Drug therapy with thioridazine (Mellaril) shouldn’t exceed a daily dose of 800 mg to prevent which adverse reaction? A. Hypertension B. Respiratory arrest C. Tourette syndrome D. Retinal pigmentation Correct Answer: D. Retinal pigmentation Retinal pigmentation may occur if the thioridazine dosage exceeds 800 mg per day.… Read More »
Gio told his nurse that the FBI is monitoring and recording his every movement and that microphones have been placed in the unit walls. Which action would be the most therapeutic response? A. Confront the delusional material directly by telling Gio that this simply is not so. B. Tell Gio that this must seem frightening… Read More »
A client with paranoid personality disorder is admitted to a psychiatric facility. Which remark by the nurse would best establish rapport and encourage the client to confide in the nurse? A. “I get upset once in a while, too.” B. “I know just how you feel. I’d feel the same way in your… Read More »
How soon after chlorpromazine (Thorazine) administration should the nurse expect to see a client’s delusional thoughts and hallucinations eliminated?A. Several minutes A. Several minutes B. Several hours C. Several days D. Several weeks Correct Answer: D. Several weeks Although most phenothiazines produce some effects within minutes to… Read More »
A client is about to be discharged with a prescription for the antipsychotic agent haloperidol (Haldol), 10 mg by mouth twice per day. During a discharge teaching session, the nurse should provide which instruction to the client? A. Take the medication 1 hour before a meal. B. Decrease the dosage if signs of… Read More »
A client with paranoid schizophrenia repeatedly uses profanity during an activity therapy session. Which response by the nurse would be most appropriate? A. “Your behavior won’t be tolerated. Go to your room immediately.” B. “You’re just doing this to get back at me for making you come to therapy.” C. “Your cursing is interrupting… Read More »
Which of the following is one of the advantages of the newer antipsychotic medication risperidone (Risperdal)? A. The absence of anticholinergic effects. B. A lower incidence of extrapyramidal effects. C. Photosensitivity and sedation. D. No incidence of neuroleptic malignant syndrome. Correct Answer: B. A lower incidence of… Read More »
The etiology of schizophrenia is best described by: A. Genetics due to a faulty dopamine receptor. B. Environmental factors and poor parenting. C. Structural and neurobiological factors. D. A combination of biological, psychological, and environmental factors. Correct Answer: D. A combination of biological, psychological, and environmental factors. A reliable… Read More »
A client with schizophrenia who receives fluphenazine (Prolixin) develops pseudoparkinsonism and akinesia. What drug would the nurse administer to minimize extrapyramidal symptoms? A. benztropine (Cogentin) B. dantrolene (Dantrium) C. clonazepam (Klonopin) D. diazepam (Valium) Correct Answer: A. benztropine (Cogentin) Benztropine is an anticholinergic drug administered to reduce… Read More »
A client with a diagnosis of paranoid schizophrenia comments to the nurse, “How do I know what is really in those pills?” Which of the following is the best response? A. Say, “You know it’s your medicine.” B. Allow him to open the individual wrappers of the medication. C. Say, “Don’t worry about what… Read More »