Chapter 8 Neebs
Cognitive ability correct answers The ability to think rationally and process those
thought
What may keep a patient from traveling a swift downward spiral correct answers
Accurate , timely observations and data collections
What are the two fold reasons for using psychopharmacology correct answers
Medications control symptoms, helping the patient to feel more comfortable emotionally.
The medications are usually used with some other type of therapy.
Antipsychotics (neuroleptics/major tranquilizers); there are two types of theses agents,
what are they? correct answers Typical and atypical
Typical antipsychotic agents correct answers Act on the CNS. Their main action is to
block the dopamine receptors.
What is dopamine correct answers A neurochemical that the human body contains
naturally, when over produced or utilized incorrectly, it can cause someone to exhibit
psychotic behavior
Atypical antipsychotic agents correct answers Block both serotonin and dopamine
What are the antipsychotic agents used for correct answers To treat psychotic behavior
in schizophrenia and other disorders that may include violent or potentially violent
behavior
Typical antipsychotic agents treat what correct answers The positive symptoms of
schizophrenia such as hallucinations, delusions, and suspiciousness.
Atypical antipsychotic agents do what correct answers Reduce the negative symptoms
of schizophrenia, such as flat affect, social withdrawal and difficulty with abstract
thinking
What are the side effects for antipsychotic meds correct answers Photosensitivity
(especially with the drug chlorpromazine [Thorazine])
Darkening of the skin from increase pigmentation
Dry mouth
What are extrapyamindal symptoms correct answers Drug induced Parkinsonism
(pseudoparkinsonism)
Akathisia
, Dystonia
Tardive dyskinesia
What is drug induced Parkinsonism aka pseudoparkinsonism correct answers When
symptoms appear one to eight weeks after taking the antipsychotic medications. The
major symptoms are akinesia (muscle weakness), shuffling gait, drooling, fatigue, mask-
like facial expressions, tremors, and muscle rigidity
What is akathisia correct answers Symptoms that appear 2 to 10 weeks after taking
antipsychotic medications. The symptoms are agitation and motor restlessness, and
they seem to appear more frequently in women.
What is dystonia correct answers Symptoms that appear 1 to 8 weeks after taking
antipsychotic medications. Symptoms manifest as bizarre distortions or involuntary
movements o many muscle groups. Tongue, eyes, face, neck or any large muscle
muscle are tightened into abnormal positions.
Tardive dyskinesia correct answers Symptoms that appear 1 to 8 weeks after taking
antipsychotic medications they are frequently seen as rhythmic, involuntary movements
that look like chewing gum, or licking motions. Frowning and blinking constantly are also
common in TD are are irreversible.
Neuroleptic malignant syndrome correct answers Is an uncommon but potentially fatal
reaction to antipsychotic medications. Symptoms include muscle rigidity, hyperreflexia,
fluctuations in the blood pressure and altered LOC
Clozapine (Clozaril) correct answers Is known to cause serious blood dyscrasias and
require regular monitoring of blood counts
Nursing considerations for a person who is taking antipsychotic medications correct
answers Teach pt this is a strong med
Monitor pt body movements with an abnormal body movement scale
Possibility of seizures
Observe for signs of EPS and NMS
Monitor blood work
Protect against photosensitivity esp when taking chlorpromazine
Temp extremes should be avoided
No ETOH
No OTC or Rx with out HCP consultation
No altering the dosage
Give with food or milk
Take med 1 to 2 hours before bed
Don't take with antacids
Antiparkinson agents (anticholingerics) correct answers Inhibit the action of
acetylcholine
Cognitive ability correct answers The ability to think rationally and process those
thought
What may keep a patient from traveling a swift downward spiral correct answers
Accurate , timely observations and data collections
What are the two fold reasons for using psychopharmacology correct answers
Medications control symptoms, helping the patient to feel more comfortable emotionally.
The medications are usually used with some other type of therapy.
Antipsychotics (neuroleptics/major tranquilizers); there are two types of theses agents,
what are they? correct answers Typical and atypical
Typical antipsychotic agents correct answers Act on the CNS. Their main action is to
block the dopamine receptors.
What is dopamine correct answers A neurochemical that the human body contains
naturally, when over produced or utilized incorrectly, it can cause someone to exhibit
psychotic behavior
Atypical antipsychotic agents correct answers Block both serotonin and dopamine
What are the antipsychotic agents used for correct answers To treat psychotic behavior
in schizophrenia and other disorders that may include violent or potentially violent
behavior
Typical antipsychotic agents treat what correct answers The positive symptoms of
schizophrenia such as hallucinations, delusions, and suspiciousness.
Atypical antipsychotic agents do what correct answers Reduce the negative symptoms
of schizophrenia, such as flat affect, social withdrawal and difficulty with abstract
thinking
What are the side effects for antipsychotic meds correct answers Photosensitivity
(especially with the drug chlorpromazine [Thorazine])
Darkening of the skin from increase pigmentation
Dry mouth
What are extrapyamindal symptoms correct answers Drug induced Parkinsonism
(pseudoparkinsonism)
Akathisia
, Dystonia
Tardive dyskinesia
What is drug induced Parkinsonism aka pseudoparkinsonism correct answers When
symptoms appear one to eight weeks after taking the antipsychotic medications. The
major symptoms are akinesia (muscle weakness), shuffling gait, drooling, fatigue, mask-
like facial expressions, tremors, and muscle rigidity
What is akathisia correct answers Symptoms that appear 2 to 10 weeks after taking
antipsychotic medications. The symptoms are agitation and motor restlessness, and
they seem to appear more frequently in women.
What is dystonia correct answers Symptoms that appear 1 to 8 weeks after taking
antipsychotic medications. Symptoms manifest as bizarre distortions or involuntary
movements o many muscle groups. Tongue, eyes, face, neck or any large muscle
muscle are tightened into abnormal positions.
Tardive dyskinesia correct answers Symptoms that appear 1 to 8 weeks after taking
antipsychotic medications they are frequently seen as rhythmic, involuntary movements
that look like chewing gum, or licking motions. Frowning and blinking constantly are also
common in TD are are irreversible.
Neuroleptic malignant syndrome correct answers Is an uncommon but potentially fatal
reaction to antipsychotic medications. Symptoms include muscle rigidity, hyperreflexia,
fluctuations in the blood pressure and altered LOC
Clozapine (Clozaril) correct answers Is known to cause serious blood dyscrasias and
require regular monitoring of blood counts
Nursing considerations for a person who is taking antipsychotic medications correct
answers Teach pt this is a strong med
Monitor pt body movements with an abnormal body movement scale
Possibility of seizures
Observe for signs of EPS and NMS
Monitor blood work
Protect against photosensitivity esp when taking chlorpromazine
Temp extremes should be avoided
No ETOH
No OTC or Rx with out HCP consultation
No altering the dosage
Give with food or milk
Take med 1 to 2 hours before bed
Don't take with antacids
Antiparkinson agents (anticholingerics) correct answers Inhibit the action of
acetylcholine
