PSYCHIATRIC-MENTAL HEALTH
NURSING 11TH EDITION – LATEST WITH
QUESTIONS AND WELL VERIFIED
ANSWERS|| COMPLETE CHAPTERS 1-
24||2025-2026 GRADED A+
They combat the extrapyramidal side effects of the neuroleptic drug. -
CORRECTANSWER A nurse is administering medications to clients on a psychiatric
unit. What does the nurse identify as the reason that so many psychiatric clients are
given the drug benztropine or trihexyphenidyl in conjunction with the phenothiazine-
derivative neuroleptic medications?
Torticollis -CORRECTANSWER acute dystonia that involves muscle spasms of the
neck; develops within 1 to 5 days after beginning therapy with a conventional
antipsychotic
Tardive dyskinesia -CORRECTANSWER 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 antipsychotic
d/c if observed, may be reversible
Pseudoparkinsonism -CORRECTANSWER extrapyramidal tract response that includes
masklike facies, shuffling gait, pill-rolling tremors, stooped posture, and drooling;
develops within several days to 1 month after the start of therapy with a conventional
antipsychotic
Neuroleptic malignant syndrome -CORRECTANSWER severe, potentially fatal
response to conventional antipsychotics
caused by acute reduction in dopamine activity, precipitating hyperthermia/pyrexia,
tachycardia, tachypnea, unstable blood pressure, dyskinesia, incontinence, decreased
level of consciousness
Clozapine -CORRECTANSWER 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
, 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
Isocarboxazid -CORRECTANSWER MAOI
Circulatory collapse is associated with toxicity
fluphenazine -CORRECTANSWER typical antipsychotic
Acute dystonic reactions such as tremors, dyskinesia, and akathisia are observable side
effects
decreased salivating
haloperidol -CORRECTANSWER antipsychotic drug used in the long-term treatment of
psychosis
Gynecomastia is one of the adverse effects of this drug
Potential adverse effects: pseudoparkinsonism and urinary retention related to
extrapyramidal syndrome
Ziprasidone -CORRECTANSWER atypical antipsychotic
contraindicated in clients with a history of dysrhythmias
Akathisia -CORRECTANSWER Motor restlessness
can be treated with an antiparkinsonian or anticholinergic drug while the antipsychotic
medication is continued
acute dystonia -CORRECTANSWER Acute, often painful, sustained contraction of
muscles
typically occurs 2 to 5 days after the introduction of antipsychotic medications
can be treated with an antiparkinsonian or anticholinergic drug while the antipsychotic
medication is continued
Disulfiram -CORRECTANSWER aversion therapy for alcohol addiction/abuse
cannot tolerate alcohol when on it
NURSING 11TH EDITION – LATEST WITH
QUESTIONS AND WELL VERIFIED
ANSWERS|| COMPLETE CHAPTERS 1-
24||2025-2026 GRADED A+
They combat the extrapyramidal side effects of the neuroleptic drug. -
CORRECTANSWER A nurse is administering medications to clients on a psychiatric
unit. What does the nurse identify as the reason that so many psychiatric clients are
given the drug benztropine or trihexyphenidyl in conjunction with the phenothiazine-
derivative neuroleptic medications?
Torticollis -CORRECTANSWER acute dystonia that involves muscle spasms of the
neck; develops within 1 to 5 days after beginning therapy with a conventional
antipsychotic
Tardive dyskinesia -CORRECTANSWER 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 antipsychotic
d/c if observed, may be reversible
Pseudoparkinsonism -CORRECTANSWER extrapyramidal tract response that includes
masklike facies, shuffling gait, pill-rolling tremors, stooped posture, and drooling;
develops within several days to 1 month after the start of therapy with a conventional
antipsychotic
Neuroleptic malignant syndrome -CORRECTANSWER severe, potentially fatal
response to conventional antipsychotics
caused by acute reduction in dopamine activity, precipitating hyperthermia/pyrexia,
tachycardia, tachypnea, unstable blood pressure, dyskinesia, incontinence, decreased
level of consciousness
Clozapine -CORRECTANSWER 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
, 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
Isocarboxazid -CORRECTANSWER MAOI
Circulatory collapse is associated with toxicity
fluphenazine -CORRECTANSWER typical antipsychotic
Acute dystonic reactions such as tremors, dyskinesia, and akathisia are observable side
effects
decreased salivating
haloperidol -CORRECTANSWER antipsychotic drug used in the long-term treatment of
psychosis
Gynecomastia is one of the adverse effects of this drug
Potential adverse effects: pseudoparkinsonism and urinary retention related to
extrapyramidal syndrome
Ziprasidone -CORRECTANSWER atypical antipsychotic
contraindicated in clients with a history of dysrhythmias
Akathisia -CORRECTANSWER Motor restlessness
can be treated with an antiparkinsonian or anticholinergic drug while the antipsychotic
medication is continued
acute dystonia -CORRECTANSWER Acute, often painful, sustained contraction of
muscles
typically occurs 2 to 5 days after the introduction of antipsychotic medications
can be treated with an antiparkinsonian or anticholinergic drug while the antipsychotic
medication is continued
Disulfiram -CORRECTANSWER aversion therapy for alcohol addiction/abuse
cannot tolerate alcohol when on it
