NUR 422 Exam 2 Actual Latest set with
Questions and correct/verified Answers
What is the focus of cognitive therapy? - ANSWER-Teaches patients to identify, evaluate, and respond to
their automatic dysfunctional thoughts and beliefs
Haloperidol (Haldol) - ANSWER-1st generation/typical antipsychotic
Treats positive symptoms of schizophrenia
Olanzapine (Zyprexa) and Risperidone (Risperdal) - ANSWER-2nd generation/atypical antipsychotics
Treats positive and negative symptoms of schizophrenia
common side effects of antipsychotics - ANSWER-anticholinergic: blurred vision, urinary retention, dry
mouth, constipation
Sedation, fatigue, dizziness, hypotension
seizures, agitation
sexual dysfunction
suicidal thoughts
weight gain
extrapyramidal symptoms
tardive dyskinesia
neuroleptic malignant syndrome
extrapyramidal side effects (EPS) - ANSWER-Short term response to antipsychotics
Akinesia -Absence or diminished voluntary motion
Akathisia - Regular rhythmic movements
Dyskinesia - Involuntary muscular activity
Dystonia - Abnormal muscle tonicity, impaired voluntary movement = treat w/
Pseudoparkinsonism - Medication induced Parkinson like tremor, movement, gait
acute dystonia - ANSWER-acute sustained contraction of muscles, usually of the head and neck
NEEDS EMERGENT TREATMENT
Usually treated with Benadryl or Benztropine
Neuroleptic Malignant Syndrome (NMS) - ANSWER-Potentially fatal condition caused by use of
antipsychotic medication
, Symptoms: severe parkinsonian muscle rigidity, very high fever, tachy VS, fluctuations in BP, diaphoresis,
rapid deterioration of LOC to stupor/coma
Treatment: HOLD MED, monitor VS, degree of rigidity, LOC, call for help
tardive dyskinesia (TD) - ANSWER-Uncontrollable facial and body movements caused by long-term use of
antipsychotics (>3mo)
Symptoms: facial grimacing, finger movements, rocking of pelvis, jaw swinging, repetitive chewing,
tongue thrusting, rapid eye blinking
Treatment: HOLD med, assess using AIMS scale (measures severity of TD), symptoms are potentially
irreversible
electrolyte imbalance common with Risperidone - ANSWER-hyponatremia, hypo/hyperkalemia
WHAT WOULD YOU DO TO EDUCATE SOMEBODY WITH THE USE OF RISPERIDONE, WHAT WOULD
INDICATE TEACHING DID NOT HAPPEN ? they don't regularly check electrolytes frequently (this will be
the ANSWER lmao) we will not educate them to frequently check electrolytes
How is schizophrenia characterized? - ANSWER-disturbances in thinking, cognition, emotional reactions,
and social behavior
characterized by a deteriorating personality (difficult social/occupational functioning)
Phases of Schizophrenia - ANSWER--Phase I Premorbid Phase- social maladjustment, social withdrawal,
irritability, and antagonistic thoughts and behavior
-Phase II Prodromal Phase- certain signs and symptoms that precede the characteristic manifestations of
the acute, fully developed illness.
-Phase III Schizophrenia- active phase of the disorder. Two or more of the following present for a
significant amount of time during one month: delusions, hallucinations, social/occupational dysfunction,
duration, schizoaffective and mood disorder exclusion, substance/general medical condition exclusion,
relationship to a pervasive developmental disorder
Phase IV Residual Phase- characterized by periods of remission and exacerbation. A residual phase
usually follows an active phase of the illness.
Positive symptoms - ANSWER-manifestation of things that are not normally present
Hallucinations, delusions, alterations in speech, bizarre behavior
Questions and correct/verified Answers
What is the focus of cognitive therapy? - ANSWER-Teaches patients to identify, evaluate, and respond to
their automatic dysfunctional thoughts and beliefs
Haloperidol (Haldol) - ANSWER-1st generation/typical antipsychotic
Treats positive symptoms of schizophrenia
Olanzapine (Zyprexa) and Risperidone (Risperdal) - ANSWER-2nd generation/atypical antipsychotics
Treats positive and negative symptoms of schizophrenia
common side effects of antipsychotics - ANSWER-anticholinergic: blurred vision, urinary retention, dry
mouth, constipation
Sedation, fatigue, dizziness, hypotension
seizures, agitation
sexual dysfunction
suicidal thoughts
weight gain
extrapyramidal symptoms
tardive dyskinesia
neuroleptic malignant syndrome
extrapyramidal side effects (EPS) - ANSWER-Short term response to antipsychotics
Akinesia -Absence or diminished voluntary motion
Akathisia - Regular rhythmic movements
Dyskinesia - Involuntary muscular activity
Dystonia - Abnormal muscle tonicity, impaired voluntary movement = treat w/
Pseudoparkinsonism - Medication induced Parkinson like tremor, movement, gait
acute dystonia - ANSWER-acute sustained contraction of muscles, usually of the head and neck
NEEDS EMERGENT TREATMENT
Usually treated with Benadryl or Benztropine
Neuroleptic Malignant Syndrome (NMS) - ANSWER-Potentially fatal condition caused by use of
antipsychotic medication
, Symptoms: severe parkinsonian muscle rigidity, very high fever, tachy VS, fluctuations in BP, diaphoresis,
rapid deterioration of LOC to stupor/coma
Treatment: HOLD MED, monitor VS, degree of rigidity, LOC, call for help
tardive dyskinesia (TD) - ANSWER-Uncontrollable facial and body movements caused by long-term use of
antipsychotics (>3mo)
Symptoms: facial grimacing, finger movements, rocking of pelvis, jaw swinging, repetitive chewing,
tongue thrusting, rapid eye blinking
Treatment: HOLD med, assess using AIMS scale (measures severity of TD), symptoms are potentially
irreversible
electrolyte imbalance common with Risperidone - ANSWER-hyponatremia, hypo/hyperkalemia
WHAT WOULD YOU DO TO EDUCATE SOMEBODY WITH THE USE OF RISPERIDONE, WHAT WOULD
INDICATE TEACHING DID NOT HAPPEN ? they don't regularly check electrolytes frequently (this will be
the ANSWER lmao) we will not educate them to frequently check electrolytes
How is schizophrenia characterized? - ANSWER-disturbances in thinking, cognition, emotional reactions,
and social behavior
characterized by a deteriorating personality (difficult social/occupational functioning)
Phases of Schizophrenia - ANSWER--Phase I Premorbid Phase- social maladjustment, social withdrawal,
irritability, and antagonistic thoughts and behavior
-Phase II Prodromal Phase- certain signs and symptoms that precede the characteristic manifestations of
the acute, fully developed illness.
-Phase III Schizophrenia- active phase of the disorder. Two or more of the following present for a
significant amount of time during one month: delusions, hallucinations, social/occupational dysfunction,
duration, schizoaffective and mood disorder exclusion, substance/general medical condition exclusion,
relationship to a pervasive developmental disorder
Phase IV Residual Phase- characterized by periods of remission and exacerbation. A residual phase
usually follows an active phase of the illness.
Positive symptoms - ANSWER-manifestation of things that are not normally present
Hallucinations, delusions, alterations in speech, bizarre behavior
