MENTAL DISORDERS QUESTIONS WITH RATIONAL ANSWERS

MENTAL DISORDERS QUESTIONS WITH RATIONAL ANSWERS EXAM A physician starts a client on the Antipsychotic medication haloperidol (Haldol). The nurse is aware that this medication has extrapyramidal adverse effects. Which measures should the nurse take during haloperidol administration? Select all that apply. 1. Review subcutaneous injection technique. 2. Closely monitor vital signs, especially temperature. 3. Provide the client with the opportunity to pace. 4. Monitor blood glucose levels. 5. Provide the client with hard candy. 6. Monitor for signs and symptoms of urticaria. Answer: 2, 3, 5. Neuroleptic malignant syndrome is a life-threatening extrapyramidal adverse effect of antipsychotic medications such as haloperidol. It’s associated with a rapid increase in temperature. The most common extrapyramidal adverse effect, akathisia, is a form of psychomotor restlessness that can usually be relieved by pacing. Haloperidol and the anticholinergic medications that are provided to alleviate its extrapyramidal effects can result in dry mouth. Providing the client with hard candy to suck on can help alleviate this problem. Haloperidol isn’t given subcutaneously and doesn’t affect blood glucose levels. Urticaria isn’t usually associated with haloperidol administration. A male client approaches the nurse and says “Hey cutie, can you take me outside for a smoke?” The nurse is aware that the client isn’t supposed to go out to smoke for another 15 minutes. Which response by the nurse is most therapeutic? EXAM 1. “Sure, I’m not busy right now.” 2. “You can ask the technician. I’m busy right now.” 3. “You’ll be able to smoke in 15 minutes. Calling me cutie is disrespectful.” 4. “You know the rules. It isn’t time yet for you to go out to smoke.” Answer: 3. The client’s behavior indicates that he has difficulty adhering to limits and respecting boundaries. The nurse must place limits on the client’s manipulative behavior. Taking the client outside to smoke is inappropriate because the nurse is allowing the client to manipulate her. Referring the client to the technician is incorrect because the nurse isn’t addressing the client’s manipulative behavior. Offering an abrupt response, such as “You know the rules,” may cause the client to act defensively. A client tells the nurse that he never disagrees with anyone and that he has loved everyone he’s ever known. What would be the nurse’s best response to this client? 1. “How do you manage to do that?” 2. “