Psych Pharm Exam 1 practice questions and answers 2024
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Course
Psych Pharm
Institution
Psych Pharm
The nurse is caring for an elderly client who has been taking an antipsychotic medication for 1 week. The nurse notifies the physician when he observes that the client has muscle rigidity that resembles Parkinsons disease. Which agent would the nurse expect the physician to prescribe?
A) Antichol...
Psych Pharm Exam 1 practice questions
and answers 2024
The nurse is caring for an elderly client who has been taking an antipsychotic
medication for 1 week. The nurse notifies the physician when he observes that the
client has muscle rigidity that resembles Parkinsons disease. Which agent would
the nurse expect the physician to prescribe?
A) Anticholinergic
B) Anxiolytic
C) Benzodiazepine
D) Beta Blocker - answer-✔A. anticholingergic
The nurse is caring for a hospitalized client who has schizophrenia. The client has
been taking antipsychotic medications for 1 week when the nurse observes that the
clients eyes are fixed on the ceiling. The nurse interprets this finding as which of
the following?
A) Akathisia
B) Oculogyric crisis
C) Retrocollis
D) Tardive dyskinesia - answer-✔B. oculogyric crisis
A hospitalized client with schizophrenia is receiving antipsychotic medications.
While assessing the client, the nurse identifies signs and symptoms of a dystonic
reaction. Which agent would the nurse expect to administer?
A) Diphenhydramine (Benadryl)
B) Propranolol (Inderal)
C) Risperidone (Risperdal)
The nurse is caring for a client who has been receiving treatment for schizophrenia
with chlorpromazine for the past year. It would be essential for the nurse to
monitor the client for which of the following?
A) Weight loss
B) Torticollis
C) Hypoglycemia
D) Tardive dyskinesia - answer-✔D. tardive dyskinesia
A client hospitalized for treatment of schizophrenia has been receiving olanzapine
(Zyprexa) for the past 2 months. The nurse would be especially alert for which of
the following?
A) Weight loss
B) Hypertension
C) Diarrhea
D) Diabetes - answer-✔D. diabetes
The nurse is caring for a client who has been taking clozapine (Clozaril) for 2
weeks. The client tells the nurse, My throat is sore, and I feel weak. The nurse
assesses the clients vital signs and finds that the client has a fever. The nurse
notifies the physician, expecting an order to obtain which laboratory test?
A) A white blood cell count
B) Liver function studies
C) Serum potassium level
D) Serum Sodium level - answer-✔A. a white blood cell count
,A client is being released from the inpatient psychiatric unit with a diagnosis of
schizophrenia and treatment with antipsychotic medications. After teaching the
client and family about managing the disorder, the nurse determines that the
teaching was effective when they state which of the following should be reported
immediately?
A) Elevated temperature
B) Tremor
C) Decreased blood pressure
D) Weight gain - answer-✔A. elevated temperature
A nurse is preparing an in-service program for a group of psychiatricmental health
nurses about schizophrenia. Which of the following would the nurse include as a
major reason for relapse?
A) Lack of family support
B) Accessibility to community resources
C) Non-adherence to prescribed medications
D) Stigmatization of mental illness - answer-✔C. non-adherence to prescribed
medications
A group of nursing students is reviewing the various theories related to the etiology
of schizophrenia. The students demonstrate understanding of the information when
they identify which neurotransmitter as being responsible for hallucinations and
delusions?
A) Dopamine
B) Serotonin
C) Norepinephrine
D) Gamma-amino butyric acid (GABA) - answer-✔A. dopamine
, After teaching a class on antipsychotic agents, the instructor determines that the
teaching was successful when the class identifies which of the following as an
example of a secondgeneration antipsychotic agent?
A) Fluphenazine (Prolixin)
B) Thiothixene (Navane)
C) Quetiapine (Seroquel)
D) Chlorpromazine (Thorazine) - answer-✔C. Quetipaine (seroquel)
When assessing a client for possible disordered water balance, the nurse checks the
clients urine specific gravity. Which result would lead the nurse to suspect that the
client is experiencing severe disordered water balance?
A) 1.020
B) 1.011
C) 1.005
D) 1.002 - answer-✔D. 1.002
A client with schizophrenia is prescribed clozapine because other prescribed
medications have been ineffective. After teaching the client and family about the
drug, the nurse determines that the teaching was successful when they state which
of the following?
A) He needs to have an electrocardiogram periodically when taking this drug.
B) Well need to make sure that he has his blood count checked at least weekly.
C) He might develop toxic levels of the drug if he smokes cigarettes.
D) We need to watch to make sure that he doesnt lose too much weight. - answer-
✔B. we'll need to make that he has his blood count checked at least weekly
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