Question: A patient begins therapy with a first-generation antipsychotic medication. What teaching should the nurse provide related to the drug’s strong dopaminergic effect?
Answer Options: Chew sugarless gum. Increase dietary fiber. Arise slowly from bed. Report muscle stiffness. Correct Answer: Report muscle stiffness.
Question: A nurse can anticipate anticholinergic side effects are likely to occur when a patient is prescribed what medication?
Answer Options: Lithium Buspirone Risperidone Fluphenazine Correct Answer: Fluphenazine
Question: Priority teaching for a patient taking clozapine should include which instruction?
Answer Options: Report sore throat and fever immediately. Avoid foods high in polyunsaturated fat. Use water-based lotions for rashes. Avoid unprotected sex. Correct Answer: Report sore throat and fever immediately.
Question: The nurse will order a special diet for the patient taking what medication?
Answer Options: Risperidone Haloperidol Trazodone Phenelzine Correct Answer: Phenelzine
Question: A nurse caring for a patient prescribed a selective serotonin reuptake inhibitor (SSRI) will develop outcome criteria related to what outcome?
Answer Options: Mood improvement Logical thought processes Reduced levels of motor activity Decreased extrapyramidal symptoms Correct Answer: Mood improvement
Question: A patient’s partner, who is a chemist, asks a nurse how serotonin reuptake inhibitors (SSRIs) lift depression. What response will the nurse provide?
Answer Options: Destroys increased amounts of neurotransmitters. Makes more serotonin available at the synaptic gap. Increases production of acetylcholine and dopamine. Blocks muscarinic and α1-norepinephrine receptors. Correct Answer: Makes more serotonin available at the synaptic gap.
Question: A patient has taken many conventional antipsychotic drugs over the years. The health care provider, who is concerned about early signs of tardive dyskinesia, prescribes risperidone. A nurse planning care for this patient understands what fact about second-generation antipsychotics?
Answer Options: They are less costly. They have a higher potency. They are more readily available. They produce fewer motor side effects. Correct Answer: They produce fewer motor side effects.
Question: The laboratory report for a patient taking clozapine indicates the patient is experiencing agranulocytosis. The nurse should implement which intervention first?
Answer Options: Report the laboratory results to the health care provider. Give the next dose of the medication as prescribed. Administer aspirin and force fluids. Repeat the laboratory tests. Correct Answer: Report the laboratory results to the health care provider.
Question: A nurse administering psychotropic medications should be prepared to intervene when giving a drug that blocks the attachment of norepinephrine to α1-receptors because the patient may experience what effect?
Answer Options: Increased psychotic symptoms Severe appetite disturbance Orthostatic hypotension Hypertensive crisis Correct Answer: Orthostatic hypotension
Question: A nurse prepares to administer an antipsychotic medication to a patient diagnosed with schizophrenia. Anticipating monitoring for the medication’s effects and side effects will be most important if the patient is also diagnosed with which health problem? (Select all that apply.)
Answer Options: Parkinson disease Graves’ disease Osteoarthritis Epilepsy Diabetes Correct Answer: Parkinson disease Epilepsy Diabetes
Question: The spouse of a patient diagnosed with schizophrenia asks, “Which neurotransmitters are more active when a person has schizophrenia?” The nurse’s response will focus on which neurotransmitters? (Select all that apply.)
Answer Options: GABA Substance P Histamine Dopamine Norepinephrine Correct Answer: Dopamine Norepinephrine
Question: An individual is experiencing problems associated with memory. Which cerebral structures are most likely to be involved in this deficit? (Select all that apply.)
Answer Options: Prefrontal cortex Occipital lobe Temporal lobe Parietal lobe Basal ganglia Correct Answer: Prefrontal cortex Temporal lobe Parietal lobe
Question: Planning for patients diagnosed with mental illness is facilitated by understanding that inpatient hospitalization is generally reserved for a patient presenting with what characteristic?
Answer Options: Presents a clear danger to self or others. Consistently noncompliant with medications at home. Has no reliable support systems in the local community. Develops new symptoms during the course of an illness. Correct Answer: Presents a clear danger to self or others.
Question: A patient is hospitalized for a reaction to a psychotropic medication and then is closely monitored for 24 hours. During a pre-discharge visit, the case manager learns the patient received a notice of eviction on the day of admission. What is the most appropriate intervention the nurse should implement?
Answer Options: Refer the landlord who evicted the patient to discuss the situation. Arrange a temporary place for the patient to stay until new housing can be secured. Document that the patient’s recovery will be hampered because of homelessness. Correct Answer: Arrange a temporary place for the patient to stay until new housing can be secured.
Question: A multidisciplinary health care team meets 12 hours after an adolescent is hospitalized after a suicide attempt. Members of the team report their assessments. What outcome can be expected from this meeting?
Answer Options: A treatment plan will be formulated. The health care provider will order neuroimaging studies. The team will request a court-appointed advocate for the patient. Assessment of the patient’s need for placement outside the home will be undertaken. Correct Answer: A treatment plan will be formulated.
Question: Planning for patients diagnosed with mental illness is facilitated by understanding that inpatient hospitalization is generally reserved for a patient presenting with what characteristic?
Answer Options: a. Presents a clear danger to self or others. b. Consistently noncompliant with medications at home. c. Has no reliable support systems in the local community. d. Develops new symptoms during the course of an illness. Correct Answer: a. Presents a clear danger to self or others.
Question: The rule of using the least restrictive treatment or intervention possible to achieve the desired outcome is the patient’s legal right. Planned interventions are nearly always preferable. Intervention may be necessary when the patient threatens harm to self.
Answer Options: a. True b. False Correct Answer: a. True
Question: To provide comprehensive care to patients, which competency is more important for a nurse who works in a community mental health center than a psychiatric nurse who works in an inpatient unit?
Answer Options: a. Problem-solving skills b. Calm and caring manner c. Ability to cross service systems d. Knowledge of psychopharmacology Correct Answer: c. Ability to cross service systems