PSYCHIATRIC-MENTAL HEALTH NURSING
ACTUAL PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉Torticollis. Answer: acute dystonia that involves muscle spasms of
the neck; develops within 1 to 5 days after beginning therapy with a
conventional antipsychotic
◉Tardive dyskinesia. Answer: involuntary repetitious tonic
muscular spasms that involve the face, tongue, lips, limbs, and trunk;
takes several months to years to develop after the start of therapy
with a conventional antipsychotic
d/c if observed, may be reversible
◉Pseudoparkinsonism. Answer: extrapyramidal tract response that
includes masklike facies, shuffling gait, pill-rolling tremors, stooped
posture, and drooling; develops within several days to 1 month after
the start of therapy with a conventional antipsychotic
◉Neuroleptic malignant syndrome. Answer: severe, potentially fatal
response to conventional antipsychotics
, caused by acute reduction in dopamine activity, precipitating
hyperthermia/pyrexia, tachycardia, tachypnea, unstable blood
pressure, dyskinesia, incontinence, decreased level of consciousness
◉Clozapine. Answer: 2nd gen atypical antipsychotic drug that is
more effective than other second-generation antipsychotics
Seizures, sedation, and akathisia are common side effects
contraindicated in clients with bone marrow depression
may cause agranulocytosis, the client's white blood cell (WBC) count
should be monitored weekly. The drug should be discontinued if the
count falls below 3,000/mm 3
use with caution in clients with seizures
◉Isocarboxazid. Answer: MAOI
Circulatory collapse is associated with toxicity
◉fluphenazine. Answer: typical antipsychotic
ACTUAL PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉Torticollis. Answer: acute dystonia that involves muscle spasms of
the neck; develops within 1 to 5 days after beginning therapy with a
conventional antipsychotic
◉Tardive dyskinesia. Answer: involuntary repetitious tonic
muscular spasms that involve the face, tongue, lips, limbs, and trunk;
takes several months to years to develop after the start of therapy
with a conventional antipsychotic
d/c if observed, may be reversible
◉Pseudoparkinsonism. Answer: extrapyramidal tract response that
includes masklike facies, shuffling gait, pill-rolling tremors, stooped
posture, and drooling; develops within several days to 1 month after
the start of therapy with a conventional antipsychotic
◉Neuroleptic malignant syndrome. Answer: severe, potentially fatal
response to conventional antipsychotics
, caused by acute reduction in dopamine activity, precipitating
hyperthermia/pyrexia, tachycardia, tachypnea, unstable blood
pressure, dyskinesia, incontinence, decreased level of consciousness
◉Clozapine. Answer: 2nd gen atypical antipsychotic drug that is
more effective than other second-generation antipsychotics
Seizures, sedation, and akathisia are common side effects
contraindicated in clients with bone marrow depression
may cause agranulocytosis, the client's white blood cell (WBC) count
should be monitored weekly. The drug should be discontinued if the
count falls below 3,000/mm 3
use with caution in clients with seizures
◉Isocarboxazid. Answer: MAOI
Circulatory collapse is associated with toxicity
◉fluphenazine. Answer: typical antipsychotic
