NR546 week 3 test your knowledge quiz Questions With
Complete Solutions
_________ is a defining feature for some psychotic
disorders while other disorders may have a
psychotic component Correct Answers psychosis
2 dones and a rone Correct Answers -more
potently to the 5HT 2A receptor than to D2 or bine
equally between the 2 receptors.
-less sedating and cause less weight gain, but have
a higher risk for hyperprolactinemia and EPS
2 pips and a rip Correct Answers -pips: bind more
potently to D2 receptors than to 5HT-2A, have low
risk of metabolic side effects and weight gain, but
they have a potential for EPS.
-rips binds equally to both D2 and 5HT-2A
receptors, have low risk for metabolic disorders
Abnormal Involuntary Movement Scale ( AIMS)
Correct Answers this tool is used to monitor
involuntary movements and tardive dyskinesia in
clients who take antipsychotic medication
-best practice/recommendation to document the
AIMS at minimum every 6 months for patients
taking an antipsychotic agent/dopamine blocker
,adding 5HT2A antagonism: Correct Answers
improve side effects of D2 blockade and enhance
the antipsychotic efficacy of D2 blockade
Additional adverse effects of excessive D2 receptor
blockade (D2 antagonist actions) include: Correct
Answers -cardiac concerns: QT prolongation,
torsades de pointes, and sudden cardiac death
-blood dyscrasias (neutropenia, leukopenia, and
agranulocytosis)
-esophageal dysmotility, aspiration
-increased fall risk
akathisia Correct Answers Inner restlessness
leading to repetitive motion (rocking, tapping
fingers).
Alex is a returning client who reports leaking fluid
from his nipples. Which of the following is most
likely responsible for these undesirable side
effects? Correct Answers Risperidone
-highest risk for galactorrhea, due to
hyperprolactinemia.
all forms of psychosis are linked to the
neurotransmitter systems: Correct Answers
dopamine, serotonin, and glutamate
Alogia Correct Answers dysfunction of
communication
,-poverty of speech
anhedonia Correct Answers a diminished ability to
experience pleasure
antipsychotic meds Correct Answers primarily
used for schizophrenia & psychotic disorders
-also used as adjunctive meds for management of
tx-resistant depression & other conditions
-not curative
-decrease/control symptoms/improve quality of life
Antipsychotics are prescribed based on their:
Correct Answers -pharmacological properties
-side effect profiles
-adverse effects according to the unique symptoms
and needs of individuals across the lifespan
any abnormal motor symptoms caused by D2
receptor blockers are lumped together and called
collectively: Correct Answers extrapyramidal
symptsom (EPS)
-motor side effects of D2 antagonists
area of the brain thought to be responsible for the
positive symptoms of schizophrenia is the
____________. one of the neuronal pathways known
to be affected here is the ___________ from the
_____________ and the _____________. Correct
, Answers limbic system, mesolimbic pathway,
ventral tegmental area (VTA), nucleus accumbens
aripiprazole (Abilify) Correct Answers Indication:
FDA approved for schizophrenia ages 13 and older
Risk:
Low metabolic risk
Low risk for weight gain
Low risk for orthostatic hypotension
asenapine (Saphris) Correct Answers Indication:
FDA approved for schizophrenia ages 10 and older
Special Comments: Available in sublingual and
transdermal patch
Risk:
Low metabolic risk
asociality Correct Answers lack of interest in
social interactions
avolition Correct Answers -lack of motivation
-reduced ability to complete everyday tasks
Barnes Akathisia Rating Scale (BARS) Correct
Answers
bradykinesia Correct Answers Slowness of
movement
Complete Solutions
_________ is a defining feature for some psychotic
disorders while other disorders may have a
psychotic component Correct Answers psychosis
2 dones and a rone Correct Answers -more
potently to the 5HT 2A receptor than to D2 or bine
equally between the 2 receptors.
-less sedating and cause less weight gain, but have
a higher risk for hyperprolactinemia and EPS
2 pips and a rip Correct Answers -pips: bind more
potently to D2 receptors than to 5HT-2A, have low
risk of metabolic side effects and weight gain, but
they have a potential for EPS.
-rips binds equally to both D2 and 5HT-2A
receptors, have low risk for metabolic disorders
Abnormal Involuntary Movement Scale ( AIMS)
Correct Answers this tool is used to monitor
involuntary movements and tardive dyskinesia in
clients who take antipsychotic medication
-best practice/recommendation to document the
AIMS at minimum every 6 months for patients
taking an antipsychotic agent/dopamine blocker
,adding 5HT2A antagonism: Correct Answers
improve side effects of D2 blockade and enhance
the antipsychotic efficacy of D2 blockade
Additional adverse effects of excessive D2 receptor
blockade (D2 antagonist actions) include: Correct
Answers -cardiac concerns: QT prolongation,
torsades de pointes, and sudden cardiac death
-blood dyscrasias (neutropenia, leukopenia, and
agranulocytosis)
-esophageal dysmotility, aspiration
-increased fall risk
akathisia Correct Answers Inner restlessness
leading to repetitive motion (rocking, tapping
fingers).
Alex is a returning client who reports leaking fluid
from his nipples. Which of the following is most
likely responsible for these undesirable side
effects? Correct Answers Risperidone
-highest risk for galactorrhea, due to
hyperprolactinemia.
all forms of psychosis are linked to the
neurotransmitter systems: Correct Answers
dopamine, serotonin, and glutamate
Alogia Correct Answers dysfunction of
communication
,-poverty of speech
anhedonia Correct Answers a diminished ability to
experience pleasure
antipsychotic meds Correct Answers primarily
used for schizophrenia & psychotic disorders
-also used as adjunctive meds for management of
tx-resistant depression & other conditions
-not curative
-decrease/control symptoms/improve quality of life
Antipsychotics are prescribed based on their:
Correct Answers -pharmacological properties
-side effect profiles
-adverse effects according to the unique symptoms
and needs of individuals across the lifespan
any abnormal motor symptoms caused by D2
receptor blockers are lumped together and called
collectively: Correct Answers extrapyramidal
symptsom (EPS)
-motor side effects of D2 antagonists
area of the brain thought to be responsible for the
positive symptoms of schizophrenia is the
____________. one of the neuronal pathways known
to be affected here is the ___________ from the
_____________ and the _____________. Correct
, Answers limbic system, mesolimbic pathway,
ventral tegmental area (VTA), nucleus accumbens
aripiprazole (Abilify) Correct Answers Indication:
FDA approved for schizophrenia ages 13 and older
Risk:
Low metabolic risk
Low risk for weight gain
Low risk for orthostatic hypotension
asenapine (Saphris) Correct Answers Indication:
FDA approved for schizophrenia ages 10 and older
Special Comments: Available in sublingual and
transdermal patch
Risk:
Low metabolic risk
asociality Correct Answers lack of interest in
social interactions
avolition Correct Answers -lack of motivation
-reduced ability to complete everyday tasks
Barnes Akathisia Rating Scale (BARS) Correct
Answers
bradykinesia Correct Answers Slowness of
movement
