Test Bank For
Psychiatric Mental
Health Nursing, 9th
Edition by Sheila L.
Videbeck All Chapters
1-24 LATEST
Circulatory collapse is associated with toxicity fluphenazine -
ANSWER ✓✓✓typical antipsychotic Acute dystonic reactions such
They combat the extrapyramidal side effects of the neuroleptic
drug. - 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 -
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 - 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 - 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 - 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 - 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 - ANSWER ✓✓✓MAOI as
tremors, dyskinesia, and akathisia are observable side effects
decreased salivating haloperidol - ANSWER ✓✓✓antipsychotic
drug used in the long-term treatment of psychosis Gynecomastia is
one of the adverse effects of this drug Potential adverse effects:
pseudoparkinsonism and urinary retention related to
extrapyramidal syndrome Ziprasidone - ANSWER ✓✓✓atypical
antipsychotic contraindicated in clients with a history of
dysrhythmias Akathisia - ANSWER ✓✓✓Motor restlessness can be
treated with an antiparkinsonian or anticholinergic drug while the
antipsychotic medication is continued acute dystonia - ANSWER
Psychiatric Mental
Health Nursing, 9th
Edition by Sheila L.
Videbeck All Chapters
1-24 LATEST
Circulatory collapse is associated with toxicity fluphenazine -
ANSWER ✓✓✓typical antipsychotic Acute dystonic reactions such
They combat the extrapyramidal side effects of the neuroleptic
drug. - 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 -
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 - 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 - 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 - 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 - 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 - ANSWER ✓✓✓MAOI as
tremors, dyskinesia, and akathisia are observable side effects
decreased salivating haloperidol - ANSWER ✓✓✓antipsychotic
drug used in the long-term treatment of psychosis Gynecomastia is
one of the adverse effects of this drug Potential adverse effects:
pseudoparkinsonism and urinary retention related to
extrapyramidal syndrome Ziprasidone - ANSWER ✓✓✓atypical
antipsychotic contraindicated in clients with a history of
dysrhythmias Akathisia - ANSWER ✓✓✓Motor restlessness can be
treated with an antiparkinsonian or anticholinergic drug while the
antipsychotic medication is continued acute dystonia - ANSWER
