Question 1

While conducting a health history,the nurse notes that the client is demonstrating positive signs of schizophrenia.Which clinical manifestations did the nurse find during the assessment of this client?
Select all that apply.

Accepted Answer

A)  Disorganized sentence structure
B)  Kicking the nurse
C)  Not responding to questions
D)  Difficulty following instructions
E)  Stating that God wants the client to go homeF) A) and D)
G) A) and C)

Question 2

A client prescribed aripiprazole (Abilify) for schizophrenia is experiencing signs of hypotension with certain activities since starting this medication.What should the nurse teach the client?
Select all that apply.

Accepted Answer

A)  Avoid being outside in the heat of the day.
B)  Avoid hot baths or hot showers.
C)  Avoid caffeine-containing preparations.
D)  Change positions slowly,especially from lying or sitting to standing.
E)  Take frequent naps during the day.F) A) and D)
G) A) and C) A,B,D

Question 3

During an assessment,the nurse determines a client is demonstrating symptoms of a psychosis.Which clinical manifestations did the nurse find during the assessment of this client?
Select all that apply.

Accepted Answer

A)  The client says,The servants need to be disciplined."
B)  The client says,The voice told me to cut myself."
C)  The client laughs when asked about the health of a family member hospitalized for cancer treatment.
D)  The client asks to close the room door so that man can't get to me."
E)  The client says,I have not been able to get any sleep for months."F) A) and D)
G) A) and C)

Question 4

An adolescent client diagnosed with a psychosis is having difficulty maintaining friendships at school.Which behavior does the nurse suspect is the cause of the client's difficulty with peer relationships?

Accepted Answer

A)  Laughing inappropriately at sad events
B)  Tremors and contraction of the extremities,drooling,and eyes rolling back in the head
C)  Tremors,palpitations,diaphoresis,and tachycardia
D)  Lack of energy,sleepiness,inability to concentrate,and inability to perform activities of daily livingE) All of the above
F) None of the above

Question 5

The nurse is instructing a client on the importance of having routine blood work preformed while taking a prescribed antipsychotic medication.Which symptoms would warrant the client to notify the health care provider immediately? Select all that apply.

Accepted Answer

A)  Abdominal pain
B)  Change in stool color
C)  Increased thirst and urination
D)  Frequent infections
E)  Dry mouthF) C) and E)
G) B) and C)

Question 6

The nurse is concerned that a client being treated with antipsychotic medication for schizophrenia is developing extrapyramidal symptoms.Which assessment findings support the nurse's concern?
Select all that apply.

Accepted Answer

A)  Neck spasms
B)  Fidgeting and rocking back and forth in the chair
C)  Shuffling gait
D)  Lip smacking and rapid eye blinking
E)  Diaphoresis and muscle rigidityF) A) and B)
G) A) and E)

Question 7

A client with acute symptoms of schizophrenia is prescribed ziprasidone (Geodon) IM.Which rhythm will the nurse assess this client for prior to administering the medication?

Accepted Answer

A)  Normal sinus rhythm
B)  Sinus irregularity
C)  Increase in QT interval
D)  Premature atrial contractionsE) All of the above
F) B) and C) C

Question 8

A client in the emergency department tells the nurse about being chased by a serial killer." The client is currently paranoid and is aggressively fighting against any treatment.Which medication does the nurse anticipate will be prescribed for this client?

Accepted Answer

A)  Clozapine (Clozaril) in intramuscular (IM) form
B)  Risperidone (Risperdal) IM
C)  Loxapine (Loxitane) IM
D)  Lorazepam (Ativan) IME) A) and C)
F) All of the above

Question 9

The nurse is preparing discharge instructions for a client being treated with medication and psychotherapy for schizophrenia.What should the nurse address with the client prior to discharge?

Accepted Answer

A)  The client smokes 1-3 cigarettes per day.
B)  The client drinks 1-3 beers before bedtime per day.
C)  The client likes to eat grapefruit for breakfast.
D)  The client drinks 1-3 caffeinated sodas per day.E) A) and B)
F) None of the above

Question 10

A client is being evaluated for appropriate medication treatment for a new onset of psychosis.Which information in the history would indicate that haloperidol (Haldol) is contraindicated for this client?
Select all that apply.

Accepted Answer

A)  Current treatment for Parkinson disease
B)  History of seizure disorder
C)  Malnourished
D)  Currently prescribed lithium
E)  Drinks a six-pack of beer every dayF) A) and D)
G) None of the above

Question 11

A client being treated for chronic schizophrenia develops tardive dyskinesia.Which interventions will the nurse prepare to perform for this client?
Select all that apply.

Accepted Answer

A)  Administering a prescribed lower dose of the antipsychotic medication
B)  Administering a benzodiazepine as prescribed
C)  Administering tapered doses of the antipsychotic medication
D)  Administering a newly prescribed atypical antipsychotic medication
E)  Administering a higher dose of the currently prescribed antipsychotic medicationF) A) and B)
G) A) and C)

Question 12

A client is prescribed haloperidol decanoate (Haldol LA) IM to be administered once a month for treatment of schizophrenia.The nurse will instruct the client to notify the health care provider for which manifestation?

Accepted Answer

A)  Involuntary,unusual tongue and face movements,such as lip smacking or rapid eye blinking
B)  Nausea,sometimes accompanied with vomiting
C)  Weight gain of 5 pounds or more in 2 weeks
D)  Constipation and dry mouthE) B) and C)
F) A) and B)

Question 13

A client prescribed clozapine (Clozaril) for treatment of schizophrenia is complaining of drowsiness after the first 2 weeks of therapy.Which response by the nurse is the most appropriate for this situation?

Accepted Answer

A)  "Take the medication exactly as prescribed,and do not discontinue it without the health care provider's approval."
B)  "Tell the health care provider that you cannot tolerate the drowsiness caused by the medication."
C)  "It may take 6-8 weeks for the drowsiness to subside."
D)  "Try taking the medication at bedtime."E) A) and B)
F) None of the above D

Question 14

A client with a history of suicidal behavior and schizophrenia stopped taking clozapine (Clozaril) after four weeks of therapy.The client is currently experiencing a return of hallucinations.What might the nurse assess when determining the reason the client stopped taking the medication?
Select all that apply.

Accepted Answer

A)  Feeling sedated all the time
B)  Significant weight gain
C)  Agitation
D)  Fatigue and headache
E)  Lack of desire to consume alcoholF) B) and C)
G) A) and E)

Question 15

A client prescribed an atypical antipsychotic medication for bipolar disorder reports difficulty sleeping.What might the nurse want to discuss with the client?

Accepted Answer

A)  Using alcohol to aid with sleep
B)  Increasing fluid intake
C)  Trying St.John's wort to help with sleeping
D)  Avoiding the use of valerianE) A) and B)
F) B) and C)

Question 16

A client is prescribed fluphenazine (Prolixin) and is experiencing muscle spasms of the neck.The client is grimacing and having difficulty speaking.Which action should the nurse take?

Accepted Answer

A)  Call the health care provider and prepare to give chlorpromazine (Thorazine) IM.
B)  Distract the client to confirm the client is not faking a muscle spasm.
C)  Call the health care provider and prepare to give diphenhydramine (Benadryl) .
D)  Engage the client in open-ended conversation to find out why the client is having difficulty speaking.E) B) and C)
F) A) and D)

Question 17

The nurse is assessing a female client who is prescribed chlorpromazine for schizophrenia.Based on this information,what will the nurse include in the client assessment?
Select all that apply.

Accepted Answer

A)  Perform an eye exam and ask if there have been changes in vision.
B)  Draw blood to check a lipid profile.
C)  Ask the client questions regarding amount of alcohol intake.
D)  Determine the date of her last menstrual period.
E)  Draw blood to check thyroid function.F) C) and E)
G) A) and E)

Question 18

The nurse is providing discharge instructions to a client who is prescribed ziprasidone (Geodon) for acute mania associated with bipolar disorder.Which statement by the client indicates the need for further education regarding this medication?

Accepted Answer

A)  "I need to report severe muscle spasms,especially of the neck,back,tongue,or face."
B)  "I sure hate it that I can't have a beer with my buddies anymore."
C)  "I hope that I can discontinue this medicine after I go back to see my doctor."
D)  "I need to let the doctor know immediately if I begin to have dizziness,lightheadedness,or shortness of breath with an irregular heartbeat."E) A) and B)
F) A) and C)

Question 19

The nurse suspects a client is demonstrating negative symptoms of schizophrenia and will be a challenge to treat because of which barriers?
Select all that apply.

Accepted Answer

A)  The client feels that the symptoms are normal.
B)  Family members feel the client is going through a period of depression.
C)  The client is suspicious of the motives of the health care provider.
D)  Family members have labeled the client as lazy.
E)  The client is indifferent to obtaining help.F) A) and C)
G) A) and D)

Question 20

The nurse is caring for a client with severe cardiovascular disease and schizophrenia.Which antipsychotic medication would be the safest treatment for this client?

Accepted Answer

A)  Ziprasidone (Geodon) 
B)  Paliperidone (Invega) 
C)  Risperidone (Risperdal) 
D)  Aripiprazole (Abilify) E) A) and B)
F) C) and D)

Exam 20: Pharmacotherapy of Psychoses

While conducting a health history,the nurse notes that the client is demonstrating positive signs of schizophrenia.Which clinical manifestations did the nurse find during the assessment of this client? Select all that apply.

Correct Answer
verified

A client prescribed aripiprazole (Abilify) for schizophrenia is experiencing signs of hypotension with certain activities since starting this medication.What should the nurse teach the client? Select all that apply.

Correct Answer
verified
A,B,D

During an assessment,the nurse determines a client is demonstrating symptoms of a psychosis.Which clinical manifestations did the nurse find during the assessment of this client? Select all that apply.

Correct Answer
verified

An adolescent client diagnosed with a psychosis is having difficulty maintaining friendships at school.Which behavior does the nurse suspect is the cause of the client's difficulty with peer relationships?

Correct Answer
verified

The nurse is instructing a client on the importance of having routine blood work preformed while taking a prescribed antipsychotic medication.Which symptoms would warrant the client to notify the health care provider immediately? Select all that apply.

Correct Answer
verified

The nurse is concerned that a client being treated with antipsychotic medication for schizophrenia is developing extrapyramidal symptoms.Which assessment findings support the nurse's concern? Select all that apply.

Correct Answer
verified

A client with acute symptoms of schizophrenia is prescribed ziprasidone (Geodon) IM.Which rhythm will the nurse assess this client for prior to administering the medication?

Correct Answer
verified
C

A client in the emergency department tells the nurse about being chased by a serial killer." The client is currently paranoid and is aggressively fighting against any treatment.Which medication does the nurse anticipate will be prescribed for this client?

Correct Answer
verified

The nurse is preparing discharge instructions for a client being treated with medication and psychotherapy for schizophrenia.What should the nurse address with the client prior to discharge?

Correct Answer
verified

A client is being evaluated for appropriate medication treatment for a new onset of psychosis.Which information in the history would indicate that haloperidol (Haldol) is contraindicated for this client? Select all that apply.

Correct Answer
verified

A client being treated for chronic schizophrenia develops tardive dyskinesia.Which interventions will the nurse prepare to perform for this client? Select all that apply.

Correct Answer
verified

A client is prescribed haloperidol decanoate (Haldol LA) IM to be administered once a month for treatment of schizophrenia.The nurse will instruct the client to notify the health care provider for which manifestation?

Correct Answer
verified

A client prescribed clozapine (Clozaril) for treatment of schizophrenia is complaining of drowsiness after the first 2 weeks of therapy.Which response by the nurse is the most appropriate for this situation?

Correct Answer
verified
D

Correct Answer
verified

A client prescribed an atypical antipsychotic medication for bipolar disorder reports difficulty sleeping.What might the nurse want to discuss with the client?

Correct Answer
verified

A client is prescribed fluphenazine (Prolixin) and is experiencing muscle spasms of the neck.The client is grimacing and having difficulty speaking.Which action should the nurse take?

Correct Answer
verified

The nurse is assessing a female client who is prescribed chlorpromazine for schizophrenia.Based on this information,what will the nurse include in the client assessment? Select all that apply.

Correct Answer
verified

The nurse is providing discharge instructions to a client who is prescribed ziprasidone (Geodon) for acute mania associated with bipolar disorder.Which statement by the client indicates the need for further education regarding this medication?

Correct Answer
verified

The nurse suspects a client is demonstrating negative symptoms of schizophrenia and will be a challenge to treat because of which barriers? Select all that apply.

Correct Answer
verified

The nurse is caring for a client with severe cardiovascular disease and schizophrenia.Which antipsychotic medication would be the safest treatment for this client?

Correct Answer
verified

Exam 20: Pharmacotherapy of Psychoses

While conducting a health history,the nurse notes that the client is demonstrating positive signs of schizophrenia.Which clinical manifestations did the nurse find during the assessment of this client? Select all that apply.

Correct AnswerverifiedShow Answer

A client prescribed aripiprazole (Abilify) for schizophrenia is experiencing signs of hypotension with certain activities since starting this medication.What should the nurse teach the client? Select all that apply.

Correct AnswerverifiedA,B,D

During an assessment,the nurse determines a client is demonstrating symptoms of a psychosis.Which clinical manifestations did the nurse find during the assessment of this client? Select all that apply.

Correct AnswerverifiedShow Answer

An adolescent client diagnosed with a psychosis is having difficulty maintaining friendships at school.Which behavior does the nurse suspect is the cause of the client's difficulty with peer relationships?

Correct AnswerverifiedShow Answer

The nurse is instructing a client on the importance of having routine blood work preformed while taking a prescribed antipsychotic medication.Which symptoms would warrant the client to notify the health care provider immediately? Select all that apply.

Correct AnswerverifiedShow Answer

The nurse is concerned that a client being treated with antipsychotic medication for schizophrenia is developing extrapyramidal symptoms.Which assessment findings support the nurse's concern? Select all that apply.

Correct AnswerverifiedShow Answer

A client with acute symptoms of schizophrenia is prescribed ziprasidone (Geodon) IM.Which rhythm will the nurse assess this client for prior to administering the medication?

Correct AnswerverifiedC

A client in the emergency department tells the nurse about being chased by a serial killer." The client is currently paranoid and is aggressively fighting against any treatment.Which medication does the nurse anticipate will be prescribed for this client?

Correct AnswerverifiedShow Answer

The nurse is preparing discharge instructions for a client being treated with medication and psychotherapy for schizophrenia.What should the nurse address with the client prior to discharge?

Correct AnswerverifiedShow Answer

A client is being evaluated for appropriate medication treatment for a new onset of psychosis.Which information in the history would indicate that haloperidol (Haldol) is contraindicated for this client? Select all that apply.

Correct AnswerverifiedShow Answer

A client being treated for chronic schizophrenia develops tardive dyskinesia.Which interventions will the nurse prepare to perform for this client? Select all that apply.

Correct AnswerverifiedShow Answer

A client is prescribed haloperidol decanoate (Haldol LA) IM to be administered once a month for treatment of schizophrenia.The nurse will instruct the client to notify the health care provider for which manifestation?

Correct AnswerverifiedShow Answer

A client prescribed clozapine (Clozaril) for treatment of schizophrenia is complaining of drowsiness after the first 2 weeks of therapy.Which response by the nurse is the most appropriate for this situation?

Correct AnswerverifiedD

Correct AnswerverifiedShow Answer

A client prescribed an atypical antipsychotic medication for bipolar disorder reports difficulty sleeping.What might the nurse want to discuss with the client?

Correct AnswerverifiedShow Answer

A client is prescribed fluphenazine (Prolixin) and is experiencing muscle spasms of the neck.The client is grimacing and having difficulty speaking.Which action should the nurse take?

Correct AnswerverifiedShow Answer

The nurse is assessing a female client who is prescribed chlorpromazine for schizophrenia.Based on this information,what will the nurse include in the client assessment? Select all that apply.

Correct AnswerverifiedShow Answer

The nurse is providing discharge instructions to a client who is prescribed ziprasidone (Geodon) for acute mania associated with bipolar disorder.Which statement by the client indicates the need for further education regarding this medication?

Correct AnswerverifiedShow Answer

The nurse suspects a client is demonstrating negative symptoms of schizophrenia and will be a challenge to treat because of which barriers? Select all that apply.

Correct AnswerverifiedShow Answer

The nurse is caring for a client with severe cardiovascular disease and schizophrenia.Which antipsychotic medication would be the safest treatment for this client?

Correct AnswerverifiedShow Answer

Correct Answer
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Correct Answer
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A,B,D

Correct Answer
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Correct Answer
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Correct Answer
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C

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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D

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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