Chapter 14: Antipsychotic Drugs

Chapter 14: Antipsychotic Drugs

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A patient receiving a traditional high-potency antipsychotic medication should be closely monitored for:

a.	adrenergic effects.
b.	extrapyramidal side effects.
c.	anticholinergic side effects.
d.	changes in pain perception.

 

 

ANS:  B

High-potency antipsychotics are more likely to cause extrapyramidal side effects (EPSEs) than low-potency antipsychotics. The other effects are not related to potency classification.

 

DIF:    Cognitive level: Applying                REF:   p. 143

TOP:   Nursing process: Assessment           MSC:  NCLEX: Physiologic Integrity

 

2. A patient receives a traditional low-potency antipsychotic medication. The nurse should assess closely for:

a.	urinary frequency.
b.	urinary retention.
c.	hypertension.
d.	diarrhea.

 

 

ANS:  B

Low-potency antipsychotics tend to cause anticholinergic side effects. Urinary retention and other anticholinergic effects are important findings for which the nurse should be alert. The other effects would not be expected.

 

DIF:    Cognitive level: Applying                REF:   pp. 138, 143

TOP:   Nursing process: Assessment           MSC:  NCLEX: Physiologic Integrity

 

3. A patient diagnosed with schizophrenia has taken thiothixene (Navane) 5 mg/day for 4 years with good symptom control. Today, the patient is admitted with paranoia and auditory hallucinations. The nurse should determine if the patient’s symptoms are related to:

a.	not taking the drug as prescribed.
b.	activation of serotonin receptors.
c.	development of tolerance to the drug.
d.	an expected illness-exacerbation cycle.

 

 

ANS:  A

When a patient does not respond to a drug, or when symptoms reappear after a good response to the drug, the nurse should assess for compliance. Is the patient taking the drug? Is the patient taking less of the drug than ordered? The other options are less relevant or of no value.

 

DIF:    Cognitive level: Applying                REF:   p. 147

TOP:   Nursing process: Assessment           MSC:  NCLEX: Physiologic Integrity

 

4. When assessing for a positive outcome to drug therapy with fluphenazine (Prolixin), the nurse would look primarily for improvement in:

a.	hallucinations.
b.	range of affect.
c.	personal hygiene.
d.	social interactions.

 

 

ANS:  A

Fluphenazine, a typical antipsychotic, will produce improvement in the positive symptoms associated with schizophrenia, such as hallucinations. Less improvement is expected in negative symptoms such as affect, activity, and grooming.

 

DIF:    Cognitive level: Applying                REF:   pp. 140-141    TOP:   Nursing process: Evaluation

MSC:  NCLEX: Psychosocial Integrity