MH - NCLEX Questions & Rationales with answers 2025
Which of the following treatment team statements are congruent
with the text's definition and description of psychopharmacology?
(Select all that apply.)
1. "We consider the client holistically when prescribing a pharma-
ceutical regimen." "We consider the client holistically when prescribing a pharma-
ceutical regimen."
2. "We aim for behavior control through the sedating effects of the
medications." "Pharmacologic intervention makes other therapies possible."
3. "Pharmacologic intervention makes other therapies possible." "The psychiatric-mental health nurse's responsibilities include
pharmacologic expertise."
4. "The psychiatric-mental health nurse's responsibilities include
pharmacologic expertise."
5. "Our goal with pharmacologic interventions is elimination of the
illness, whereas other interventions merely 'treat.'"
Prior to the 1950s and pharmacologic intervention with
, behavioral control by sedation was the focus of chlorpromazine
intervention with psychiatric clients.
Which of the following descriptors accurately describes trends in
psychopharmacology?
2. Less-comprehensive to more-comprehensive symptom relief.
1. Very specific to less-specific blockage of neurotransmitters This trend is evident in antipsychotic, antidepressant, and mood
2. Less-comprehensive to more-comprehensive symptom relief stabilization therapy.
3. Severe side effects to inconsequential side effects
4. Increased use of specific medications for discrete conditions.
Although side effect profiles have changed, the untoward and
sometimes life-threatening side effects of the medications contin- nonadherence
ue to contribute to .
The trend is decreased use of specific medications for discrete
conditions, as with off-label use of medications to
anticonvulsant; atypical antipsychotic
treat bipolar disorder and therapy to treat clients
with autism and dementia.
Two clients are participants in a pharmacologic study. They are
the same gender and age, and similar in clinical presentation.
However, Client 1 requires twice the dosage of the experimental
medication to achieve symptom control, while Client 2 experi-
ences debilitating side effects at a much lower dosage. The nurse
reviews their histories. Which finding is most helpful in explaining
3. Client 1 has always required more medication than Client 2 to
the clients' clinical responses?
achieve the same therapeutic effect, and the clients belong to dif-
1. Three years ago, Client 1 had a severe dystonic reaction after ferent ethnic groups. Distinct ethnic groups demonstrate variances
in metabolic rates, and the variances explain their differences in
a single dose of haloperidol.
2. The psychiatrist reports that Client 2's family is "high-EE." clinical response.
3. Client 1 has always required more medication than Client 2
to achieve the same therapeutic effect, and the clients belong to
different ethnic groups.
4. Client 2 has always reported more side effects than anyone else
in the study
Which of the following family member's statements reflects a
therapeutic response to psychoactive medications? (Select all
2. "The medication has helped his hallucinations and unrealistic
that apply.)
thoughts, but now he just stays in bed all day and doesn't want to
do anything." This statement reflects improvement of the positive
1. "He started the antidepressant less than 1 week ago and
symptoms of a thought disorder. However, it may also reflect ab-
already he's more hopeful and future-oriented."
2. "The medication has helped his hallucinations and unrealistic sence of improvement regarding the negative symptoms of apathy
and avolition.
thoughts, but now he just stays in bed all day and doesn't want to
do anything."
3. "The lithium has removed the big highs and lows, so that he is
1/3
Which of the following treatment team statements are congruent
with the text's definition and description of psychopharmacology?
(Select all that apply.)
1. "We consider the client holistically when prescribing a pharma-
ceutical regimen." "We consider the client holistically when prescribing a pharma-
ceutical regimen."
2. "We aim for behavior control through the sedating effects of the
medications." "Pharmacologic intervention makes other therapies possible."
3. "Pharmacologic intervention makes other therapies possible." "The psychiatric-mental health nurse's responsibilities include
pharmacologic expertise."
4. "The psychiatric-mental health nurse's responsibilities include
pharmacologic expertise."
5. "Our goal with pharmacologic interventions is elimination of the
illness, whereas other interventions merely 'treat.'"
Prior to the 1950s and pharmacologic intervention with
, behavioral control by sedation was the focus of chlorpromazine
intervention with psychiatric clients.
Which of the following descriptors accurately describes trends in
psychopharmacology?
2. Less-comprehensive to more-comprehensive symptom relief.
1. Very specific to less-specific blockage of neurotransmitters This trend is evident in antipsychotic, antidepressant, and mood
2. Less-comprehensive to more-comprehensive symptom relief stabilization therapy.
3. Severe side effects to inconsequential side effects
4. Increased use of specific medications for discrete conditions.
Although side effect profiles have changed, the untoward and
sometimes life-threatening side effects of the medications contin- nonadherence
ue to contribute to .
The trend is decreased use of specific medications for discrete
conditions, as with off-label use of medications to
anticonvulsant; atypical antipsychotic
treat bipolar disorder and therapy to treat clients
with autism and dementia.
Two clients are participants in a pharmacologic study. They are
the same gender and age, and similar in clinical presentation.
However, Client 1 requires twice the dosage of the experimental
medication to achieve symptom control, while Client 2 experi-
ences debilitating side effects at a much lower dosage. The nurse
reviews their histories. Which finding is most helpful in explaining
3. Client 1 has always required more medication than Client 2 to
the clients' clinical responses?
achieve the same therapeutic effect, and the clients belong to dif-
1. Three years ago, Client 1 had a severe dystonic reaction after ferent ethnic groups. Distinct ethnic groups demonstrate variances
in metabolic rates, and the variances explain their differences in
a single dose of haloperidol.
2. The psychiatrist reports that Client 2's family is "high-EE." clinical response.
3. Client 1 has always required more medication than Client 2
to achieve the same therapeutic effect, and the clients belong to
different ethnic groups.
4. Client 2 has always reported more side effects than anyone else
in the study
Which of the following family member's statements reflects a
therapeutic response to psychoactive medications? (Select all
2. "The medication has helped his hallucinations and unrealistic
that apply.)
thoughts, but now he just stays in bed all day and doesn't want to
do anything." This statement reflects improvement of the positive
1. "He started the antidepressant less than 1 week ago and
symptoms of a thought disorder. However, it may also reflect ab-
already he's more hopeful and future-oriented."
2. "The medication has helped his hallucinations and unrealistic sence of improvement regarding the negative symptoms of apathy
and avolition.
thoughts, but now he just stays in bed all day and doesn't want to
do anything."
3. "The lithium has removed the big highs and lows, so that he is
1/3
