NURSl 222l NURS222l Quizl 2l l Mentall

NURSl 222/l NURS222l Quizl 2l –l Mentall Healthl |l WCUl (Latestl 2026/l 2027l Update)l 100%l Verifiedl Questionsl &l Answersl |l Gradel Al

Q:l Anticholinergicsl

Answer:

-urinaryl retentionl -blurredl visionl -dryl mouthl -constipationl -sedation

Q:l Diphenhydraminel (Benadryl)l

Answer:

antihistamine -treatmentl forl EPSl (Dystonia,l Pseudoparkinsonism,l Akathisia)

Q:l Third-Generationl Antipsychoticl

Answer:

Subsetl ofl thel SGAs -Treatl bothl positivel andl negativel symptomsl

-ARIPIPRAZOLEl (ABILIFY)

l -quickl dissolve:l dismeltl

l -littlel orl nol weightl gainl l -nol increasel inl glucosel l -nol increasel inl LDL/HDL/Triglycerides l -Reasonablel forl patientsl 1 / 4

l -heartl diseasel l -obesityl l -commonl sidel effectsl arel insomnial andl akathisia

-causesl littlel orl nol weightl gainl andl nol increasel inl glucose,l highl orl lowl densityl lipoproteinl cholesterol,l orl triglycerides,l makingl itl al reasonablel choicel forl al patientl withl obesityl orl heartl disease

Q:l Extrapyramidall Symptomsl (EPS)l

Answer:

ACUTEl DYSTONIAS:l musclel spasmsl ofl face,l tongue,l neck,l orl back-l requirel immediatel interventionl l -headl rotatedl tol onel sidel inl al rigidl fixedl positionl l -jawl isl thrustl forward,l droolingl l -appearsl severelyl anxiousl

Patientl withl thesel S/S:

l -Whatl isl nursingl actionl l -benztropinel (congentin) l -diphenhydraminel (Benadryl) l -Trihexyphenidyll (Artane)

Patientl withl thesel S/Sl andl alsol elevatedl HRl andl temp:

-Nursingl action:

l -holdl thel medicationl l -calll thel healthl carel providerl immediatelyl tol reportl thel findingsl

AKATHISIA:

-inabilityl tol restl andl relax:l fidgetingl behavior,l pacingl

-antidystonicl butl notl alwaysl responsive,l Propranolol,l benzodiazepine,l Amantadine

SECONDARYl ORl PSEUDOPARKINSONISM:

-neurol anatomicall pathway:l EPSl andl NP

-tremor,l gaitl disturbance,l maskl likel face,l drooling,l musclel rigidity/stiffness,l stoopedl posturel -Lipophilicl betal blockers-propranololl andl metoprololl l -mostl effectivel treatmentsl

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TARDIVEl DYSKINESIAl -morel common-firstl generationl (Haloperidoll andl Fluphenazine) -2ndl generation-l Risperidonel andl Olanzapinel -repetitivel involuntaryl movements:l lipl smackingl wormlikel movementsl ofl thel tonguel l -performl abnormall involuntaryl movementl scalel (AIMS)l beforel antipsychoticl txl -screeningl tool:l AIMS-l faciall andl orall movements,l extremityl movements,l trunkl movements,l globall judgments,l andl dentall status

Q:l Metabolicl Syndromel

Answer:

-weightl gainl -metabolicl derangementl -typel 2l diabetesl -increasel lipids

Q:l Neurolepticl Malignantl Syndromel

Answer:

-elevatedl templ >101l -unstablel bloodl pressurel >140/90l mml hg -highl heartl ratel >100l -highl respirationsl >25 -profusel sweatingl -musclel rigidityl -dysphasial -incontinencel -dyspneal

NURSINGl CONSIDERATIONSl -discontinuel antipsychoticl immediatelyl -monitorl vitalsl signsl andl degreel ofl musclel rigidityl -monitorl intakel andl outputl -monitoryl levell ofl consciousnessl -obtainl orderl forl bromocriptinel orl dantrolene

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Q:l CLOZAPINEl dangerousl responsesl

Answer:

-Neutropenia:l lowl ANCl

normall WBCl 4k-11kl normall ANCl 1.5kl tol 8k -WBC<3k -holdl tx -fever,l chills,l sweatingl -flul likel symptomsl -dropl inl bloodl pressurel causingl weaknessl -soresl inl thel mouthl orl throatl -fatiguel andl headachesl -WBCl <2kl -holdl Txl permanentlyl

BENIGNl ETHNICl NEUTROPENIAl POPULATIONl -ethnicl groups:l averagel ANCl arel lowerl thanl standardizedl laboratoryl rangesl forl neutrophilsl

-ANCl >1k:l continuel tx

-mildl neutropenial (1000-1499):l continuel txl

-moderatel neutropenial (500-999):l holdl txl

-severel neutropenial (<500):l holdl txl

-Agranulocytosisl <100:l holdl txl permanently

Q:l Checking/Hoarding/Afraidl

Answer:

patientl can:

-spitl itl outl -hoard:l tol discourage:l orallyl disintegratingl tabletsl -thinkl youl arel poisoningl them:l keepl medicationsl inl sealedl packagel andl openl theml inl frontl ofl thel client

Q:l Patientl Refusel Medsl

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