Exam 14: Antipsychotic Drugs

A patient who takes a traditional antipsychotic medication says, "I feel shaky and very warm." The patient is diaphoretic. The nurse anticipates that the health care provider will prescribe:

A patient diagnosed with schizophrenia tells the clinic nurse, "I stopped taking my antipsychotic medication two days ago." Previously, the patient was compliant and had good symptom control. What assessment finding would the nurse expect at this visit?

A patient is to be discharged on a maintenance dose of a high-potency antipsychotic medication. Which remark indicates that discharge teaching about the medication was effective?

Which third-generation antipsychotic medication acts by stabilizing the dopamine system?

A patient receiving a traditional high-potency antipsychotic medication should be closely monitored for:

A nurse cares for four patients diagnosed with schizophrenia who are receiving antipsychotic medication. Which patient will receive the nurse's priority attention? The patient:

A patient receives a traditional low-potency antipsychotic medication. The nurse should assess closely for:

A patient has taken a traditional antipsychotic medication for several years. The nurse observes involuntary tongue movements and lip smacking. The nurse should:

Which drug would a nurse expect to produce a favorable response for both positive and negative symptoms?

A 60-year-old female patient who has taken traditional antipsychotic medication for 20 years should be screened for:

A patient is diagnosed with neuroleptic malignant syndrome. Which medication from the patient's pharmacologic profile most likely led to this problem?

During a psychiatric emergency, a patient is given a traditional antipsychotic drug intramuscularly and placed in seclusion. Over the next 2 hours, concerns for safety and physiologic stability require that the patient be carefully monitored for:

Patient teaching for individuals taking risperidone (Risperdal) should include (select all that apply):

Which information should the nurse include in the teaching plan for a patient receiving clozapine (Clozaril)?

A patient diagnosed with schizophrenia has taken thiothixene (Navane) 5 mg/day for 4 years with good symptom control. Today, the patient is admitted with paranoia and auditory hallucinations. The nurse should determine if the patient's symptoms are related to:

A patient is being switched to clozapine (Clozaril) from therapy using a traditional antipsychotic. The patient asks, "What's the advantage of the new drug?" Select the nurse's best response.

When comparing major differences between traditional and atypical antipsychotic drugs, which statements are correct? Select all that apply.

Thioridazine (Mellaril) is prescribed for a 72-year-old patient with a psychiatric disorder. It is most critical for the nurse to obtain information about preexisting:

A patient who takes haloperidol (Haldol) 10 mg/day orally developed restlessness, agitation, and an inability to sit still. The nurse then administered a PRN dose of haloperidol 5 mg intramuscularly. One hour later the patient's symptoms were worse. What is the most likely explanation?

A patient who takes a traditional antipsychotic medication says, "I feel shaky and very warm." The patient is diaphoretic. What is the nurse's best first action?