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Psychiatric_Mental Health Nursing Exam QUESTIONS AND VERIFIED ANSWERS

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Psychiatric_Mental Health Nursing Exam QUESTIONS AND VERIFIED ANSWERS Psychiatric_Mental Health Nursing Exam QUESTIONS AND VERIFIED ANSWERS Psychiatric_Mental Health Nursing Exam QUESTIONS AND VERIFIED ANSWERS

Institution
Psychiatric Mental Health Nurse Practitione
Course
Psychiatric Mental Health Nurse Practitione

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Science Medicine Psychiatry




Psychiatric/Mental Health Nursing

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Students also studied



Flashcard sets Study guides




NCLEX Psychiatric/Mental Health D... Ch 33 Mood Stabilizers Module 10


47 terms 5 terms 15 terms




Hayden48 Preview rubixcube_07 Preview AnnaBanana11303




A nurse is administering medications to clients on a psychiatric

They combat the extrapyramidal unit. What does the nurse identify as the reason that so many

side effects of the neuroleptic psychiatric clients are given the drug benztropine or

drug. trihexyphenidyl in conjunction with the phenothiazine-derivative

neuroleptic medications?


acute dystonia that involves muscle spasms of the neck;

Torticollis develops within 1 to 5 days after beginning therapy with a

conventional antipsychotic


involuntary repetitious tonic muscular spasms that involve the

face, tongue, lips, limbs, and trunk; takes several months to years

to develop after the start of therapy with a conventional
Tardive dyskinesia
antipsychotic



d/c if observed, may be reversible


extrapyramidal tract response that includes masklike facies,

shuffling gait, pill-rolling tremors, stooped posture, and drooling;
Pseudoparkinsonism
develops within several days to 1 month after the start of therapy

with a conventional antipsychotic


severe, potentially fatal response to conventional antipsychotics



Neuroleptic malignant caused by acute reduction in dopamine activity, precipitating

syndrome hyperthermia/pyrexia, tachycardia, tachypnea, unstable blood

pressure, dyskinesia, incontinence, decreased level of

consciousness

, 2nd gen atypical antipsychotic drug that is more effective than

other second-generation antipsychotics



Seizures, sedation, and akathisia are common side effects



contraindicated in clients with bone marrow depression
Clozapine


may cause agranulocytosis, the client's white blood cell (WBC)

count should be monitored weekly. The drug should be

discontinued if the count falls below 3,000/mm 3



use with caution in clients with seizures


MAOI

Isocarboxazid

Circulatory collapse is associated with toxicity


typical antipsychotic



Acute dystonic reactions such as tremors, dyskinesia, and
fluphenazine
akathisia are observable side effects



decreased salivating


antipsychotic drug used in the long-term treatment of psychosis



Gynecomastia is one of the adverse effects of this drug
haloperidol


Potential adverse effects: pseudoparkinsonism and urinary

retention related to extrapyramidal syndrome


atypical antipsychotic

Ziprasidone

contraindicated in clients with a history of dysrhythmias


Motor restlessness


Akathisia
can be treated with an antiparkinsonian or anticholinergic drug

while the antipsychotic medication is continued


Acute, often painful, sustained contraction of muscles



typically occurs 2 to 5 days after the introduction of

acute dystonia antipsychotic medications



can be treated with an antiparkinsonian or anticholinergic drug

while the antipsychotic medication is continued


aversion therapy for alcohol addiction/abuse



cannot tolerate alcohol when on it


Disulfiram
consuming alcohol while taking it will cause a severe reaction:



nausea, vomiting, hypotension, headache, tachycardia,

tachypnea, and flushing


used to treat both generalized anxiety disorder and depression

Duloxetine

can worsen uncontrolled angle-closure glaucoma

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Institution
Psychiatric Mental Health Nurse Practitione
Course
Psychiatric Mental Health Nurse Practitione

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