A client with chronic schizophrenia receives 20 mg of fluphenazine decanoate (Prolixin Decanoate) by I.M. injection. Three days later, the client has muscle contractions that contort the neck. This client is exhibiting which extrapyramidal reaction? A. Dystonia B. Akinesia C. Akathisia D. Tardive dyskinesia Correct Answer: A.… Read More »
Hormonal effects of the antipsychotic medications include which of the following? A. Polydipsia and dysmenorrhea B. Dysmenorrhea and increased vaginal bleeding C. Retrograde ejaculation and gynecomastia D. Akinesia and dysphasia Correct Answer: C. Retrograde ejaculation and gynecomastia Decreased libido, retrograde ejaculation, and gynecomastia are all hormonal effects… Read More »
A client is unable to get out of bed and get dressed unless the nurse prompts every step. This is an example of which behavior? A. Word salad B. Tangential C. Avolition D. Perseveration Correct Answer: C. Avolition Avolition refers to impairment in the ability to initiate… Read More »
An agitated and incoherent client, age 29, comes to the emergency department with complaints of visual and auditory hallucinations. The history reveals that the client was hospitalized for paranoid schizophrenia from ages 20 to 21. The physician prescribes haloperidol (Haldol), 5 mg I.M. The nurse understands that this drug is used for this client to… Read More »
Drogo, who has had auditory hallucinations for many years, tells Nurse Khally that the voices prevent his participation in a social skills training program at the community health center. Which intervention is most appropriate? A. Let Drogo analyze the content of the voices. B. Advise Drogo to participate in the program when the voices cease.… Read More »
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 »