriptyline |(Elavil)
c. |Haloperidol |(Haldol)
,d. |Paroxetine |(Paxil) |- |CORRECT |ANSWER✔✔-C
During |a |psychiatric |emergency, |a |patient |is |given |a |traditional |antipsychotic |drug
intramuscularly |and |placed |in |seclusion. |Over |the |next |2 |hours, |concerns |for |safety |and |
physiologic
stability |require |that |the |patient |be |carefully |monitored |for:
a. |tardive |dyskinesia.
b. |gastrointestinal |hyperactivity.
c. |drug-induced |parkinsonian |movements.
d. |orthostatic |hypotension |and |cardiac |arrhythmias. |- |CORRECT |ANSWER✔✔-D
During |a |psychiatric |emergency, |a |patient |is |given |a |traditional |antipsychotic |drug
intramuscularly |and |placed |in |seclusion. |Over |the |next |2 |hours, |which |aspect |of |physical
assessment |is |most |important?
a. |All |vital |signs
b. |Urinary |output
c. |AIMS |scale
d. |Temperature |- |CORRECT |ANSWER✔✔-A
Thioridazine |(Mellaril) |is |prescribed |for |a |72-year-old |patient |with |a |psychiatric
disorder. |It |is |most |critical |for |the |nurse |to |obtain |information |about |preexisting:
a. |cataracts.
b. |heart |disease.
, c. |diabetes |mellitus.
d. |chronic |bronchitis. |- |CORRECT |ANSWER✔✔-B
When |a |patient |is |taking |a |traditional |antipsychotic |medication, |the |nurse |should |assess
carefully |for |EPSEs, |particularly:
a. |akathisia.
b. |mydriasis.
c. |hypotension.
d. |constipation. |- |CORRECT |ANSWER✔✔-A
A |patient |who |takes |haloperidol |(Haldol) |10 |mg/day |orally |developed |restlessness,
agitation, |and |an |inability |to |sit |still. |The |nurse |then |administered |a |PRN |dose |of |haloperidol |5
|mg
intramuscularly. |One |hour |later |the |patient's |symptoms |were |worse. |What |is |the |most |likely
explanation?
a. |The |PRN |medication |has |not |yet |taken |effect.
b. |The |patient |needs |an |additional |PRN |dose |of |haloperidol |to |control |the |rising |agitation.
c. |The |patient |was |experiencing |akathisia, |which |worsened |after |receiving |the |PRN |medication.
d. |The |nurse |should |consider |an |adjunctive |dose |of |an |antianxiety |drug |such |as |lorazepam |
(Ativan). |- |CORRECT |ANSWER✔✔-C
A |patient |is |to |be |discharged |on |a |maintenance |dose |of |a |high-potency |antipsychotic
medication. |Which |remark |indicates |that |discharge |teaching |about |the |medication |was |
effective?
