Answer Options:
a. Resiliency
b. Shy temperament
c. Early posttraumatic stress disorder
d. Uses intellectualization to deal with problems
Answer: a. Resiliency
Question: An acutely violent patient diagnosed with schizophrenia receives several doses of haloperidol. Two hours later the nurse notices the patient’s head rotated to one side in a stiffly fixed position; the lower jaw is thrust forward, and the patient is drooling. Which intervention by the nurse is indicated?
Answer Options:
a. Administer diphenhydramine 50 mg IM from the PRN medication administration record.
b. Reassure the patient that the symptoms will subside. Practice relaxation exercises with the patient.
c. Give trihexyphenidyl 5 mg orally at the next regularly scheduled medication administration time.
d. Administer atropine sulfate 2 mg subcutaneously from the PRN medication administration record.
Answer: A. Administer diphenhydramine 50 mg IM from the PRN medication administration record.
Question: A nurse prepares to administer an antipsychotic medication to a patient diagnosed with schizophrenia. Additional monitoring of 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:
a. Parkinson’s disease
b. Graves’ disease
c. Osteoarthritis
d. Epilepsy
e. Diabetes
Answer: a. Parkinson’s disease
d. Epilepsy
e. Diabetes
Question: A patient diagnosed with schizophrenia tells the nurse, “I eat skilier. Tend to end. Easter. It blows away. Get it?” Select the nurse’s best response.
Answer Options:
a. “Nothing you are saying is clear.”
b. “You are saying the sentences tend to end again.”
c. “Your thoughts are very disconnected.”
d. “I am having difficulty understanding what you are saying.”
Answer: D. “I am having difficulty understanding what you are saying.”
Question: A patient with social phobia (social anxiety disorder) is at their initial visit with a psychiatrist. The psychiatrist is likely to prescribe which type of medication?
Answer Options:
a. Beta blockers
b. Antipsychotic medications
c. Tricyclic antidepressant agents
d. Monoamine oxidase inhibitors
Answer: A. Beta blockers
Question: A patient has depression and difficulty concentrating. The health care provider prescribes fluoxetine. Which type of medication does fluoxetine represent?
Answer Options:
a. Anticonvulsant
b. Selective serotonin reuptake inhibitor (SSRI)
c. Clozapine
d. Tacrine
Answer: b. Selective serotonin reuptake inhibitor (SSRI)
Question: The laboratory report for a patient taking clozapine indicates the patient is experiencing agranulocytosis. The nurse should implement which intervention first?
Answer Options:
a. Report the laboratory results to the health care provider.
b. Give the next dose of the medication as prescribed.
c. Administer aspirin and force fluids.
d. Repeat the laboratory tests.
Answer: a. Report the laboratory results to the health care provider.
Question: A patient diagnosed with schizophrenia begins to talk about “cracklomers” in the local shopping mall. The term “cracklomers” should be documented using what term?
Answer Options:
a. Neologism
b. Concrete thinking
c. Thought insertion
d. An idea of reference
Answer: a. Neologism
Question: A participant at a community education conference asks, “What is the most prevalent type of mental disorder in the United States?” What is the nurse’s best response?
Answer Options:
a. “Why do you ask?”
b. “Schizophrenia”
c. “Affective disorders”
d. “Anxiety disorders”
Answer: d. “Anxiety disorders”
Question: The nurse will order a special diet for the patient taking what medication?
Answer Options:
a. Buspirone
b. Haloperidol
c. Trazodone
d. Phenelzine
Answer: d. Phenelzine
Question: A patient diagnosed with schizophrenia has taken fluphenazine 5 mg orally twice daily for 3 weeks. The nurse now assesses a shuffling, propulsive gait; a masklike face; and drooling. Which term applies to these symptoms?
Answer Options:
a. Neuroleptic malignant syndrome
b. Hepatocellular effects
c. Pseudoparkinsonism
d. Akathisia
Answer: C. Pseudoparkinsonism
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:
a. Increased psychotic symptoms
b. Severe appetite disturbance
c. Orthostatic hypotension
d. Hypertensive crisis
Answer: c. Orthostatic hypotension