NURS 5210 Module 3: Antipsychotics Pt. 1
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Antipsychotic Drug Therapy: In 1-3 days, patients should experience: - CORRECT
ANSWER - - Decreased agitation, hostility, aggression, combativeness, and anxiety
- Normalization of sleep and eating patterns
Antipsychotic Drug Therapy: In 1-2 weeks, patients should experience: - CORRECT
ANSWER - Improvement in socialization, self-care habits, and mood
Antipsychotic Drug Therapy: In 3-6 weeks, patients should experience: - CORRECT
ANSWER - Improvement in thought disorder, delusions, hallucinations, and conversations
Antipsychotic Drug Therapy: Even with drug therapy, persistent symptoms may continue to
occur, including: - CORRECT ANSWER - - Impaired insight
- Inappropriate affect
- Fixed delusions/hallucinations
There are ___ classes of antipsychotic drugs. - CORRECT ANSWER - Two
First generation antipsychotics are also known as ___. - CORRECT ANSWER - Typical
antipsychotics
Second generation antipsychotics are also known an ___. - CORRECT ANSWER -
Atypical antipsychotics
What was the name of the first antipsychotic developed? - CORRECT ANSWER -
Chlorpromazine (Thorazine)
, MGRADES
Which dopamine pathway is thought to be involved in EPS symptoms? - CORRECT
ANSWER - Nigrostriatal
All antipsychotics block ___ receptors. - CORRECT ANSWER - Dopamine 2 (D2)
All antipsychotics also block ___ receptors to certain degrees. - CORRECT ANSWER --
Alpha-1
- Histamine-1
- Muscarinic
Antipsychotic Action on Receptors: Dopamine-2 (D2) - CORRECT ANSWER --
Mesolimbic: antipsychotic effect, inverse relationship between D2 blockade and antipsychotic
dosage (potent blockade = low mg dose)
- Nigrostriatal: EPS
- Tuberoinfundibular: Prolactin elevation
Antipsychotic Action on Receptors: Histamine-1 (H1) - CORRECT ANSWER - - Anti-
emesis
- Sedation
- Postural hypotension
- Weight gain
Antipsychotic Action on Receptors: Muscarinic-1 (M1) - CORRECT ANSWER - - Anti-
EPS
- Anticholinergic effects
- Tachycardia
- Sedation
Antipsychotic Action on Receptors: Alpha-1 (a1) - CORRECT ANSWER - - Postural
hypotension