MENTAL HEALTH NURSING EXAM II 2026
ACTUAL SCRIPT VERIFIED MASTER CONTENT
◉ SUBSTANCE-INDUCED PSYCHOTIC DISORDER. Answer: involves
prominent hallucinations and delusions which are directly
attributable to substance intoxication, withdrawal, after exposure to
a medication or toxin
◉ COMMAND HALLUCINATIONS THAT INDICATE A POTENTIAL
FOR HARM - PRIORITY NURSING ACTION. Answer: when there is a
potential for harm, the nurse has a duty to warn (i.e. family member,
health care provider, etc)
*Example*
a patient states, "my psychiatrist is out to get me. The voice is telling
me to stop him".
nurse needs to warn psychiatrist
◉ RISPERIDONE (RISPERDAL). Answer: an *ATYPICAL*
antipsychotic
used to reduce positive symptoms of schizophrenia
,◉ BENZTROPINE (COGENTIN). Answer: anticholinergic Rx
used to treat/control extrapyramidal symptoms
◉ DANTROLENE (DANTRIUM). Answer: muscle relaxant Rx
can be used to treat neuroleptic malignant syndrome
◉ POSITIVE SYMPTOMS OF SCHIZOPHRENIA. Answer: presence of
behaviors that *SHOULD NOT BE PRESENT*
◉ POSITIVE SYMPTOMS OF SCHIZOPHRENIA - EXAMPLES. Answer:
paranoid delusions
neologisms
echolalia
clang associations
,◉ NEGATIVE SYMPTOMS OF SCHIZOPHRENIA. Answer: absence of
behaviors that *SHOULD BE PRESENT*
◉ NEGATIVE SYMPTOMS OF SCHIZOPHRENIA - EXAMPLES. Answer:
flat affect
anhedonia
anergia
◉ TARDIVE DYSKINESIA - TREATMENT. Answer: this condition can
be treated by *discontinuing antipsychotic medication*
◉ NEUROLEPTIC MALIGNANT SYNDROME (NMS). Answer:
potentially fatal condition characterized by...
muscle rigidity
fever
altered consciousness
autonomic instability
, ◉ ANTIPSYCHOTIC Rx - DOPAMINE BLOCKERS. Answer: controls
positive symptoms of schizophrenia
cause extrapyramidal symptoms (EPS)
increases prolactin levels
- galactorrhea
- gynecomastia
◉ ANTIPSYCHOTIC Rx - CHOLINERGIC BLOCKERS. Answer: causes
*anticholinergic effects*
- dry mouth
- blurred vision
- constipation
- urinary retention
- tachycardia
◉ ANTIPSYCHOTIC Rx - ALPHA ADRENERGIC BLOCKERS. Answer:
side effects include...
dizziness
ACTUAL SCRIPT VERIFIED MASTER CONTENT
◉ SUBSTANCE-INDUCED PSYCHOTIC DISORDER. Answer: involves
prominent hallucinations and delusions which are directly
attributable to substance intoxication, withdrawal, after exposure to
a medication or toxin
◉ COMMAND HALLUCINATIONS THAT INDICATE A POTENTIAL
FOR HARM - PRIORITY NURSING ACTION. Answer: when there is a
potential for harm, the nurse has a duty to warn (i.e. family member,
health care provider, etc)
*Example*
a patient states, "my psychiatrist is out to get me. The voice is telling
me to stop him".
nurse needs to warn psychiatrist
◉ RISPERIDONE (RISPERDAL). Answer: an *ATYPICAL*
antipsychotic
used to reduce positive symptoms of schizophrenia
,◉ BENZTROPINE (COGENTIN). Answer: anticholinergic Rx
used to treat/control extrapyramidal symptoms
◉ DANTROLENE (DANTRIUM). Answer: muscle relaxant Rx
can be used to treat neuroleptic malignant syndrome
◉ POSITIVE SYMPTOMS OF SCHIZOPHRENIA. Answer: presence of
behaviors that *SHOULD NOT BE PRESENT*
◉ POSITIVE SYMPTOMS OF SCHIZOPHRENIA - EXAMPLES. Answer:
paranoid delusions
neologisms
echolalia
clang associations
,◉ NEGATIVE SYMPTOMS OF SCHIZOPHRENIA. Answer: absence of
behaviors that *SHOULD BE PRESENT*
◉ NEGATIVE SYMPTOMS OF SCHIZOPHRENIA - EXAMPLES. Answer:
flat affect
anhedonia
anergia
◉ TARDIVE DYSKINESIA - TREATMENT. Answer: this condition can
be treated by *discontinuing antipsychotic medication*
◉ NEUROLEPTIC MALIGNANT SYNDROME (NMS). Answer:
potentially fatal condition characterized by...
muscle rigidity
fever
altered consciousness
autonomic instability
, ◉ ANTIPSYCHOTIC Rx - DOPAMINE BLOCKERS. Answer: controls
positive symptoms of schizophrenia
cause extrapyramidal symptoms (EPS)
increases prolactin levels
- galactorrhea
- gynecomastia
◉ ANTIPSYCHOTIC Rx - CHOLINERGIC BLOCKERS. Answer: causes
*anticholinergic effects*
- dry mouth
- blurred vision
- constipation
- urinary retention
- tachycardia
◉ ANTIPSYCHOTIC Rx - ALPHA ADRENERGIC BLOCKERS. Answer:
side effects include...
dizziness
