Yesterday, a client with schizophrenia began treatment with haloperidol (Haldol). Today, the nurse notices that the client is holding his head to one side and complaining of neck and jaw spasms. What should the nurse do? A. Assume that the client is posturing. B. Tell the client to lie down and relax. … Read More »
A client receiving fluphenazine decanoate (Prolixin Decanoate) therapy develops pseudoparkinsonism. The physician is likely to prescribe which drug to control this extrapyramidal effect? A. diphenhydramine (Benadryl) B. phenytoin (Dilantin) C. benztropine (Cogentin) D. amantadine (Symmetrel) Correct Answer: D. amantadine (Symmetrel) An antiparkinsonian agent, such as amantadine, may… Read More »
Important teaching for a client receiving risperidone (Risperdal) would include advising the client to: A. Double the dose if missed to maintain a therapeutic level. B. Be sure to take the drug with a meal because it’s very irritating to the stomach. C. Discontinue the drug if the client reports weight gain.… Read More »
A client is admitted to the psychiatric hospital with a diagnosis of catatonic schizophrenia. During the physical examination, the client’s arm remains outstretched after the nurse obtains the pulse and blood pressure, and the nurse must reposition the arm. This client is exhibiting: A. Waxy flexibility B. Negativity C. Suggestibility D.… Read More »
A client with borderline personality disorder becomes angry when he is told that today’s psychotherapy session with the nurse will be delayed 30 minutes because of an emergency. When the session finally begins, the client expresses anger. Which response by the nurse would be most helpful in dealing with the client’s anger? A. “If it had… Read More »
A client begins clozapine (Clozaril) therapy after several other antipsychotic agents fail to relieve her psychotic symptoms. The nurse instructs her to return for weekly white blood cell (WBC) counts to assess for which adverse reaction? A. Hepatitis B. Infection C. Granulocytopenia D. Systemic dermatitis Correct Answer:… Read More »
Which non-antipsychotic medication is used to treat some clients with schizoaffective disorder?A. phenelzine (Nardil) A. phenelzine (Nardil) B. chlordiazepoxide (Librium) C. lithium carbonate (Lithane) D. imipramine (Tofranil) Correct Answer: C. lithium carbonate (Lithane) Lithium carbonate, an antimanic drug, is used to treat clients with cyclical schizoaffective disorder,… Read More »
A client diagnosed with schizoaffective disorder is suffering from schizophrenia with elements of which of the following disorders? A. Personality disorder B. Mood disorder C. Thought disorder D. Amnestic disorder Correct Answer: B. Mood disorder According to the DSM-IV, schizoaffective disorder refers to clients suffering from schizophrenia… Read More »
When teaching the family of a client with schizophrenia, the nurse should provide which information? A. Relapse can be prevented if the client takes the medication. B. Support is available to help family members meet their own needs. C. Improvement should occur if the client has a stimulating environment. D. Stressful… Read More »
A client is admitted to the psychiatric unit with active psychosis. The physician diagnoses schizophrenia after ruling out several other conditions. Schizophrenia is characterized by: A. Loss of identity and self-esteem. B. Multiple personalities and decreased self-esteem. C. Disturbances in affect, perception, and thought content and form. D. Persistent memory impairment… Read More »