Medications
When the patient is experiencing an episode of dystonia what medication is the best to relieve symptoms?
Benadryl (Diphenhydramine)
a nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as a comorbidity to this condition?
diabetes mellitus
Name a medication used to treat EPS, Dystonia, Akathisia, and TD
Benztropine, Propranolol, Diphenhydramine, Mirtazapine, Ingrezza
a nurse is caring for a client who has been diagnosed with schizophrenia and is experiencing delusions of being a celebrity. Which of the following types describe this client's behavior?
grandiose
agoraphobia
fear or avoidance of situations, such as crowds or wide open places, where one has felt loss of control and panic
Name 1 first generation medication
Name 1 2nd generation medication
1cgeneration
Haldol
Chlorpromazine
Loxapine
Fluphenazine
2nd generation
Risperidone Ziprasidone
Paliperidone Lurasidone Iloperidone
Aripiprazole Brexpiprazole Quetiapine Olanzapine
Clozapine
a nurse is providing education to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?
young adulthood
a nurse is caring for a client who has schizophrenia and has been taking a first generation medication for several years. The client is exhibiting jerking movements and twitching of the face and tongue. Which of the following is the client experiencing?
tardive dyskinesia
Describe Erotomanic Delusions
believes that a person of a higher status is in love with them
What definition is being described by the following? Mimicry or imitation of the movements of another person.
Echopraxia
a nurse is educating a client who is prescribed clozapine. Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?
sore throat and muscle aches
a nurse is reviewing the medical record of a client who recently has been diagnosed with schizophrenia. Which of the following finding is a genetic risk factor associated with the development of schizophrenia?
biologic parent with schizophrenia
Signs of akathisia. Name three
Strong compulsion to move
Extreme inner restlessness
Does NOT have worry or fear-based symptoms
Most often begins in the legs, inability to keep legs
still
Rocking back and forth while sitting
Pacing back and forth or marching in place
Describe somatic delusions
Someone that believes that something is wrong with part or all of their body
What is the difference between affect and and apathy?
Apathy: a lack of feeling, emotion, or interest
Affect: the experience of feeling or emotion
a nurse is caring for a client who is taking fluphenazine and is experiencing tardive dyskinesia. Which of the following medications should the nurse anticipate the provider to prescribe for this client?
valbenazine
A nurse is discussing free association as a therapeutic tool with a client who has major depressive
disorder. Which of the following client statements indicates understanding of this technique?
A. "I will write down my dreams as soon as I wake up."
B. "I may begin to associate my therapist with important people in my life."
C. "I can learn to express myself in a nonaggressive manner."
D. "I should say the first thing that comes to my mind."
D. "I should say the first thing that comes to my mind."
Free association is the spontaneous, uncensored verbalization of whatever comes to a
client's mind.
Signs and symptoms of EPS
Bradykinesia and tremors
How do you respond to auditory or visual hallucinations?
What do you say to the
patient when he says he
has “nano technology
implanted in his ear and
it’s hurting his ear.”
Give example of what you would say
Name the 5 A's associated with negative symptoms?
Affect: the experience of feeling or emotion
Anhedonia: a diminished ability to experience pleasure
Alogia: a reduction in spontaneity or volume of speech, represented by a lack of spontaneous comments and overly brief responses
Avolition: a significant or severe lack of motivation or a pronounced inability to complete purposeful tasks.
Apathy: a lack of feeling, emotion, or interest
A client is being treated with clozapine. What should the nurse monitor most closely?
White blood cell count
Which of the following is an example of a client who requires emergency admission to a mental
health facility?
A. A client with schizophrenia who has frequent hallucinations
B. A client with symptoms of depression who attempted suicide a year ago
C. A client with borderline personality disorder who assaulted a homeless man with a metal rod
D. A client with bipolar disorder who paces quickly down the sidewalk while talking to himself
C. A client with borderline personality disorder who assaulted a homeless man with a metal rod
A client who is a current danger to self or others is a candidate for emergency admission.
Name 4 antipsychotic side effects
• Metabolic Disorders
• Gynecomastia
• DM 2
• EPS
• Agranulocytosis
• Movement Disorders
• Sedation
•Orthostatic Hypotension
A nurse is in the working phase of a therapeutic relationship with a client who has methamphetamine
use disorder. Which of the following indicates transference behavior?
A. The client asks the nurse whether she will go out to dinner with him.
B. The client accuses the nurse of telling him what to do just like his ex-girlfriend.
C. The client reminds the nurse of a friend who died from a substance overdose.
D. The client becomes angry and threatens harm to himself.
B. The client accuses the nurse of telling him what to do just like his ex-girlfriend.
When a client views the nurse as having characteristics of another person who has been
significant to his personal life, such as his ex-girlfriend, this indicates transference.
When it comes to neuro malignant syndrome, wheat doe FEVER stand for?
F: Fever (hyperthermia)
E: encephalopathy (altered mental state)
V: Vital signs instability (increase in the sympathetic)
E: Elevated CPK
R: Rigidity (also rhabdomyolysis)
life threatening neurologic emergency associated with the use of antipsychotic agents and characterized by a distinctive clinical syndrome of mental status change, rigidity, fever, and dysautonomia