NURS 1025 CHAPTER 4 EXAM 2 QUESTIONS
WITH 100% CORRECT ANSWERS
agranulocytosis
Extremely low levels of white blood cells. Symptoms include sore throat, fever, and malaise.
This may be a side effect of long-term therapy with some antipsychotic medications.
akathisia
Restlessness; an urgent need for movement; a type of extrapyramidal side effect associated with
some antipsychotic medications.
akinesia
Muscular weakness or a loss or partial loss of muscle movement; a type of extrapyramidal side
effect associated with some antipsychotic medications.
amenorrhea
Cessation of the menses; may be a side effect of some antipsychotic medications.
dystonia
Involuntary muscular movements (spasms) of the face, arms, legs, and neck; may occur as an
extrapyramidal side effect of some antipsychotic medications.
extrapyramidal symptoms
A variety of responses that originate outside the pyramidal tracts and in the basal ganglion of the
brain. Symptoms may include tremors, chorea, dystonia, akinesia, akathisia, and others. May
occur as a side effect of some antipsychotic medications.
gynecomastia
Enlargement of the breasts in men; may be a side effect of some antipsychotic medications.
hypertensive crisis
A potentially life-threatening syndrome that results when an individual taking monoamine
oxidase inhibitors (MAOIs) eats a product high in tyramine. Symptoms include severe occipital
headache, palpitations, nausea and vomiting, nuchal rigidity, fever, sweating, marked increase in
blood pressure, chest pain, and coma. Foods with tyramine include aged cheeses or other aged,
overripe, and fermented foods; broad beans; pickled herring; beef or chicken liver; preserved
meats; beer and wine; yeast products; chocolate; caffeinated drinks; canned figs; sour cream;
yogurt; soy sauce; and some over-the-counter cold medications and diet pills.
neuroleptic malignant syndrome
, A rare but potentially fatal complication of treatment with neuroleptic drugs. Symptoms include
severe muscle rigidity, high fever, tachycardia, fluctuations in blood pressure, diaphoresis, and
rapid deterioration of mental status to stupor and coma.
neurotransmitter
A chemical that is stored in the axon terminals of the presynaptic neuron. An electrical impulse
through the neuron stimulates the release of the neurotransmitter into the synaptic cleft, which in
turn determines whether or not another electrical impulse is generated.
oculogyric crisis
An attack of involuntary deviation and fixation of the eyeballs, usually in the upward position. It
may last for several minutes or hours and may occur as an extrapyramidal side effect of some
antipsychotic medications.
priapism
Prolonged painful penile erection, may occur as an adverse effect of some antidepressant
medications, particularly trazodone.
retrograde ejaculation
Ejaculation of the seminal fluid backwards into the bladder; may occur as a side effect of
antipsychotic medications
serotonin syndrome
A syndrome that is an adverse reaction to serotinergic medications. It may range from mild to
severe and is potentially fatal. Symptoms may include significantly elevated temperature,
agitation, muscle rigidity or twitching, sweating, irregular heart beat, and seizures.
tardive dyskinesia
Syndrome of symptoms characterized by bizarre facial and tongue movements, a stiff neck, and
difficulty swallowing. It may occur as an adverse effect of long-term therapy with some
antipsychotic medications.
Antianxiety medications, such as benzodiazepines, produce a calming effect by which of the
following actions?
A). Depressing the CNS
B). Decreasing levels of norepinephrine and serotonin in the brain
C). Decreasing levels of dopamine in the brain
D). Inhibiting production of the enzyme MA
A). Depressing the CNS
Nancy has a new diagnosis of panic disorder. Dr. S has written a prn order for alprazolam
(Xanax) for when Nancy is feeling anxious. She says to the nurse, "Dr. S prescribed
WITH 100% CORRECT ANSWERS
agranulocytosis
Extremely low levels of white blood cells. Symptoms include sore throat, fever, and malaise.
This may be a side effect of long-term therapy with some antipsychotic medications.
akathisia
Restlessness; an urgent need for movement; a type of extrapyramidal side effect associated with
some antipsychotic medications.
akinesia
Muscular weakness or a loss or partial loss of muscle movement; a type of extrapyramidal side
effect associated with some antipsychotic medications.
amenorrhea
Cessation of the menses; may be a side effect of some antipsychotic medications.
dystonia
Involuntary muscular movements (spasms) of the face, arms, legs, and neck; may occur as an
extrapyramidal side effect of some antipsychotic medications.
extrapyramidal symptoms
A variety of responses that originate outside the pyramidal tracts and in the basal ganglion of the
brain. Symptoms may include tremors, chorea, dystonia, akinesia, akathisia, and others. May
occur as a side effect of some antipsychotic medications.
gynecomastia
Enlargement of the breasts in men; may be a side effect of some antipsychotic medications.
hypertensive crisis
A potentially life-threatening syndrome that results when an individual taking monoamine
oxidase inhibitors (MAOIs) eats a product high in tyramine. Symptoms include severe occipital
headache, palpitations, nausea and vomiting, nuchal rigidity, fever, sweating, marked increase in
blood pressure, chest pain, and coma. Foods with tyramine include aged cheeses or other aged,
overripe, and fermented foods; broad beans; pickled herring; beef or chicken liver; preserved
meats; beer and wine; yeast products; chocolate; caffeinated drinks; canned figs; sour cream;
yogurt; soy sauce; and some over-the-counter cold medications and diet pills.
neuroleptic malignant syndrome
, A rare but potentially fatal complication of treatment with neuroleptic drugs. Symptoms include
severe muscle rigidity, high fever, tachycardia, fluctuations in blood pressure, diaphoresis, and
rapid deterioration of mental status to stupor and coma.
neurotransmitter
A chemical that is stored in the axon terminals of the presynaptic neuron. An electrical impulse
through the neuron stimulates the release of the neurotransmitter into the synaptic cleft, which in
turn determines whether or not another electrical impulse is generated.
oculogyric crisis
An attack of involuntary deviation and fixation of the eyeballs, usually in the upward position. It
may last for several minutes or hours and may occur as an extrapyramidal side effect of some
antipsychotic medications.
priapism
Prolonged painful penile erection, may occur as an adverse effect of some antidepressant
medications, particularly trazodone.
retrograde ejaculation
Ejaculation of the seminal fluid backwards into the bladder; may occur as a side effect of
antipsychotic medications
serotonin syndrome
A syndrome that is an adverse reaction to serotinergic medications. It may range from mild to
severe and is potentially fatal. Symptoms may include significantly elevated temperature,
agitation, muscle rigidity or twitching, sweating, irregular heart beat, and seizures.
tardive dyskinesia
Syndrome of symptoms characterized by bizarre facial and tongue movements, a stiff neck, and
difficulty swallowing. It may occur as an adverse effect of long-term therapy with some
antipsychotic medications.
Antianxiety medications, such as benzodiazepines, produce a calming effect by which of the
following actions?
A). Depressing the CNS
B). Decreasing levels of norepinephrine and serotonin in the brain
C). Decreasing levels of dopamine in the brain
D). Inhibiting production of the enzyme MA
A). Depressing the CNS
Nancy has a new diagnosis of panic disorder. Dr. S has written a prn order for alprazolam
(Xanax) for when Nancy is feeling anxious. She says to the nurse, "Dr. S prescribed
