Psychiatric/Mental Health Nursing
:psychiatric/mental health/pharmacology
EXAM ACTUAL QUESTIONS WITH
COMPLETE SET ANSWERS
They combat the extrapyramidal side effects of the neuroleptic drug. - CORRECT
ANSWER✅✅✅A nurse is administering medications to clients on a psychiatric unit. What
does the nurse identify as the reason that so many psychiatric clients are given the drug
benztropine or trihexyphenidyl in conjunction with the phenothiazine-derivative neuroleptic
medications?
Torticollis - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER✅✅✅MAOI
Circulatory collapse is associated with toxicity
fluphenazine - CORRECT ANSWER✅✅✅typical antipsychotic
Acute dystonic reactions such as tremors, dyskinesia, and akathisia are observable side effects
decreased salivating
haloperidol - CORRECT ANSWER✅✅✅antipsychotic drug used in the long-term treatment
of psychosis
Gynecomastia is one of the adverse effects of this drug
:psychiatric/mental health/pharmacology
EXAM ACTUAL QUESTIONS WITH
COMPLETE SET ANSWERS
They combat the extrapyramidal side effects of the neuroleptic drug. - CORRECT
ANSWER✅✅✅A nurse is administering medications to clients on a psychiatric unit. What
does the nurse identify as the reason that so many psychiatric clients are given the drug
benztropine or trihexyphenidyl in conjunction with the phenothiazine-derivative neuroleptic
medications?
Torticollis - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER✅✅✅MAOI
Circulatory collapse is associated with toxicity
fluphenazine - CORRECT ANSWER✅✅✅typical antipsychotic
Acute dystonic reactions such as tremors, dyskinesia, and akathisia are observable side effects
decreased salivating
haloperidol - CORRECT ANSWER✅✅✅antipsychotic drug used in the long-term treatment
of psychosis
Gynecomastia is one of the adverse effects of this drug
