AD Quiz: Psychosis
A client with schizophrenia is given an antipsychotic drug. The nurse recalls all the extrapyramidal effects
associated with this type of medication and anticipates that the drug will be discontinued if which
occurs?
1
Akathisia
Correct2
Tardive dyskinesia
3
Parkinsonian syndrome
4
Acute dystonic reaction
Tardive dyskinesia is characterized by protrusion and vermicular movements of the tongue, chewing and
puckering movements of the mouth, and a puffing of the cheeks. These adverse effects may or may not
be reversible when the antipsychotic medication is withdrawn. Motor restlessness (akathisia),
parkinsonian symptoms, or an acute dystonic reaction can be treated with an antiparkinsonian or
anticholinergic drug while the antipsychotic medication is continued.
67%of students nationwide answered this question correctly.
3204290949
Confidence: Just a guess
Stats
Issue with this question?
2.
The primary healthcare provider prescribes a neuroleptic drug to a client diagnosed with schizophrenia.
On what basis would the primary healthcare provider choose the drug?
1
Symptoms
Correct2
Side effects
3
Therapeutic effects
,4
Underlying pathology
First-generation antipsychotic drugs are also known as neuroleptics. The selection of these drugs is
primarily based on side effects rather than therapeutic effects. Because all symptoms respond equally to
antipsychotic drugs, the drug selection may not be based on symptoms. Because these drugs do not
alter the underlying pathology, the selection may not be based on underlying pathology.
34%of students nationwide answered this question correctly.
3042081501
Confidence: Just a guess
Stats
Issue with this question?
3.
On the afternoon of admission to a psychiatric unit, an adolescent boy with the diagnosis of
schizophrenia exposes his genitals to a female nurse. What should the nurse’s immediate therapeutic
response be?
1
Ignoring the client at this time
Correct2
Stating that this behavior is unacceptable
3
Moving him to his room for a short time-out
4
Telling the client to come to the office later to discuss the behavior
When clients enter a new milieu, limits should be set on unacceptable behavior and acceptable behavior
should be reinforced. Neither clients nor unacceptable behavior should ever be ignored. Moving the
client to his room for a short time-out is punishment. Unacceptable attention-getting behavior must be
addressed immediately; also, the focus should be on appropriate behavior.
Test-Taking Tip: If the question asks for an immediate action or response, all of the answers may be
correct, so base your selection on identified priorities for action.
82%of students nationwide answered this question correctly.
3028998926
,Confidence: Just a guess
Stats
Issue with this question?
4.
Despite repeated nursing interventions to improve reality orientation, a client insists that he is the
commander of an alien spaceship. What is the client experiencing?
1
Illusion
Correct2
Delusion
3
Confabulation
4
Hallucination
A delusion is a fixed false belief. An illusion is a false sense interpretation of an external stimulus.
Confabulation is the client's attempt to fill gaps in memory with imaginary events. A hallucination is a
false sensory perception with no external stimulus.
Test-Taking Tip: Read every word of each question and option before responding to the item. Glossing
over the questions just to get through the examination quickly can cause you to misread or misinterpret
the real intent of the question.
83%of students nationwide answered this question correctly.
3042122684
Confidence: Just a guess
Stats
Issue with this question?
5.
A client with the diagnosis of schizophrenia who has been hospitalized on a mental health unit for 2
weeks is to be discharged home. The client is vacillating between being happy and sad about going
home. What term best describes these conflicting emotions?
1
, Double bind
Correct2
Ambivalence
3
Loose association
4
Inappropriate affect
The simultaneous existence of two conflicting emotions, impulses, or desires is known as ambivalence. A
single communication containing two conflicting messages is known as a double-bind message. A lack of
connections between thoughts is known as loose associations. Inappropriate affect is not two conflicting
emotions but instead the inappropriate expression of emotions.
65%of students nationwide answered this question correctly.
3204289678
Confidence: Just a guess
Stats
Issue with this question?
6.
Which medication is the first choice drug for the treatment of attention deficit hyperactivity disorder
(ADHD)?
1
Clonidine
2
Guanfacine
3
Atomoxetine
Correct4
Methylphenidate
Methylphenidate is the first choice drug for the treatment of attention deficit hyperactivity disorder
(ADHD). Clonidine, guanfacine, and atomoxetine are nonstimulants used to treat ADHD; these
medications are less effective than methylphenidate.
72%of students nationwide answered this question correctly.
A client with schizophrenia is given an antipsychotic drug. The nurse recalls all the extrapyramidal effects
associated with this type of medication and anticipates that the drug will be discontinued if which
occurs?
1
Akathisia
Correct2
Tardive dyskinesia
3
Parkinsonian syndrome
4
Acute dystonic reaction
Tardive dyskinesia is characterized by protrusion and vermicular movements of the tongue, chewing and
puckering movements of the mouth, and a puffing of the cheeks. These adverse effects may or may not
be reversible when the antipsychotic medication is withdrawn. Motor restlessness (akathisia),
parkinsonian symptoms, or an acute dystonic reaction can be treated with an antiparkinsonian or
anticholinergic drug while the antipsychotic medication is continued.
67%of students nationwide answered this question correctly.
3204290949
Confidence: Just a guess
Stats
Issue with this question?
2.
The primary healthcare provider prescribes a neuroleptic drug to a client diagnosed with schizophrenia.
On what basis would the primary healthcare provider choose the drug?
1
Symptoms
Correct2
Side effects
3
Therapeutic effects
,4
Underlying pathology
First-generation antipsychotic drugs are also known as neuroleptics. The selection of these drugs is
primarily based on side effects rather than therapeutic effects. Because all symptoms respond equally to
antipsychotic drugs, the drug selection may not be based on symptoms. Because these drugs do not
alter the underlying pathology, the selection may not be based on underlying pathology.
34%of students nationwide answered this question correctly.
3042081501
Confidence: Just a guess
Stats
Issue with this question?
3.
On the afternoon of admission to a psychiatric unit, an adolescent boy with the diagnosis of
schizophrenia exposes his genitals to a female nurse. What should the nurse’s immediate therapeutic
response be?
1
Ignoring the client at this time
Correct2
Stating that this behavior is unacceptable
3
Moving him to his room for a short time-out
4
Telling the client to come to the office later to discuss the behavior
When clients enter a new milieu, limits should be set on unacceptable behavior and acceptable behavior
should be reinforced. Neither clients nor unacceptable behavior should ever be ignored. Moving the
client to his room for a short time-out is punishment. Unacceptable attention-getting behavior must be
addressed immediately; also, the focus should be on appropriate behavior.
Test-Taking Tip: If the question asks for an immediate action or response, all of the answers may be
correct, so base your selection on identified priorities for action.
82%of students nationwide answered this question correctly.
3028998926
,Confidence: Just a guess
Stats
Issue with this question?
4.
Despite repeated nursing interventions to improve reality orientation, a client insists that he is the
commander of an alien spaceship. What is the client experiencing?
1
Illusion
Correct2
Delusion
3
Confabulation
4
Hallucination
A delusion is a fixed false belief. An illusion is a false sense interpretation of an external stimulus.
Confabulation is the client's attempt to fill gaps in memory with imaginary events. A hallucination is a
false sensory perception with no external stimulus.
Test-Taking Tip: Read every word of each question and option before responding to the item. Glossing
over the questions just to get through the examination quickly can cause you to misread or misinterpret
the real intent of the question.
83%of students nationwide answered this question correctly.
3042122684
Confidence: Just a guess
Stats
Issue with this question?
5.
A client with the diagnosis of schizophrenia who has been hospitalized on a mental health unit for 2
weeks is to be discharged home. The client is vacillating between being happy and sad about going
home. What term best describes these conflicting emotions?
1
, Double bind
Correct2
Ambivalence
3
Loose association
4
Inappropriate affect
The simultaneous existence of two conflicting emotions, impulses, or desires is known as ambivalence. A
single communication containing two conflicting messages is known as a double-bind message. A lack of
connections between thoughts is known as loose associations. Inappropriate affect is not two conflicting
emotions but instead the inappropriate expression of emotions.
65%of students nationwide answered this question correctly.
3204289678
Confidence: Just a guess
Stats
Issue with this question?
6.
Which medication is the first choice drug for the treatment of attention deficit hyperactivity disorder
(ADHD)?
1
Clonidine
2
Guanfacine
3
Atomoxetine
Correct4
Methylphenidate
Methylphenidate is the first choice drug for the treatment of attention deficit hyperactivity disorder
(ADHD). Clonidine, guanfacine, and atomoxetine are nonstimulants used to treat ADHD; these
medications are less effective than methylphenidate.
72%of students nationwide answered this question correctly.
