Nokea
After teaching a class on antipsychotic agents, the instructor determines that the teaching was successful when the class identifies which of the following as an example of a second-generation antipsychotic agent?
- A. Fluphenazine (Prolixin)
- B. Thiothixene (Navane)
- C. Quetiapine (Seroquel)
- D. Chlorpromazine (Thorazine)
Correct Answer: C
Rationale: Quetiapine (C) is a second-generation (atypical) antipsychotic, effective for schizophrenia with fewer extrapyramidal side effects. Fluphenazine (A), thiothixene (B), and chlorpromazine (D) are first-generation (typical) antipsychotics, associated with higher side effect risks.
You may also like to solve these questions
A nurse is developing a teaching plan for a client with schizophrenia. Which method would the nurse use to be most effective?
- A. Engaging the client in trial and error learning
- B. Having the client write down information after directly being given the correct information
- C. Asking the client questions that encourage the client to guess at the correct answer
- D. Using visual aids that are very colorful and full of descriptive graphic images
Correct Answer: B
Rationale: Having the client write down information (B) reinforces learning through repetition and active engagement, accommodating cognitive deficits in schizophrenia. Trial and error (A) or guessing (C) may confuse, and colorful visuals (D) may overstimulate psychotic clients.
A hospitalized client with schizophrenia is receiving antipsychotic medications. While assessing the client, the nurse identifies signs and symptoms of a dystonic reaction. Which agent would the nurse expect to administer?
- A. Diphenhydramine (Benadryl)
- B. Propranolol (Inderal)
- C. Risperidone (Risperdal)
- D. Aripiprazole (Abilify)
Correct Answer: A
Rationale: Diphenhydramine (A), an antihistamine with anticholinergic properties, is commonly used to treat acute dystonic reactions caused by antipsychotics, relieving muscle spasms. Propranolol (B) treats akathisia, while risperidone (C) and aripiprazole (D) are antipsychotics that could worsen dystonia.
A nursing instructor is developing a class lecture that compares and contrasts schizoaffective disorder with schizophrenia. When describing one of the differences between these two diagnoses, which of the following would the instructor include as reflecting schizoaffective disorder?
- A. It is episodic in nature.
- B. It involves difficulties with self-care.
- C. It has less severe hallucinations.
- D. It is associated with a lower suicide risk.
Correct Answer: A
Rationale: Schizoaffective disorder (A) is characterized by episodic mood disturbances (depressive or manic) alongside psychotic symptoms, unlike the more persistent psychotic symptoms in schizophrenia. Self-care difficulties (B) and hallucination severity (C) are not distinguishing features, and suicide risk (D) is not necessarily lower.
The nurse is caring for a client who has been taking clozapine (Clozaril) for 2 weeks. The client tells the nurse, My throat is sore, and I feel weak. The nurse assesses the client?s vital signs and finds that the client has a fever. The nurse notifies the physician, expecting an order to obtain which laboratory test?
- A. A white blood cell count
- B. Liver function studies
- C. Serum potassium level
- D. Serum sodium level
Correct Answer: A
Rationale: Clozapine (A) carries a risk of agranulocytosis, a potentially life-threatening drop in white blood cells, presenting with symptoms like sore throat, weakness, and fever. Monitoring white blood cell counts is critical. Liver function (B), potassium (C), and sodium (D) levels are less relevant to these symptoms.
While interviewing a client diagnosed with a delusional disorder, the client states, I have this really strange odor coming out of my mouth. I stop to brush my teeth almost every hour and then rinse with mouthwash every half hour to get rid of this smell. I?ve seen so many doctors, and they can?t tell me what?s wrong. The nurse interprets the client?s statement as reflecting which type of delusion?
- A. Erotomanic
- B. Grandiose
- C. Somatic
- D. Jealous
Correct Answer: C
Rationale: The client?s belief in a persistent, unexplained mouth odor reflects a somatic delusion (C), focusing on bodily concerns. Erotomanic (A) involves romantic beliefs, grandiose (B) involves inflated self-worth, and jealous (D) involves infidelity, none of which apply.