Final Exam: MH701 MH 701

Final Exam: MH701 / MH 701

(Latest Update 2025 / 2026) Psychopharmacologic / Neuroscience Foundations of Mental Health Care | Review Questions and Answers | 100% Correct - Frontier

Question:

Which of the atypical antipsychotics has less sedating side effects?

Answer:

Lurasidone is the least sedating of all of the atypical antipsychotics.Generally speaking the "pines" are more sedating than the drones. Potent

antihistamine actions: clozapine, quetiapine, olanzapine and iloperidone.

Question:

Which of the atypical antipsychotics has less metabolic side effects?

Answer:

Low metabolic risk - Ziprasidone, aripiprazole, lurasidone, iloperidone (low for dyslipidemia) & anasapine. 1 / 4

Question:

Neuroleptic Malignant syndrome—Symptoms & Treatment

Answer:

*A life threatening emergency and is fatal in 10% of cases.

• Symptoms - reduced consciousness; increased muscle tone; autonomic

dysfunction (hyperpyrexia, hypertension, tachycardia, tachypnea, diaphoresis & drooling). Can have cogwheeling (upper limbs with rigidity &* superimposed rhythmic contractions on passive ROM).

• Treatment - early detection, discontinuation of the antipsychotic,

management of temperature, and monitoring for complications.

Question:

Extrapyramidal side effects-interventions for treating:

Answer:

Most common EPS sx are: akathisia (trouble standing still, paces floor, feet in

constant motion), parkinsonism and dystonic reactions.If it develops, give benztropine (Cogentin) trihexyphenidyl, or diphenhydramine.

Question:

Interventions for treating dystonia:

Answer:

Benztropine or anticholinergic 2 / 4

Question:

Interventions for treating Akathisia:

Answer:

Propranolol is more effective for akathisia.

Question:

What to do for TD:

Answer:

• Switch to a atypical or clozapine.
• Taper off at first sign.

* VMAT2 inhibitor: Valbenzapine (Ingreeza) or Deutetrabazine (Austedo) can

be given.

• This is permanent.
• Benztropine can worsen TD.

Question:

Clozaril-What is important to know about his medication?

Answer:

Clozapine is the only antipsychotic that does not cause TD. (has low levels of D2 occupancy).

• / 4

Question:

what patient education will you provide regarding Clozaril?

Answer:

Clozapine can cause weight gain, sedation. Can cause agranulocytosis, needs to be placed in registry.

Question:

-What labwork will be required to be monitored while taking Clozaril?Interventions if patient complains of illness?

Answer:

• Baseline ANC must be greater than1500 before initiating med. Draw weekly

for first 6 months, then every 2 weeks for the next 6 months, then every month.

* Mild neutropenia: (100-1499), redraw lab within 24 hours and monitor 3x

week until >1500.

• Moderate neutropenia: (500-999): interrupt treatment and confirm ANC.

Monitor daily until ANC is >1000, then 3x week until >1500.

• Severe neutropenia: (<500): stop tx, hematology consult, do not restart

unless absolutely required.

• / 4