Which atypical antipsychotics are approved for long-term use to prevent the recurrence of mood
episodes in clients with bipolar disease? Select all that apply.
1
Olanzapine
2
Quetiapine
3
Ziprasidone
4
Risperidone
5
Aripiprazole - Answers 1,3,5
Olanzapine, ziprasidone, and aripiprazole are atypical antipsychotics approved for long-term use to
prevent recurrence of mood episodes. Quetiapine and risperidone are atypical antipsychotics approved
for use in bipolar disease but are not approved for long-term use to prevent the recurrence of mood
episodes.
What defense mechanism should the nurse anticipate that a client with the diagnosis of schizophrenia,
undifferentiated type, will most often exhibit?
1
Projection
2
Regression
3
Repression
4
Rationalization - Answers 2
, Regression is the defense mechanism that is commonly used by clients with schizophrenia,
undifferentiated type, to reduce anxiety by returning to earlier behavior. Projection is an organized
defense used by clients with schizophrenia, paranoid type, in which the delusional system is well
systematized. Repression, or unconscious forgetting, is not a major defense used by clients with
schizophrenia; if it were, they would not need to break with reality. Rationalization, in which the
individual blames others for problems and attempts to justify actions, is seldom used by clients with
schizophrenia.
Which antipsychotic drugs may cause tardive dyskinesia? Select all that apply.
1
Loxapine
2
Quetiapine
3
Haloperidol
4
Ziprasidone
5
Paliperidone - Answers 1,3
First-generation antipsychotic drugs such as loxapine and haloperidol may cause tardive dyskinesia, an
extrapyramidal reaction. Second-generation antipsychotic drugs such as quetiapine, ziprasidone, and
paliperidone have a lower risk of causing extrapyramidal reactions.
What characteristics are commonly associated with adolescent depression? Select all that apply.
1
Exercising daily
2
Having suicidal ideation
3
Exhibiting tearfulness
4