NUR 327 Exam 6 - Mood & Affect
Exam Questions and Answers 100%
Pass
A nurse in an ED is assessing a patient who has been taking haloperidol for 3 months.
The patient has a temperature of 39.5 C (103.4 F), blood pressure of 150/110 mmHg, and
muscle rigidity. Which of the following complications should the nurse expect?
a. Agranulocytosis
b. Neuroleptic malignant syndrome
c. Akathisia
d. Tardive dyskinesia - ✔✔b. Neuroleptic malignant syndrome
Neuroleptic malignant syndrome (NMS) is a rare and potentially fatal adverse effect of
antipsychotic medications that requires emergency medical intervention. Manifestations
of NMS are sudden and include changes in LOC, seizures, and stupor.
Katelyn Whitman, All Rights Reserved © 2025 1
,A nurse is caring for a patient who was admitted with acute psychosis and is being
treated with haloperidol. The nurse should suspect that the patient may be experiencing
tardive dyskinesia when the patient exhibits with of the following? Select all that apply.
a. Find hand tremors and pill rolling
b. Tongue thrusting and lip smacking
c. Facial grimacing and eye blinking
d. Urinary retention and constipation
e. Involuntary pelvic rocking and hip thrusting movements - ✔✔b. Tongue thrusting
and lip smacking, c. Facial grimacing and eye blinking, & e. Involuntary pelvic rocking
and hip thrusting movements
Symptoms of tardive dyskinesia can include repetitive, uncontrollable movements such
as tongue thrusting, lip smacking, facial grimacing, eye blinking, and irregular
involuntary movements of the head, neck, trunk, and extremities.
A nurse is developing a care plan for a patient who has schizophrenia and is taking
chlorpromazine. Which of the following actions should the nurse include in the plan?
Katelyn Whitman, All Rights Reserved © 2025 2
,a. Monitor the patient's respirations every 4 hours
b. Administer an antacid with the medication to decrease nausea
c. Weigh the patient daily
d. Monitor the patient for signs of bleeding - ✔✔a. Monitor the patient's respirations
every 4 hours
Chlorpromazine can cause respiratory depression, dyspnea, and laryngospasm.
A nurse is providing discharge teaching to a patient who has bipolar disorder and will
be discharged with a prescription for lithium. The nurse should teach the patient that
which of the following factors puts her at risk for lithium toxicity?
a. The patient runs 4 miles outdoors every afternoon
b. The patient drinks 2 liters of liquids daily
c. The patient eats 2 to 3 grams of sodium-containing foods daily
d. The patient eats foods high in tyramine - ✔✔a. The patient runs 4 miles outdoors
every afternoon
Katelyn Whitman, All Rights Reserved © 2025 3
, Strenuous exercise in outdoor heat, which can lead to dehydration, puts the patient at
risk for lithium toxicity. Mild to moderate exercise will not lead to lithium toxicity, but
if the patient engages in strenuous exercise during hot weather, she should take care to
replace any water and sodium that have been lost through profuse sweating. This also
applies to other factors that can cause the patient to become dehydrated, such as having
diarrhea or taking diuretics.
A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a patient
who is taking chlorpromazine. Which of the following findings should the nurse
recognize as EPS? Select all that apply.
a. Muscle spasms of the neck
b. Blurred vision
c. Tremors of the hands
d. Fidgeting behavior
e. Sexual dysfunction - ✔✔a. Muscle spasms of the neck, c. Tremors of the hands, & d.
Fidgeting behavior
Katelyn Whitman, All Rights Reserved © 2025 4
Exam Questions and Answers 100%
Pass
A nurse in an ED is assessing a patient who has been taking haloperidol for 3 months.
The patient has a temperature of 39.5 C (103.4 F), blood pressure of 150/110 mmHg, and
muscle rigidity. Which of the following complications should the nurse expect?
a. Agranulocytosis
b. Neuroleptic malignant syndrome
c. Akathisia
d. Tardive dyskinesia - ✔✔b. Neuroleptic malignant syndrome
Neuroleptic malignant syndrome (NMS) is a rare and potentially fatal adverse effect of
antipsychotic medications that requires emergency medical intervention. Manifestations
of NMS are sudden and include changes in LOC, seizures, and stupor.
Katelyn Whitman, All Rights Reserved © 2025 1
,A nurse is caring for a patient who was admitted with acute psychosis and is being
treated with haloperidol. The nurse should suspect that the patient may be experiencing
tardive dyskinesia when the patient exhibits with of the following? Select all that apply.
a. Find hand tremors and pill rolling
b. Tongue thrusting and lip smacking
c. Facial grimacing and eye blinking
d. Urinary retention and constipation
e. Involuntary pelvic rocking and hip thrusting movements - ✔✔b. Tongue thrusting
and lip smacking, c. Facial grimacing and eye blinking, & e. Involuntary pelvic rocking
and hip thrusting movements
Symptoms of tardive dyskinesia can include repetitive, uncontrollable movements such
as tongue thrusting, lip smacking, facial grimacing, eye blinking, and irregular
involuntary movements of the head, neck, trunk, and extremities.
A nurse is developing a care plan for a patient who has schizophrenia and is taking
chlorpromazine. Which of the following actions should the nurse include in the plan?
Katelyn Whitman, All Rights Reserved © 2025 2
,a. Monitor the patient's respirations every 4 hours
b. Administer an antacid with the medication to decrease nausea
c. Weigh the patient daily
d. Monitor the patient for signs of bleeding - ✔✔a. Monitor the patient's respirations
every 4 hours
Chlorpromazine can cause respiratory depression, dyspnea, and laryngospasm.
A nurse is providing discharge teaching to a patient who has bipolar disorder and will
be discharged with a prescription for lithium. The nurse should teach the patient that
which of the following factors puts her at risk for lithium toxicity?
a. The patient runs 4 miles outdoors every afternoon
b. The patient drinks 2 liters of liquids daily
c. The patient eats 2 to 3 grams of sodium-containing foods daily
d. The patient eats foods high in tyramine - ✔✔a. The patient runs 4 miles outdoors
every afternoon
Katelyn Whitman, All Rights Reserved © 2025 3
, Strenuous exercise in outdoor heat, which can lead to dehydration, puts the patient at
risk for lithium toxicity. Mild to moderate exercise will not lead to lithium toxicity, but
if the patient engages in strenuous exercise during hot weather, she should take care to
replace any water and sodium that have been lost through profuse sweating. This also
applies to other factors that can cause the patient to become dehydrated, such as having
diarrhea or taking diuretics.
A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a patient
who is taking chlorpromazine. Which of the following findings should the nurse
recognize as EPS? Select all that apply.
a. Muscle spasms of the neck
b. Blurred vision
c. Tremors of the hands
d. Fidgeting behavior
e. Sexual dysfunction - ✔✔a. Muscle spasms of the neck, c. Tremors of the hands, & d.
Fidgeting behavior
Katelyn Whitman, All Rights Reserved © 2025 4
