NUR 256 MENTAL HEALTH EXAM 2 GALEN COLLEGE EXAM LATEST
2026-2027 ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
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What are common side effects of first-generation antipsychotics?
- ANSWER-Sedation, orthostatic hypotension, lowered seizure
threshold, photosensitivity, cataracts, visual changes, sexual
dysfunction, galactorrhea, amenorrhea, gynecomastia, and weight
gain.
What is Extrapyramidal Syndrome (EPS)? - ANSWER-Movement
disorders resulting from side effects of usually first-generation
antipsychotics.
What are the symptoms of Acute Dystonia? - ANSWER-Painful
contractions of limited muscle groups, backward arching of the
head and neck, eyes rolling back, and potential laryngeal
dystonia.
What characterizes Akathisia? - ANSWER-Motor restlessness,
such as pacing or inability to sit still.
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What are PseudoParkinsonian Symptoms? - ANSWER-Masklike
face, stiff posture, shuffling gait, drooling, tremor, 'pill-rolling' finger
movements, and dysphagia.
What is Tardive Dyskinesia? - ANSWER-An irreversible condition
characterized by protruding or writhing tongue movements,
chorea, and trunk movements.
What are second-generation antipsychotics also known as? -
ANSWER-Atypical antipsychotics.
What is the mechanism of action for second-generation
antipsychotics? - ANSWER-They act as serotonin and dopamine
antagonists.
Name a side effect of Clozapine. - ANSWER-Neutropenia (low
white blood cell count).
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What are common side effects of second-generation
antipsychotics? - ANSWER-Metabolic syndrome, sedation, sexual
dysfunction, seizures, and increased mortality in older adults with
dementia.
What is Neuroleptic Malignant Syndrome? - ANSWER-A rare, life-
threatening adverse drug effect to antipsychotics.
What are the main features of Neuroleptic Malignant Syndrome? -
ANSWER-Hyperpyrexia (temperature >103°F), severe muscle
rigidity, and altered mental status.
What interventions should be taken if Neuroleptic Malignant
Syndrome is suspected? - ANSWER-Hold all antipsychotics,
contact PHCP, transfer to CC unit, and implement cooling
measures.
What is Anticholinergic Toxicity? - ANSWER-A potentially life-
threatening medical emergency caused by antipsychotics or other
anticholinergic medications.
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What are the symptoms of Anticholinergic Toxicity? - ANSWER-
Reduced peristalsis, dilated pupils, urinary retention, delirium,
hyperpyrexia without diaphoresis, unstable vital signs, agitation,
and seizures.
What should be done if Anticholinergic Toxicity is suspected? -
ANSWER-Hold all medications, consult prescriber, and implement
emergency cooling measures.
What medication may reverse Anticholinergic Toxicity? -
ANSWER-Physostigmine.
What is the significance of monitoring for anticholinergic toxicity? -
ANSWER-It should be evaluated anytime psychosis appears to
be worsening.
What is the role of Bromocriptine in treating Neuroleptic Malignant
Syndrome? - ANSWER-It can relieve muscle rigidity.