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Chapter 16- Psychopharmacology
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | Extrapyramidal side effects are characterized by a triad of symptoms, including which of the following? | |
| A) | Sadness, flattened affect, and anxious behavior | |
| B) | Dystonia, akathisia, and pseudoparkinsonism | |
| C) | Dystonia, flat affect, and cogwheeling | |
| D) | Shuffling gait, cogwheeling, and drooling | |
| Ans: | B | |
| Feedback: | ||
| Extrapyramidal side effects do not influence a client’s affect. They include pseudoparkinsonism in addition to dystonia and akathisia. | ||
| 2. | Which of the following conditions assessed by the nurse would contraindicate the use of benztropine (Cogentin)? | |
| A) | Neuroleptic malignant syndrome | |
| B) | Acute extrapyramidal syndrome | |
| C) | Glaucoma and myasthenia gravis | |
| D) | Parkinson’s disease and atypical tremors | |
| Ans: | C | |
| Feedback: | ||
| Anticholinergic medications, such as benztropine, interact with certain conditions in which the cholinergic system is disrupted (such as in glaucoma, myasthenia gravis, and benign prostatic hypertrophy) and are, thus, contraindicated in these conditions. | ||
| 3. | Nursing assessment of a client who has been diagnosed with neuroleptic malignant syndrome (NMS) would most likely reveal what? | |
| A) | Chest pain, tachycardia, and cardiac dysrhythmias | |
| B) | Respiratory distress, cyanosis, and pallor | |
| C) | Nausea, vomiting, diarrhea, and gastric pain | |
| D) | Hyperpyrexia, severe hypertension, and diaphoresis | |
| Ans: | D | |
| Feedback: | ||
| Fever, hypertension, and diaphoresis are cardinal symptoms of NMS and should be immediately addressed. | ||
| 4. | A comprehensive nursing assessment for NMS would necessarily include what? | |
| A) | Headache, muscle aches, and paresthesias | |
| B) | Confusion, giddiness, and hyperalertness | |
| C) | Muscular rigidity, tremors, and difficulty swallowing | |
| D) | Dry mouth, flushing, and urinary retention | |
| Ans: | C | |
| Feedback: | ||
| NMS is characterized by muscular rigidity, tremors, difficulty swallowing, fever, hypertension, and diaphoresis. | ||
| 5. | A client is taking phenelzine (Nardil), an MAOI medication for depression. The mental health nurse instructs him to avoid aged foods, such as wine and cheese, because of what? | |
| A) | They cause GI distress, which may provoke ulceration of the gastric mucosa. | |
| B) | They contain tyramine, which may provoke hypertensive crisis. | |
| C) | They cause CNS depression, which could lead to coma and/or death. | |
| D) | They contain amylase, an enzyme known to reduce liver perfusion. | |
| Ans: | B | |
| Feedback: | ||
| The MAOI antidepressants contain tyramine, which can trigger hypertensive crisis. The client must be instructed to avoid all aged foods. | ||
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.