Psychiatric Medications NCLEX Practice
Exam | Psych Pharmacology Questions
and 100% correct Answers
1. 1. Question
Jose is diagnosed with amphetamine psychosis and was admitted to the
emergency room. Nurse Ronald would most likely prepare to administer which of
the following medication?
A. Librium
B. Valium
C. Ativan
D. Haldol
Correct Answer: D. Haldol
The nurse would prepare to administer an antipsychotic medication such as
Haldol to a client experiencing amphetamine psychosis to decrease agitation &
psychotic symptoms, including delusions, hallucinations & cognitive impairment.
Haloperidol is a first-generation (typical) antipsychotic medication that is used
widely around the world. Food and Drug Administration (FDA) approved the use
of haloperidol is for schizophrenia, Tourette syndrome (control of tics and vocal
utterances in adults and children), hyperactivity (which may present as
impulsivity, difficulty maintaining attention, severe aggressivity, mood instability,
and frustration intolerance), severe childhood behavioral problems (such as
combative, explosive hyperexcitability), intractable hiccups. It is a typical
antipsychotic because it works on positive symptoms of schizophrenia, such as
hallucinations and delusions.
2. 2. Question
Which of the following liquids would nurse Leng administer to a female client
who is intoxicated with phencyclidine (PCP) to hasten excretion of the chemical?
A. Shake
, B. Tea
C. Cranberry Juice
Correct answer
D. Grape juice
Incorrect
Incorrect
Correct Answer: C. Cranberry Juice
An acid environment aids in the excretion of PCP. The nurse will definitely give
the client with PCP intoxication cranberry juice to acidify the urine to a ph of 5.5
& accelerate excretion. PCP begins to cause symptoms at a dose of 0.05mg/kg,
and a dose of 20 mg or more can cause seizures, coma, and death. It is mainly
metabolized by the liver, and 10% is excreted in the kidneys. Inhalation (the most
common route of administration) and intravenous routes of administration
produce symptoms in 2 to 5 minutes. Oral ingestion produces symptoms in 30 to
60 minutes.
3. 3. Question
When developing a plan of care for a female client with acute stress disorder who
lost her sister in a car accident. Which of the following would the nurse expect to
initiate?
A. Facilitating progressive review of the accident and its consequences.
Correct answer
B. Postponing discussion of the accident until the client brings it up.
C. Telling the client to avoid details of the accident.
D. Helping the client to evaluate her sister’s behavior.
Correct Answer: A. Facilitating progressive review of the accident and its
consequences
The nurse would facilitate progressive review of the accident and its consequence
to help the client integrate feelings & memories and to begin the grieving
process. Help patients reframe any destructive cognitions (eg, beliefs that they
acted terribly and are terrible people or are weak for being so distraught, that life
is hopeless or worthless, or that the world is totally unsafe).
.
,4. 4. Question
The nursing assistant tells nurse Ronald that the client is not in the dining room
for lunch. Nurse Ronald would direct the nursing assistant to do which of the
following?
A. Tell the client he’ll need to wait until supper to eat if he misses lunch.
B. Invite the client to lunch and accompany him to the dining room.
Correct answer
C. Inform the client that he has 10 minutes to get to the dining room for
lunch.
D. Take the client a lunch tray and let the client eat in his room.
Correct Answer: B. Invite the client to lunch and accompany him to the
dining room.
The nurse instructs the nursing assistant to invite the client to lunch &
accompany him to the dining room to decrease manipulation, secondary gain,
dependency and reinforcement of negative behavior while maintaining the
client’s worth. Staff working with manipulative patients are best prepared when
they establish firm rules that are rigidly interpreted and consistently enforced
among all members of the health care team. Frequent discussions regarding the
patient’s progress can help reduce staff frustration and isolation and minimize
the patient’s attempts at staff splitting.
5. 5. Question
The initial nursing intervention for the significant-others during shock phase of a
grief reaction should be focused on:
A. Presenting the full reality of the loss of the individuals.
B. Directing the individual’s activities at this time.
C. Staying with the individuals involved.
Correct answer
D. Mobilizing the individual’s support system.
Correct Answer: C. Staying with the individuals involved.
, This provides support until the individual’s coping mechanisms and personal
support systems can be immobilized. Assess the patient’s ability to make
decisions. Grief may limit a person’s cognitive ability that is needed in decision-
making and problem-solving. Know the availability of support systems for the
patient. If the patient’s main support is the object of perceived loss, the patient
may need help in naming other sources of support.
6. 6. Question
Joy’s stream of consciousness is occupied exclusively with thoughts of her
father’s death. Nurse Ronald should plan to help Joy through this stage of
grieving, which is known as:
A. Shock and disbelief
B. Developing awareness
C. Resolving the loss
Correct answer
D. Restitution
Correct Answer: C. Resolving the loss
Resolving a loss is a slow, painful, continuous process until a mental image of the
dead person, almost devoid of negative or undesirable features emerges. The
individual is preoccupied with the loss, the lost person or object is idealized, the
mourner may even imitate the lost person. Eventually, the preoccupation
decreases, usually in a year or perhaps more.
Option A: The initial reaction to a loss is a stunned, numb feeling
accompanied by a refusal to acknowledge the reality of the loss in an attempt
to protect the self against overwhelming stress.
Option B: As the individual begins to acknowledge the loss, there may be
crying, feelings of helplessness, frustration, despair, and anger that can be
directed at self or others, including God or the deceased person.
Option D: Participation in the rituals associated with death, such as a funeral,
wake, family gathering, or religious ceremonies that help the individual accept
the reality of the loss and begin the recovery process.
7. 7. Question
1 point(s)
Exam | Psych Pharmacology Questions
and 100% correct Answers
1. 1. Question
Jose is diagnosed with amphetamine psychosis and was admitted to the
emergency room. Nurse Ronald would most likely prepare to administer which of
the following medication?
A. Librium
B. Valium
C. Ativan
D. Haldol
Correct Answer: D. Haldol
The nurse would prepare to administer an antipsychotic medication such as
Haldol to a client experiencing amphetamine psychosis to decrease agitation &
psychotic symptoms, including delusions, hallucinations & cognitive impairment.
Haloperidol is a first-generation (typical) antipsychotic medication that is used
widely around the world. Food and Drug Administration (FDA) approved the use
of haloperidol is for schizophrenia, Tourette syndrome (control of tics and vocal
utterances in adults and children), hyperactivity (which may present as
impulsivity, difficulty maintaining attention, severe aggressivity, mood instability,
and frustration intolerance), severe childhood behavioral problems (such as
combative, explosive hyperexcitability), intractable hiccups. It is a typical
antipsychotic because it works on positive symptoms of schizophrenia, such as
hallucinations and delusions.
2. 2. Question
Which of the following liquids would nurse Leng administer to a female client
who is intoxicated with phencyclidine (PCP) to hasten excretion of the chemical?
A. Shake
, B. Tea
C. Cranberry Juice
Correct answer
D. Grape juice
Incorrect
Incorrect
Correct Answer: C. Cranberry Juice
An acid environment aids in the excretion of PCP. The nurse will definitely give
the client with PCP intoxication cranberry juice to acidify the urine to a ph of 5.5
& accelerate excretion. PCP begins to cause symptoms at a dose of 0.05mg/kg,
and a dose of 20 mg or more can cause seizures, coma, and death. It is mainly
metabolized by the liver, and 10% is excreted in the kidneys. Inhalation (the most
common route of administration) and intravenous routes of administration
produce symptoms in 2 to 5 minutes. Oral ingestion produces symptoms in 30 to
60 minutes.
3. 3. Question
When developing a plan of care for a female client with acute stress disorder who
lost her sister in a car accident. Which of the following would the nurse expect to
initiate?
A. Facilitating progressive review of the accident and its consequences.
Correct answer
B. Postponing discussion of the accident until the client brings it up.
C. Telling the client to avoid details of the accident.
D. Helping the client to evaluate her sister’s behavior.
Correct Answer: A. Facilitating progressive review of the accident and its
consequences
The nurse would facilitate progressive review of the accident and its consequence
to help the client integrate feelings & memories and to begin the grieving
process. Help patients reframe any destructive cognitions (eg, beliefs that they
acted terribly and are terrible people or are weak for being so distraught, that life
is hopeless or worthless, or that the world is totally unsafe).
.
,4. 4. Question
The nursing assistant tells nurse Ronald that the client is not in the dining room
for lunch. Nurse Ronald would direct the nursing assistant to do which of the
following?
A. Tell the client he’ll need to wait until supper to eat if he misses lunch.
B. Invite the client to lunch and accompany him to the dining room.
Correct answer
C. Inform the client that he has 10 minutes to get to the dining room for
lunch.
D. Take the client a lunch tray and let the client eat in his room.
Correct Answer: B. Invite the client to lunch and accompany him to the
dining room.
The nurse instructs the nursing assistant to invite the client to lunch &
accompany him to the dining room to decrease manipulation, secondary gain,
dependency and reinforcement of negative behavior while maintaining the
client’s worth. Staff working with manipulative patients are best prepared when
they establish firm rules that are rigidly interpreted and consistently enforced
among all members of the health care team. Frequent discussions regarding the
patient’s progress can help reduce staff frustration and isolation and minimize
the patient’s attempts at staff splitting.
5. 5. Question
The initial nursing intervention for the significant-others during shock phase of a
grief reaction should be focused on:
A. Presenting the full reality of the loss of the individuals.
B. Directing the individual’s activities at this time.
C. Staying with the individuals involved.
Correct answer
D. Mobilizing the individual’s support system.
Correct Answer: C. Staying with the individuals involved.
, This provides support until the individual’s coping mechanisms and personal
support systems can be immobilized. Assess the patient’s ability to make
decisions. Grief may limit a person’s cognitive ability that is needed in decision-
making and problem-solving. Know the availability of support systems for the
patient. If the patient’s main support is the object of perceived loss, the patient
may need help in naming other sources of support.
6. 6. Question
Joy’s stream of consciousness is occupied exclusively with thoughts of her
father’s death. Nurse Ronald should plan to help Joy through this stage of
grieving, which is known as:
A. Shock and disbelief
B. Developing awareness
C. Resolving the loss
Correct answer
D. Restitution
Correct Answer: C. Resolving the loss
Resolving a loss is a slow, painful, continuous process until a mental image of the
dead person, almost devoid of negative or undesirable features emerges. The
individual is preoccupied with the loss, the lost person or object is idealized, the
mourner may even imitate the lost person. Eventually, the preoccupation
decreases, usually in a year or perhaps more.
Option A: The initial reaction to a loss is a stunned, numb feeling
accompanied by a refusal to acknowledge the reality of the loss in an attempt
to protect the self against overwhelming stress.
Option B: As the individual begins to acknowledge the loss, there may be
crying, feelings of helplessness, frustration, despair, and anger that can be
directed at self or others, including God or the deceased person.
Option D: Participation in the rituals associated with death, such as a funeral,
wake, family gathering, or religious ceremonies that help the individual accept
the reality of the loss and begin the recovery process.
7. 7. Question
1 point(s)
