Psych Mental Health Final Examination –
Comprehensive Review with Verified Answers.
Which of the following types of antipsychotic meds is most likely to produce extrapyramidal
effects?
1. atypical antipsychotic drugs
2. first-generation antipsychotic drugs
3. third-generation antipsychotic drugs
4. dopamine system stabilizers - Answer >>>2. first-generation antipsychotic drugs
A patient with schizophrenia is being tx with olanzapine (Zyprexa) 10mg daily. The patient asks
the nurse how this medicine works. The nurse explains that the mechanism by which the
olanzapine controls the patient's psychotic symptoms is believed to be:
1. increasing the amount of serotonin and NE in the brain
2. decreasing the amount of an enzyme that breaks down neurotransmitters
3. normalizing the levels of serotonin, NE, and dopamine
4. blocking dopamine receptors in the brain - Answer >>>4. blocking dopamine receptors in
the brain
Which one of the following drugs should the nurse expect the patient to require serum level
monitoring?
1. anticonvulsants
2. Wellbutrin
3. lithium
4. prozac - Answer >>>3. lithium
,Which of the following disorders are EPS that may be caused by antipsychotic drugs? Select all
that apply.
1. akathisia
2. pseudo-parkinsonism
3. neuroleptic malignant syndrome
4. dystonia
5. anticholinergic effects
6. breast tenderness in men and women - Answer >>>1. akathisia, 2. pseudo-parkinsonism, 4.
dystonia
Which of the following antidepressant drugs is a preferred drug for clients at high risk of
suicide?
1. Tranylcypromine (Pamate)
2. Sertaline (Zoloft)
3. Imipramine (Tofranil)
4. Phenelzine (Nardil) - Answer >>>2. Sertaline (Zoloft)
The nurse knows that the client understands the rationale for dietary restrictions when taking
MAOI when the client makes which of the following statements?
1. "I am now allergic to foods that are high in the amino acid tyramine such as aged cheese,
organ meats, wine, and chocolate."
2. "Certain foods will cause me to have sexual dysfunction when I take this medication."
3. "Foods that are high in tyramine will reduce the meds effectiveness."
4. "I should avoid foods that are high in the amino acid tyramine such as aged cheese, meats, and
chocolate because this drug causes the level of tyramine to go up to dangerous levels." -
Answer >>>4. "I should avoid foods that are in the amino acid tyramine such as aged cheese,
meats, and chocolate because this drug causes the level of tyramine to go up to dangerous
levels."
, In planning for a client's discharge, the nurse must know that the most serious risk for the client
taking a tricyclic antidepressant is which of the following?
1. hypotension
2. narrow-angle glaucoma
3. seizures
4. suicide by overdose - Answer >>>4. suicide by overdose
A client is seen in the clinic with clinical manifestations of an inability to sit still and a rigid
posture. These side effects would be correctly identified as which of the following?
1. Tardive Dyskinesia
2. Neuroleptic Malignant Syndrome
3. Dystonia
4. Akathisia - Answer >>>4. Akathisia
Which of the following is a term used to describe the occurrence of the eye rolling back in a
locked position, which occurs with acute dystonia?
1. opisthotonus
2. oculogyric crisis
3. torticollis
4. pseudoparkinsonism - Answer >>>2. oculogyric crisis
Which of the following meds rarely causes EPS?
1. Ziprasidone (Geodon)
2. Chlorpromazine (Thorazine)
3. Haloperidol (Haldol)
4. Fluphenazine (Prolixin) - Answer >>>1. Ziprasidone (Geodon)
Comprehensive Review with Verified Answers.
Which of the following types of antipsychotic meds is most likely to produce extrapyramidal
effects?
1. atypical antipsychotic drugs
2. first-generation antipsychotic drugs
3. third-generation antipsychotic drugs
4. dopamine system stabilizers - Answer >>>2. first-generation antipsychotic drugs
A patient with schizophrenia is being tx with olanzapine (Zyprexa) 10mg daily. The patient asks
the nurse how this medicine works. The nurse explains that the mechanism by which the
olanzapine controls the patient's psychotic symptoms is believed to be:
1. increasing the amount of serotonin and NE in the brain
2. decreasing the amount of an enzyme that breaks down neurotransmitters
3. normalizing the levels of serotonin, NE, and dopamine
4. blocking dopamine receptors in the brain - Answer >>>4. blocking dopamine receptors in
the brain
Which one of the following drugs should the nurse expect the patient to require serum level
monitoring?
1. anticonvulsants
2. Wellbutrin
3. lithium
4. prozac - Answer >>>3. lithium
,Which of the following disorders are EPS that may be caused by antipsychotic drugs? Select all
that apply.
1. akathisia
2. pseudo-parkinsonism
3. neuroleptic malignant syndrome
4. dystonia
5. anticholinergic effects
6. breast tenderness in men and women - Answer >>>1. akathisia, 2. pseudo-parkinsonism, 4.
dystonia
Which of the following antidepressant drugs is a preferred drug for clients at high risk of
suicide?
1. Tranylcypromine (Pamate)
2. Sertaline (Zoloft)
3. Imipramine (Tofranil)
4. Phenelzine (Nardil) - Answer >>>2. Sertaline (Zoloft)
The nurse knows that the client understands the rationale for dietary restrictions when taking
MAOI when the client makes which of the following statements?
1. "I am now allergic to foods that are high in the amino acid tyramine such as aged cheese,
organ meats, wine, and chocolate."
2. "Certain foods will cause me to have sexual dysfunction when I take this medication."
3. "Foods that are high in tyramine will reduce the meds effectiveness."
4. "I should avoid foods that are high in the amino acid tyramine such as aged cheese, meats, and
chocolate because this drug causes the level of tyramine to go up to dangerous levels." -
Answer >>>4. "I should avoid foods that are in the amino acid tyramine such as aged cheese,
meats, and chocolate because this drug causes the level of tyramine to go up to dangerous
levels."
, In planning for a client's discharge, the nurse must know that the most serious risk for the client
taking a tricyclic antidepressant is which of the following?
1. hypotension
2. narrow-angle glaucoma
3. seizures
4. suicide by overdose - Answer >>>4. suicide by overdose
A client is seen in the clinic with clinical manifestations of an inability to sit still and a rigid
posture. These side effects would be correctly identified as which of the following?
1. Tardive Dyskinesia
2. Neuroleptic Malignant Syndrome
3. Dystonia
4. Akathisia - Answer >>>4. Akathisia
Which of the following is a term used to describe the occurrence of the eye rolling back in a
locked position, which occurs with acute dystonia?
1. opisthotonus
2. oculogyric crisis
3. torticollis
4. pseudoparkinsonism - Answer >>>2. oculogyric crisis
Which of the following meds rarely causes EPS?
1. Ziprasidone (Geodon)
2. Chlorpromazine (Thorazine)
3. Haloperidol (Haldol)
4. Fluphenazine (Prolixin) - Answer >>>1. Ziprasidone (Geodon)
