NUR 422 Exam 2 Questions And Answers
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What is the focus of cognitive therapy? - ANS Teaches patients to identify, evaluate, and
respond to their automatic dysfunctional thoughts and beliefs
Haloperidol (Haldol) - ANS 1st generation/typical antipsychotic
Treats positive symptoms of schizophrenia
Olanzapine (Zyprexa) and Risperidone (Risperdal) - ANS 2nd generation/atypical
antipsychotics
Treats positive and negative symptoms of schizophrenia
common side effects of antipsychotics - ANS anticholinergic: blurred vision, urinary
retention, dry mouth, constipation
Sedation, fatigue, dizziness, hypotension
seizures, agitation
sexual dysfunction
suicidal thoughts
weight gain
extrapyramidal symptoms
tardive dyskinesia
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neuroleptic malignant syndrome
extrapyramidal side effects (EPS) - ANS 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 - ANS acute sustained contraction of muscles, usually of the head and neck
NEEDS EMERGENT TREATMENT
Usually treated with Benadryl or Benztropine
Neuroleptic Malignant Syndrome (NMS) - ANS 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) - ANS 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