Psych 382 Exam 2 UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
The client who has been taking buspirone (Buspar) for one month returns to the clinical for a
follow- up assessment. The nurse determines that the medication is effective if the absence of
which manifestation occurs: - CORRECT ANSWER Rapid heartbeat or anxiety.
Classes of antidepressant medication include all except the following: - CORRECT
ANSWER anticholinergics
In order to plan for the care of a client on an acetylcholinesterase inhibitor, the nurse should
assess for: - CORRECT ANSWER memory impairment
In educating the family, what would you teach regarding the negative symptoms of
psychiatric disability? - CORRECT ANSWER These symptoms should not be
confused with laziness or manipulation.
Staff has made several verbal attempts to de-escalate a client, however, the client's level of
agitation continues to increase and it becomes necessary to administer a fast-acting
pharmacological intervention. Which medication would the nurse most likely provide? -
CORRECT ANSWER Haloperidol (Haldol).
The client of Asian extraction asks the nurse why the client's own dose of antipsychotic
medication is effective yet so much lower than other clients who are mostly from European
extraction. Which nursing response is correct? - CORRECT ANSWER Often people of
Asian extraction have lower metabolic rates and need lower amounts of medication.
The client reports the medication must be effective since the hallucinations are now markedly
diminished. The nurse documents that the client is responding positively to which of the
following medications? - CORRECT ANSWER Olanzapine ( Zyprexa)
A client who is experiencing difficulties with working memory, planning and prioritizing
tasks. In planning the nursing care, the nurse will apply knowledge that these symptoms
represent problems with the: - CORRECT ANSWER frontal lobe
A 22 year old male patient is diagnosed with schizophrenia,. The nurse notes that he is often
forgetful and seems disinterested in activities. Furthermore, he has difficulty completing
tasks. The nursing planning of care will address strategies based on the understanding that
these behaviors are due to : - CORRECT ANSWER Problems in cognitive functioning.
, Which of the following would be the nurse suspect when observing that a patient with
schizophrenia is tapping his feet, smacking his lips, and blinking and cortorting his face as he
speaks to another patient? - CORRECT ANSWER Tardive dyskinesia
The client asks the nurse how SSRI antidepressant that is prescribed works. What nursing
response is correct? - CORRECT ANSWER ssris allow more of the chemical
transmitter, serotonin, to be available to areas of the brain.
The Rorschach (inkblot) test and the Blackie pictures are examples of: - CORRECT
ANSWER Projective personality tests.
A patient with schizophrenia approaches the nurse and says, "Cats eat birds...east now... Job
is new... You father." This speech pattern can be assessed as: - CORRECT
ANSWER Loose associations.
The therapeutic action of psychotropic drugs is most often caused by their effect on the
activity of: - CORRECT ANSWER Neurotransmitters.
Benzodiazepines are used in the treatment of: - CORRECT ANSWER Alcohol
withdrawal and anxiety disorders.
During a staff medications management class, the nurse discusses the use of antipsychotic
medications to treat psychosis. Which of the following statements indicate how these
medications affect neurotransmitter activity? - CORRECT ANSWER Antipsychotics
block dopamine receptors.
Risperidone (Risperdal) is to hallucinations as clonazepam (Klonopin) is to - CORRECT
ANSWER anxiety
During a client admission, it is important for the nurse to obtain the family history for mental
disorders because: - CORRECT ANSWER Family history may assist in decisions
about diagnosis and treatment.
A client on an inpatient psychiatric unit has been prescribed tranylcypromine (Parnate) 30 mg
qd. Which client statement indicates that discharge teaching has been successful? -
CORRECT ANSWER "I have been craving a burger with lettuce and onion, potato
chips and a coca cola."
The nurse should monitor for which of the following in the client taking venlafaxine
(Effexor)? - CORRECT ANSWER increased blood pressure
QUESTIONS AND CORRECT ANSWERS
The client who has been taking buspirone (Buspar) for one month returns to the clinical for a
follow- up assessment. The nurse determines that the medication is effective if the absence of
which manifestation occurs: - CORRECT ANSWER Rapid heartbeat or anxiety.
Classes of antidepressant medication include all except the following: - CORRECT
ANSWER anticholinergics
In order to plan for the care of a client on an acetylcholinesterase inhibitor, the nurse should
assess for: - CORRECT ANSWER memory impairment
In educating the family, what would you teach regarding the negative symptoms of
psychiatric disability? - CORRECT ANSWER These symptoms should not be
confused with laziness or manipulation.
Staff has made several verbal attempts to de-escalate a client, however, the client's level of
agitation continues to increase and it becomes necessary to administer a fast-acting
pharmacological intervention. Which medication would the nurse most likely provide? -
CORRECT ANSWER Haloperidol (Haldol).
The client of Asian extraction asks the nurse why the client's own dose of antipsychotic
medication is effective yet so much lower than other clients who are mostly from European
extraction. Which nursing response is correct? - CORRECT ANSWER Often people of
Asian extraction have lower metabolic rates and need lower amounts of medication.
The client reports the medication must be effective since the hallucinations are now markedly
diminished. The nurse documents that the client is responding positively to which of the
following medications? - CORRECT ANSWER Olanzapine ( Zyprexa)
A client who is experiencing difficulties with working memory, planning and prioritizing
tasks. In planning the nursing care, the nurse will apply knowledge that these symptoms
represent problems with the: - CORRECT ANSWER frontal lobe
A 22 year old male patient is diagnosed with schizophrenia,. The nurse notes that he is often
forgetful and seems disinterested in activities. Furthermore, he has difficulty completing
tasks. The nursing planning of care will address strategies based on the understanding that
these behaviors are due to : - CORRECT ANSWER Problems in cognitive functioning.
, Which of the following would be the nurse suspect when observing that a patient with
schizophrenia is tapping his feet, smacking his lips, and blinking and cortorting his face as he
speaks to another patient? - CORRECT ANSWER Tardive dyskinesia
The client asks the nurse how SSRI antidepressant that is prescribed works. What nursing
response is correct? - CORRECT ANSWER ssris allow more of the chemical
transmitter, serotonin, to be available to areas of the brain.
The Rorschach (inkblot) test and the Blackie pictures are examples of: - CORRECT
ANSWER Projective personality tests.
A patient with schizophrenia approaches the nurse and says, "Cats eat birds...east now... Job
is new... You father." This speech pattern can be assessed as: - CORRECT
ANSWER Loose associations.
The therapeutic action of psychotropic drugs is most often caused by their effect on the
activity of: - CORRECT ANSWER Neurotransmitters.
Benzodiazepines are used in the treatment of: - CORRECT ANSWER Alcohol
withdrawal and anxiety disorders.
During a staff medications management class, the nurse discusses the use of antipsychotic
medications to treat psychosis. Which of the following statements indicate how these
medications affect neurotransmitter activity? - CORRECT ANSWER Antipsychotics
block dopamine receptors.
Risperidone (Risperdal) is to hallucinations as clonazepam (Klonopin) is to - CORRECT
ANSWER anxiety
During a client admission, it is important for the nurse to obtain the family history for mental
disorders because: - CORRECT ANSWER Family history may assist in decisions
about diagnosis and treatment.
A client on an inpatient psychiatric unit has been prescribed tranylcypromine (Parnate) 30 mg
qd. Which client statement indicates that discharge teaching has been successful? -
CORRECT ANSWER "I have been craving a burger with lettuce and onion, potato
chips and a coca cola."
The nurse should monitor for which of the following in the client taking venlafaxine
(Effexor)? - CORRECT ANSWER increased blood pressure
