Identify the choice that best completes the statement or answers the question.

Psych Medications Multiple Choice Identify the choice that best completes the statement or answers the question.____1.The nurse is assessing a patient who is complaining of hearing voices. What is this patient experiencing?a.Delusions b.Flight of ideas c.Disorganized thinking d.Hallucinations ____2.A patient with schizophrenia has been nonadherent with his home medication regimen. He requires frequent admissions to the intensive psychiatric unit for treatment of acute psychotic episodes.Which medication regimen would be appropriate for this patient?a.Daily home nursing visits to administer the prescribed oral medication b.Continuous inpatient hospitalization for medication therapy c.Administration of depot antipsychotic medication d.Subcutaneous medication administration ____3.What is the most common cause of nonadherence to antipsychotic pharmacologic treatment?a.Expense b.Increased symptoms of chemical dependency c.Extrapyramidal effects d.Inability of the patient to understand the need to take medications ____4.Which type of adverse effects is present when a patient displays prolonged tonic contractions of the tongue, oculogyric crisis, and torticollis?a.Dystonic reactions b.Pseudoparkinsonism c.Akathisia d.Tardive dyskinesia ____5.The nurse is teaching a patient who is taking clozapine (Clozaril) to have weekly blood tests for the first 6 months of treatment to monitor for which potential complication?a.Agranulocytosis b.Vitamin deficiencies This study source was downloaded by 100000844755605 from CourseHero.com on 04-09-2022 23:53:42 GMT -05:00 https://www.coursehero.com/file/65885761/Psych-Medications-STUDENT-NCLEX-Reviewrtf/

c.Clotting abnormalities d.Polycythemia ____6.A male patient becomes verbally aggressive and insists the nurse is poisoning him as she attempts to administer haloperidol (Haldol). Which action will the nurse take?a.Support the patient’s decision to refuse the medication.b.Discreetly ask an assistant to put the medication in the patient’s food.c.Firmly redirect the patient to take the medication.d.Speak privately with the patient and reinforce medication action.____7.Which statement is true regarding the adverse effects associated with antipsychotic medications?a.Tardive dyskinesia is a common, reversible condition.b.Painful dystonic reactions can occur in the first 72 hours of initiation of therapy.c.Neuroleptic malignant syndrome (NMS) is a common adverse effect.d.Pseudoparkinsonian symptoms can cause Parkinson’s disease.____8.To what does potency of an antipsychotic medication refer?a.Severity of adverse effects associated with the drug b.Length of time that it takes to reach a therapeutic blood level of the drug c.Milligram doses used for the medication d.Effectiveness of the drug in alleviating psychotic behavior ____9.Dystonic reactions, pseudoparkinsonism, akathisia, and tardive dyskinesia are types of which effect?a.Extrapyramidal symptoms b.Allergic reactions c.Idiosyncratic reactions d.Therapeutic responses ____10.Which is an appropriate nursing intervention for a patient who has recently been prescribed clozapine (Clozaril)?a.Assess for signs and symptoms of hypoglycemia.b.Encourage a low-fiber diet.c.Measure the patient’s waist circumference.d.Monitor for insomnia. This study source was downloaded by 100000844755605 from CourseHero.com on 04-09-2022 23:53:42 GMT -05:00 https://www.coursehero.com/file/65885761/Psych-Medications-STUDENT-NCLEX-Reviewrtf/

____11.A young male patient taking an antipsychotic is experiencing an oculogyric crisis. The nurse prepares to administer a.diphenhydramine.b.haloperidol.c.aripiprazole.d.risperidone.____12.What occurs with mania associated with bipolar disorder?a.Varying degrees of sadness b.Distinct episodes of elation c.Suicide d.Psychomotor retardation ____13.Which postoperative narcotic analgesic will most likely be prescribed to a patient whose current medications include a monoamine oxidase inhibitor (MAOI), a thyroid hormone, and a multivitamin?a.Meperidine (Demerol) b.Morphine c.Ibuprofen (Advil) d.Acetaminophen (Tylenol) ____14.What is the major advantage of selective serotonin reuptake inhibitors (SSRIs) over other types of antidepressant therapy?a.They are less expensive than the other classes of antidepressants.b.They cure major depressive illnesses.c.They do not cause the anticholinergic and cardiovascular adverse effects.d.Therapeutic relief is immediate.____15.Lithium (Eskalith) is the drug of choice for which of the following disorders?a.Psychotic episodes b.Obsessive compulsive disorders (OCDs) c.Bipolar disorders d.Depressive disorders This study source was downloaded by 100000844755605 from CourseHero.com on 04-09-2022 23:53:42 GMT -05:00 https://www.coursehero.com/file/65885761/Psych-Medications-STUDENT-NCLEX-Reviewrtf/

____16.Which psychological manifestation of depression will improve in response to antidepressant therapy?a.Loss of energy b.Palpitations c.Sleep disturbances d.Social withdrawal ____17.On what is the choice of tricyclic antidepressants based?a.The need to decrease the action of norepinephrine, dopamine, or serotonin b.Patient age and gender c.An absence of adverse effects, such as orthostatic hypotension d.The need for stimulation and increased mental alertness ____18.The nurse is teaching a patient about medication treatment for depression. The patient asks how long it will take before sleep and appetite will begin to improve. Which response by the nurse is most accurate?a.3 days b.1 week c.4 weeks d.2 months ____19.What is the action of MAOIs on neurotransmitters?a.Blocking their reuptake b.Increasing their production c.Blocking their destruction d.Increasing their reuptake ____20.A patient who is taking an MAOI to treat depression admits to eating pickled herring and cheese and drinking red wine. Which assessment finding alerts the nurse to a potential complication?a.Constipation b.Hypotension c.Neck stiffness d.Urinary retention This study source was downloaded by 100000844755605 from CourseHero.com on 04-09-2022 23:53:42 GMT -05:00 https://www.coursehero.com/file/65885761/Psych-Medications-STUDENT-NCLEX-Reviewrtf/