Psychiatric Mental Health Nursing Test Guide questions and Answers

Psychiatric Mental Health Nursing Test Guide questions and Answers They combat the extrapyramidal side effects of the neuroleptic drug. - 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 - acute dystonia that involves muscle spasms of the neck; develops within 1 to 5 days after beginning therapy with a conventional antipsychotic Tardive dyskinesia - 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 - 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 - 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 - 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 - MAOI Circulatory collapse is associated with toxicity fluphenazine - typical antipsychotic Acute dystonic reactions such as tremors, dyskinesia, and akathisia are observable side effects decreased salivating haloperidol - antipsychotic drug used in the long-term treatment of psychosis Gynecomastia is one of the adverse effects of this drug