Karyn I. Morgan
TEST BANK-
Davis Advantage for Psychiatric Mental Health
Nursing 11th Edition
, Table of Contents
Chapter 01. The Concept of Stress Adaptation
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts C
hapter 03. Psychopharmacology
Chapter 04. Concepts of Psychobiology
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
Chapter 06. Cultural and Spiritual Concepts Relevantiito Psychiatric/Mental Health Nursing Chapt
er 07. Relationship Development
Chapter 08. TherapeuticiiCommunication
Chapter 09. TheiiNursing Process in Psychiatric/Mental Health Nursing Chapter
10. Therapeutic Groups
Chapter 11. Intervention With Families
Chapter 12. Milieu Therapy -
The Therapeutic Community Chapter 13. Crisis Intervention
Chapter 14. Assertiveness Training Chapt
er 15. Promoting Self-Esteem
Chapter16.Anger/AggressionManagementiiChapt
er 17. The Suicidal Client
Chapter 18. Behavior Therapy Chapte
r 19. Cognitive Therapy Chapter20.El
ectroconvulsiveTherapy Chapter 21. T
he Recovery Model Chapter 22. Neuro
cognitive Disorders
Chapter 23. Substance-Related and Addictive Disorders
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders Chapter
25. Depressive Disorders
Chapter 26. Bipolar and Related Disorders
Chapter 27. Anxiety, Obsessive-
Compulsive, and Related Disorders Chapter 28: Trauma and Stressor-
Related Disorders
Chapter 29. SomaticiiSymptom and Dissociative Disorders
Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria Chapter
31. Eating Disorders
Chapter 32. Personality Disorders Chapte
r 33. ChildrenandAdolescents Chapter 34.
The Aging Individual
Chapter 35. Survivors of Abuse or NeglectiiChapter
36. Community Mental Health Nursing Chapter 37.
The Bereaved Individual
Chapter 38. Military Families
,Chapter 01. Psychopharmacology
Multiple Choice
1. The NURSE manager oni the psychiatric unit was explaining to the new staff the differences betweeni
typical and atypical antipsychotics. TheiiNURSE correctly states thatiiatypical antipsychotics:
A. Remain in the system longer
B. Actiimore quickly to reduce delusions
C. Produce fewer extrapyramidal effects
D. Are risk free for neuroleptic malignant syndrome (NMS)
CORRECTiiANSWER:C
Atypical antipsychotics produce less D2blockade; thus movement disorders are less of aiiproblem. Noiievidence s
uggests that theiimedication remains in the system longer nor that it acts more quicklyto reduce delusions. The aty
picals are not risk free for NMS.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
Physiological Integrity: Pharmacological and Parenteral Therapies
2. The NURSE wouldiiassess for neuroleptic malignant syndrome (NMS) if aiipatientiion haloperidol
(Haldol) develops a:
A. 30 mm Hg decrease in blood pressure reading
B. Respiratory rate of 24 respirations per minute
C. Temperature reading of 104° F
D. Pulse rate of 70 beats per minute
CORRECTiiANSWER:C
Increased temperature isiithe cardinal signiiof NMS. This BP is not a significant featureiiof NMS. There are no signifi
cantiifindingsiito support theiioptions relatediito respirations or pulse rate.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Physiological Integrity: Pharmacological and Parenteral Therapies
3. A patient takingiifluphenazine (Prolixin) complains of dry mouth and blurred vision. What would the NURSE
assess as the likely cause of these symptoms?
A. Decreased dopamineiiat receptor sites
B. Blockade of histamine
C. Cholinergic blockade
D. Adrenergic blocking
CORRECTiiANSWER:C
Fluphenazine administration produces blockadeiiof cholinergic receptors giving rise to anticholinergic effects, su
ch as dry mouth, blurred vision, and constipation.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Physiological Integrity: Pharmacological and Parenteral Therapies
, 4. Which behavior displayed by a patient receiving a typical antipsychotic medication would beiiassessed as
displaying behaviors characteristic of tardive dyskinesia (TD)?
A. Grimacing and lip smacking
B. Falling asleep in the chair and refusing to eat lunch
C. Experiencing muscle rigidity and tremors
D. Having excessive salivation and drooling
CORRECTiiANSWER:A
TD manifests as abnormal movements of voluntary muscle groups after a prolonged period of dopami
ne blockade. Movements may affect any muscle group, but muscles of the face, mouth, tongue, and digits a
re commonly affected. Falling asleep is reflectiveiiof the sedative effect of these medications. Muscleiirigidity and d
rooling reflect EPS caused from imbalance between dopamine and acetylcholine.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Physiological Integrity: Pharmacological and Parenteral Therapies
5. A NURSE administers a medication that potentiates the action of GABA. Which finding would be expected?
A. Reduced anxiety
B. Improved memory
C. More organized thinking
D. Fewer sensory perceptual alterations
CORRECTiiANSWER:A
Increased levels of GABA reduce anxiety, thus any potentiation of GABA actioniishould resultiiin anxiety red
uction. Memory enhancement is associated with acetylcholine and substance P. Thought disorganization is as
sociated with dopamine. GABA is not associated with sensory perceptual alterations.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
Physiological Integrity: Pharmacological and Parenteral Therapies
6. On the basis of current knowledge ofi neurotransmitter effects, a NURSE could anticipate thatiithe
treatment plan for a patient with memory difficulties might include medications designediito:
A. inhibit GABA.
B. increase dopamineiiatiireceptor sites.
C. decreaseiidopamine atiireceptor sites.
D. prevent destructioniiof acetylcholine.
CORRECTiiANSWER:D
Increased acetylcholine plays a role in learning and memory. Preventing destruction of acetylcholine b
y acetylcholinesterase would result in higher levels of acetylcholine, with theiipotential for improved memory. G
ABA is known to affect anxiety level rather than memory. Increased dopamine would cause symptom
s associated with schizophrenia or mania rather than improve memory. Decreasing dopamine at receptor sites is ass
ociated with Parkinson’s disease rather than improving memory.
KEY: Cognitive Level: Comprehension | Integrated Processes: Nursing Process: Planning | Client Need:
Physiological Integrity: Pharmacological and Parenteral Therapies
TEST BANK-
Davis Advantage for Psychiatric Mental Health
Nursing 11th Edition
, Table of Contents
Chapter 01. The Concept of Stress Adaptation
Chapter 02. Mental Health/Mental Illness: Historical and Theoretical Concepts C
hapter 03. Psychopharmacology
Chapter 04. Concepts of Psychobiology
Chapter 05. Ethical and Legal Issues in Psychiatric/Mental Health Nursing
Chapter 06. Cultural and Spiritual Concepts Relevantiito Psychiatric/Mental Health Nursing Chapt
er 07. Relationship Development
Chapter 08. TherapeuticiiCommunication
Chapter 09. TheiiNursing Process in Psychiatric/Mental Health Nursing Chapter
10. Therapeutic Groups
Chapter 11. Intervention With Families
Chapter 12. Milieu Therapy -
The Therapeutic Community Chapter 13. Crisis Intervention
Chapter 14. Assertiveness Training Chapt
er 15. Promoting Self-Esteem
Chapter16.Anger/AggressionManagementiiChapt
er 17. The Suicidal Client
Chapter 18. Behavior Therapy Chapte
r 19. Cognitive Therapy Chapter20.El
ectroconvulsiveTherapy Chapter 21. T
he Recovery Model Chapter 22. Neuro
cognitive Disorders
Chapter 23. Substance-Related and Addictive Disorders
Chapter 24. Schizophrenia Spectrum and Other Psychotic Disorders Chapter
25. Depressive Disorders
Chapter 26. Bipolar and Related Disorders
Chapter 27. Anxiety, Obsessive-
Compulsive, and Related Disorders Chapter 28: Trauma and Stressor-
Related Disorders
Chapter 29. SomaticiiSymptom and Dissociative Disorders
Chapter 30. Issues Related to Human Sexuality and Gender Dysphoria Chapter
31. Eating Disorders
Chapter 32. Personality Disorders Chapte
r 33. ChildrenandAdolescents Chapter 34.
The Aging Individual
Chapter 35. Survivors of Abuse or NeglectiiChapter
36. Community Mental Health Nursing Chapter 37.
The Bereaved Individual
Chapter 38. Military Families
,Chapter 01. Psychopharmacology
Multiple Choice
1. The NURSE manager oni the psychiatric unit was explaining to the new staff the differences betweeni
typical and atypical antipsychotics. TheiiNURSE correctly states thatiiatypical antipsychotics:
A. Remain in the system longer
B. Actiimore quickly to reduce delusions
C. Produce fewer extrapyramidal effects
D. Are risk free for neuroleptic malignant syndrome (NMS)
CORRECTiiANSWER:C
Atypical antipsychotics produce less D2blockade; thus movement disorders are less of aiiproblem. Noiievidence s
uggests that theiimedication remains in the system longer nor that it acts more quicklyto reduce delusions. The aty
picals are not risk free for NMS.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Implementation | Client Need:
Physiological Integrity: Pharmacological and Parenteral Therapies
2. The NURSE wouldiiassess for neuroleptic malignant syndrome (NMS) if aiipatientiion haloperidol
(Haldol) develops a:
A. 30 mm Hg decrease in blood pressure reading
B. Respiratory rate of 24 respirations per minute
C. Temperature reading of 104° F
D. Pulse rate of 70 beats per minute
CORRECTiiANSWER:C
Increased temperature isiithe cardinal signiiof NMS. This BP is not a significant featureiiof NMS. There are no signifi
cantiifindingsiito support theiioptions relatediito respirations or pulse rate.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Physiological Integrity: Pharmacological and Parenteral Therapies
3. A patient takingiifluphenazine (Prolixin) complains of dry mouth and blurred vision. What would the NURSE
assess as the likely cause of these symptoms?
A. Decreased dopamineiiat receptor sites
B. Blockade of histamine
C. Cholinergic blockade
D. Adrenergic blocking
CORRECTiiANSWER:C
Fluphenazine administration produces blockadeiiof cholinergic receptors giving rise to anticholinergic effects, su
ch as dry mouth, blurred vision, and constipation.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Physiological Integrity: Pharmacological and Parenteral Therapies
, 4. Which behavior displayed by a patient receiving a typical antipsychotic medication would beiiassessed as
displaying behaviors characteristic of tardive dyskinesia (TD)?
A. Grimacing and lip smacking
B. Falling asleep in the chair and refusing to eat lunch
C. Experiencing muscle rigidity and tremors
D. Having excessive salivation and drooling
CORRECTiiANSWER:A
TD manifests as abnormal movements of voluntary muscle groups after a prolonged period of dopami
ne blockade. Movements may affect any muscle group, but muscles of the face, mouth, tongue, and digits a
re commonly affected. Falling asleep is reflectiveiiof the sedative effect of these medications. Muscleiirigidity and d
rooling reflect EPS caused from imbalance between dopamine and acetylcholine.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Assessment | Client Need:
Physiological Integrity: Pharmacological and Parenteral Therapies
5. A NURSE administers a medication that potentiates the action of GABA. Which finding would be expected?
A. Reduced anxiety
B. Improved memory
C. More organized thinking
D. Fewer sensory perceptual alterations
CORRECTiiANSWER:A
Increased levels of GABA reduce anxiety, thus any potentiation of GABA actioniishould resultiiin anxiety red
uction. Memory enhancement is associated with acetylcholine and substance P. Thought disorganization is as
sociated with dopamine. GABA is not associated with sensory perceptual alterations.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Evaluation | Client Need:
Physiological Integrity: Pharmacological and Parenteral Therapies
6. On the basis of current knowledge ofi neurotransmitter effects, a NURSE could anticipate thatiithe
treatment plan for a patient with memory difficulties might include medications designediito:
A. inhibit GABA.
B. increase dopamineiiatiireceptor sites.
C. decreaseiidopamine atiireceptor sites.
D. prevent destructioniiof acetylcholine.
CORRECTiiANSWER:D
Increased acetylcholine plays a role in learning and memory. Preventing destruction of acetylcholine b
y acetylcholinesterase would result in higher levels of acetylcholine, with theiipotential for improved memory. G
ABA is known to affect anxiety level rather than memory. Increased dopamine would cause symptom
s associated with schizophrenia or mania rather than improve memory. Decreasing dopamine at receptor sites is ass
ociated with Parkinson’s disease rather than improving memory.
KEY: Cognitive Level: Comprehension | Integrated Processes: Nursing Process: Planning | Client Need:
Physiological Integrity: Pharmacological and Parenteral Therapies
