Psychopharm Exam 1 Practice Questions with Answers
100% CORRECT
Theznurseziszcaringzforzanzelderlyzclientzwhozhaszbeenztakingzanzantipsychoticzmedicationzforz1zweek.zThez
nurseznotifieszthezphysicianzwhenzhezobserveszthatzthezclientzhaszmusclezrigidityzthatzresembleszParkinso
nszdisease.zWhichzagentzwouldztheznursezexpectzthezphysicianztozprescribe?z
A)zAnticholinergicz
B)zAnxiolytic
C)zBenzodiazepine
D)zBetazBlockerz-zCORRECTzANSWER-A.zanticholingergic
Theznurseziszcaringzforzazhospitalizedzclientzwhozhaszschizophrenia.zThezclientzhaszbeenztakingzantipsychot
iczmedicationszforz1zweekzwhenztheznursezobserveszthatzthezclientszeyeszarezfixedzonzthezceiling.zTheznurs
ezinterpretszthiszfindingzaszwhichzofzthezfollowing?z
A)zAkathisiaz
B)zOculogyriczcrisisz
C)zRetrocollisz
D)zTardivezdyskinesiaz-zCORRECTzANSWER-B.zoculogyriczcrisis
Azhospitalizedzclientzwithzschizophreniaziszreceivingzantipsychoticzmedications.zWhilezassessingzthezclient,
ztheznursezidentifieszsignszandzsymptomszofzazdystoniczreaction.zWhichzagentzwouldztheznursezexpectztoza
dminister?z
A)zDiphenhydraminez(Benadryl)z
B)zPropranololz(Inderal)z
C)zRisperidonez(Risperdal)z
D)zAripiprazolez(Abilify)z-zCORRECTzANSWER-A.zdiphenydraminez(benedryl)
Theznurseziszcaringzforzazclientzwhozhaszbeenzreceivingztreatmentzforzschizophreniazwithzchlorpromazinezf
orzthezpastzyear.zItzwouldzbezessentialzforztheznurseztozmonitorzthezclientzforzwhichzofzthezfollowing?z
A)zWeightzlossz
B)zTorticollis
,C)zHypoglycemiaz
D)zTardivezdyskinesiaz-zCORRECTzANSWER-D.ztardivezdyskinesia
Azclientzhospitalizedzforztreatmentzofzschizophreniazhaszbeenzreceivingzolanzapinez(Zyprexa)zforzthezpastz
2zmonths.zTheznursezwouldzbezespeciallyzalertzforzwhichzofzthezfollowing?z
A)zWeightzlossz
B)zHypertensionz
C)zDiarrheaz
D)zDiabetesz-zCORRECTzANSWER-D.zdiabetes
Theznurseziszcaringzforzazclientzwhozhaszbeenztakingzclozapinez(Clozaril)zforz2zweeks.zThezclientztellsztheznu
rse,zMyzthroatziszsore,zandzIzfeelzweak.zTheznursezassesseszthezclientszvitalzsignszandzfindszthatzthezclientzh
aszazfever.zTheznurseznotifieszthezphysician,zexpectingzanzorderztozobtainzwhichzlaboratoryztest?z
A)zAzwhitezbloodzcellzcountz
B)zLiverzfunctionzstudiesz
C)zSerumzpotassiumzlevel
D)zSerumzSodiumzlevelz-zCORRECTzANSWER-A.zazwhitezbloodzcellzcount
Azclientziszbeingzreleasedzfromzthezinpatientzpsychiatriczunitzwithzazdiagnosiszofzschizophreniazandztreatm
entzwithzantipsychoticzmedications.zAfterzteachingzthezclientzandzfamilyzaboutzmanagingzthezdisorder,zthe
znursezdetermineszthatzthezteachingzwaszeffectivezwhenztheyzstatezwhichzofzthezfollowingzshouldzbezrepor
tedzimmediately?z
A)zElevatedztemperaturez
B)zTremorz
C)zDecreasedzbloodzpressurez
D)zWeightzgainz-zCORRECTzANSWER-A.zelevatedztemperature
Aznurseziszpreparingzanzin-
servicezprogramzforzazgroupzofzpsychiatricmentalzhealthznurseszaboutzschizophrenia.zWhichzofzthezfollowi
ngzwouldztheznursezincludezaszazmajorzreasonzforzrelapse?z
A)zLackzofzfamilyzsupportz
B)zAccessibilityztozcommunityzresourcesz
,C)zNon-adherenceztozprescribedzmedicationsz
D)zStigmatizationzofzmentalzillnessz-zCORRECTzANSWER-C.znon-adherenceztozprescribedzmedications
Azgroupzofznursingzstudentsziszreviewingzthezvariousztheorieszrelatedztozthezetiologyzofzschizophrenia.zThe
zstudentszdemonstratezunderstandingzofzthezinformationzwhenztheyzidentifyzwhichzneurotransmitterzaszb
eingzresponsiblezforzhallucinationszandzdelusions?z
A)zDopaminez
B)zSerotoninz
C)zNorepinephrinez
D)zGamma-aminozbutyriczacidz(GABA)z-zCORRECTzANSWER-A.zdopamine
Afterzteachingzazclasszonzantipsychoticzagents,zthezinstructorzdetermineszthatzthezteachingzwaszsuccessful
zwhenzthezclasszidentifieszwhichzofzthezfollowingzaszanzexamplezofzazsecondgenerationzantipsychoticzagen
t?z
A)zFluphenazinez(Prolixin)z
B)zThiothixenez(Navane)z
C)zQuetiapinez(Seroquel)z
D)zChlorpromazinez(Thorazine)z-zCORRECTzANSWER-C.zQuetipainez(seroquel)
Whenzassessingzazclientzforzpossiblezdisorderedzwaterzbalance,ztheznursezcheckszthezclientszurinezspecificz
gravity.zWhichzresultzwouldzleadztheznurseztozsuspectzthatzthezclientziszexperiencingzseverezdisorderedzwa
terzbalance?z
A)z1.020z
B)z1.011z
C)z1.005z
D)z1.002z-zCORRECTzANSWER-D.z1.002
Azclientzwithzschizophreniaziszprescribedzclozapinezbecausezotherzprescribedzmedicationszhavezbeenzineff
ective.zAfterzteachingzthezclientzandzfamilyzaboutzthezdrug,ztheznursezdetermineszthatzthezteachingzwaszs
uccessfulzwhenztheyzstatezwhichzofzthezfollowing?z
A)zHezneedsztozhavezanzelectrocardiogramzperiodicallyzwhenztakingzthiszdrug.z
B)zWellzneedztozmakezsurezthatzhezhaszhiszbloodzcountzcheckedzatzleastzweekly.
, C)zHezmightzdevelopztoxiczlevelszofzthezdrugzifzhezsmokeszcigarettes.z
D)zWezneedztozwatchztozmakezsurezthatzhezdoesntzloseztoozmuchzweight.z-zCORRECTzANSWER-
B.zwe'llzneedztozmakezthatzhezhaszhiszbloodzcountzcheckedzatzleastzweekly
Afterzassessingzazclientzwithzschizophrenia,ztheznursezsuspectszthatzthezclientziszexperiencingzanzanticholi
nergiczcrisis.zWhichzofzthezfollowingzwouldztheznursezmostzlikelyzhavezassessed?zSelectzallzthatzapply.
A)zDilatedzreactivezpupilsz
B)zBlurredzvisionz
C)zAtaxiaz
D)zCoherentzspeechz
E)zFacialzpallorz
F)zDisorientationz-zCORRECTzANSWER-B.zblurredzvision
C.ataxia
F.zdisorientation
Aznewlyzadmittedzpatientzhaszthezdiagnosiszofzcatatoniczschizophrenia.zWhichzbehaviorzobservedzinzthezp
atientzsupportszthatzdiagnosis?z
a.zUseszazrhymingzformzofzspeech
z b.zRefusesztozeatzanyzunwrappedzfoodsz
c.zLaughszwhenzwatchingzazsadzmoviez
d.zMaintainszanzimmobilizedzstatezforzhoursz-zCORRECTzANSWER-
D.zMaintainszanzimmobilizedzstatezforzhours
Whichzinitialzshort-
termzoutcomezwouldzbezappropriatezforzazpatientzwhozwaszadmittedzexpressingzdelusionalzthoughts?z
a.zAcceptzthatzdelusionziszillogical.z
b.zDistinguishzexternalzboundaries.z
c.zExplainzthezbasiszforzthezdelusions.z
d.zEngagezinzreality-orientedzconversation.z-zCORRECTzANSWER-D.zengagezinzreality-
orientedzconversation
100% CORRECT
Theznurseziszcaringzforzanzelderlyzclientzwhozhaszbeenztakingzanzantipsychoticzmedicationzforz1zweek.zThez
nurseznotifieszthezphysicianzwhenzhezobserveszthatzthezclientzhaszmusclezrigidityzthatzresembleszParkinso
nszdisease.zWhichzagentzwouldztheznursezexpectzthezphysicianztozprescribe?z
A)zAnticholinergicz
B)zAnxiolytic
C)zBenzodiazepine
D)zBetazBlockerz-zCORRECTzANSWER-A.zanticholingergic
Theznurseziszcaringzforzazhospitalizedzclientzwhozhaszschizophrenia.zThezclientzhaszbeenztakingzantipsychot
iczmedicationszforz1zweekzwhenztheznursezobserveszthatzthezclientszeyeszarezfixedzonzthezceiling.zTheznurs
ezinterpretszthiszfindingzaszwhichzofzthezfollowing?z
A)zAkathisiaz
B)zOculogyriczcrisisz
C)zRetrocollisz
D)zTardivezdyskinesiaz-zCORRECTzANSWER-B.zoculogyriczcrisis
Azhospitalizedzclientzwithzschizophreniaziszreceivingzantipsychoticzmedications.zWhilezassessingzthezclient,
ztheznursezidentifieszsignszandzsymptomszofzazdystoniczreaction.zWhichzagentzwouldztheznursezexpectztoza
dminister?z
A)zDiphenhydraminez(Benadryl)z
B)zPropranololz(Inderal)z
C)zRisperidonez(Risperdal)z
D)zAripiprazolez(Abilify)z-zCORRECTzANSWER-A.zdiphenydraminez(benedryl)
Theznurseziszcaringzforzazclientzwhozhaszbeenzreceivingztreatmentzforzschizophreniazwithzchlorpromazinezf
orzthezpastzyear.zItzwouldzbezessentialzforztheznurseztozmonitorzthezclientzforzwhichzofzthezfollowing?z
A)zWeightzlossz
B)zTorticollis
,C)zHypoglycemiaz
D)zTardivezdyskinesiaz-zCORRECTzANSWER-D.ztardivezdyskinesia
Azclientzhospitalizedzforztreatmentzofzschizophreniazhaszbeenzreceivingzolanzapinez(Zyprexa)zforzthezpastz
2zmonths.zTheznursezwouldzbezespeciallyzalertzforzwhichzofzthezfollowing?z
A)zWeightzlossz
B)zHypertensionz
C)zDiarrheaz
D)zDiabetesz-zCORRECTzANSWER-D.zdiabetes
Theznurseziszcaringzforzazclientzwhozhaszbeenztakingzclozapinez(Clozaril)zforz2zweeks.zThezclientztellsztheznu
rse,zMyzthroatziszsore,zandzIzfeelzweak.zTheznursezassesseszthezclientszvitalzsignszandzfindszthatzthezclientzh
aszazfever.zTheznurseznotifieszthezphysician,zexpectingzanzorderztozobtainzwhichzlaboratoryztest?z
A)zAzwhitezbloodzcellzcountz
B)zLiverzfunctionzstudiesz
C)zSerumzpotassiumzlevel
D)zSerumzSodiumzlevelz-zCORRECTzANSWER-A.zazwhitezbloodzcellzcount
Azclientziszbeingzreleasedzfromzthezinpatientzpsychiatriczunitzwithzazdiagnosiszofzschizophreniazandztreatm
entzwithzantipsychoticzmedications.zAfterzteachingzthezclientzandzfamilyzaboutzmanagingzthezdisorder,zthe
znursezdetermineszthatzthezteachingzwaszeffectivezwhenztheyzstatezwhichzofzthezfollowingzshouldzbezrepor
tedzimmediately?z
A)zElevatedztemperaturez
B)zTremorz
C)zDecreasedzbloodzpressurez
D)zWeightzgainz-zCORRECTzANSWER-A.zelevatedztemperature
Aznurseziszpreparingzanzin-
servicezprogramzforzazgroupzofzpsychiatricmentalzhealthznurseszaboutzschizophrenia.zWhichzofzthezfollowi
ngzwouldztheznursezincludezaszazmajorzreasonzforzrelapse?z
A)zLackzofzfamilyzsupportz
B)zAccessibilityztozcommunityzresourcesz
,C)zNon-adherenceztozprescribedzmedicationsz
D)zStigmatizationzofzmentalzillnessz-zCORRECTzANSWER-C.znon-adherenceztozprescribedzmedications
Azgroupzofznursingzstudentsziszreviewingzthezvariousztheorieszrelatedztozthezetiologyzofzschizophrenia.zThe
zstudentszdemonstratezunderstandingzofzthezinformationzwhenztheyzidentifyzwhichzneurotransmitterzaszb
eingzresponsiblezforzhallucinationszandzdelusions?z
A)zDopaminez
B)zSerotoninz
C)zNorepinephrinez
D)zGamma-aminozbutyriczacidz(GABA)z-zCORRECTzANSWER-A.zdopamine
Afterzteachingzazclasszonzantipsychoticzagents,zthezinstructorzdetermineszthatzthezteachingzwaszsuccessful
zwhenzthezclasszidentifieszwhichzofzthezfollowingzaszanzexamplezofzazsecondgenerationzantipsychoticzagen
t?z
A)zFluphenazinez(Prolixin)z
B)zThiothixenez(Navane)z
C)zQuetiapinez(Seroquel)z
D)zChlorpromazinez(Thorazine)z-zCORRECTzANSWER-C.zQuetipainez(seroquel)
Whenzassessingzazclientzforzpossiblezdisorderedzwaterzbalance,ztheznursezcheckszthezclientszurinezspecificz
gravity.zWhichzresultzwouldzleadztheznurseztozsuspectzthatzthezclientziszexperiencingzseverezdisorderedzwa
terzbalance?z
A)z1.020z
B)z1.011z
C)z1.005z
D)z1.002z-zCORRECTzANSWER-D.z1.002
Azclientzwithzschizophreniaziszprescribedzclozapinezbecausezotherzprescribedzmedicationszhavezbeenzineff
ective.zAfterzteachingzthezclientzandzfamilyzaboutzthezdrug,ztheznursezdetermineszthatzthezteachingzwaszs
uccessfulzwhenztheyzstatezwhichzofzthezfollowing?z
A)zHezneedsztozhavezanzelectrocardiogramzperiodicallyzwhenztakingzthiszdrug.z
B)zWellzneedztozmakezsurezthatzhezhaszhiszbloodzcountzcheckedzatzleastzweekly.
, C)zHezmightzdevelopztoxiczlevelszofzthezdrugzifzhezsmokeszcigarettes.z
D)zWezneedztozwatchztozmakezsurezthatzhezdoesntzloseztoozmuchzweight.z-zCORRECTzANSWER-
B.zwe'llzneedztozmakezthatzhezhaszhiszbloodzcountzcheckedzatzleastzweekly
Afterzassessingzazclientzwithzschizophrenia,ztheznursezsuspectszthatzthezclientziszexperiencingzanzanticholi
nergiczcrisis.zWhichzofzthezfollowingzwouldztheznursezmostzlikelyzhavezassessed?zSelectzallzthatzapply.
A)zDilatedzreactivezpupilsz
B)zBlurredzvisionz
C)zAtaxiaz
D)zCoherentzspeechz
E)zFacialzpallorz
F)zDisorientationz-zCORRECTzANSWER-B.zblurredzvision
C.ataxia
F.zdisorientation
Aznewlyzadmittedzpatientzhaszthezdiagnosiszofzcatatoniczschizophrenia.zWhichzbehaviorzobservedzinzthezp
atientzsupportszthatzdiagnosis?z
a.zUseszazrhymingzformzofzspeech
z b.zRefusesztozeatzanyzunwrappedzfoodsz
c.zLaughszwhenzwatchingzazsadzmoviez
d.zMaintainszanzimmobilizedzstatezforzhoursz-zCORRECTzANSWER-
D.zMaintainszanzimmobilizedzstatezforzhours
Whichzinitialzshort-
termzoutcomezwouldzbezappropriatezforzazpatientzwhozwaszadmittedzexpressingzdelusionalzthoughts?z
a.zAcceptzthatzdelusionziszillogical.z
b.zDistinguishzexternalzboundaries.z
c.zExplainzthezbasiszforzthezdelusions.z
d.zEngagezinzreality-orientedzconversation.z-zCORRECTzANSWER-D.zengagezinzreality-
orientedzconversation
