PrepU Flashcards
Which increases the risk for neuroleptic malignant syndrome (NMS)?
Dehydration
A client with schizophrenia is prescribed an antipsychotic medication. Which immediate side effects would the nurse include in the education plan for this medication?
The potential for sedation
Which type of antipsychotic medication is most likely to produce extrapyramidal effects?
First-generation antipsychotic drugs
A client diagnosed with delusional disorder who uses excessive health care resources most likely has which type of delusions?
somatic
A client with schizophrenia is seen in the outpatient clinic for a follow-up appointment to assess the effectiveness of a recent increase in the dose of fluphenazine. Which assessment data by the nurse is a priority to address?
The client is restless and agitated and states, “I can’t remain still.”
A client diagnosed with schizoaffective disorder exhibits the symptoms of a psychosis in addition to which of the following?
Mood disorder
A nurse is caring for a client diagnosed with schizophreniform disorder. The nurse demonstrates understanding of this disorder when identifying that the client is at risk for developing what?
Schizophrenia
Which extrapyramidal symptom(s) that may be caused by antipsychotic drugs will the nurse include in the education plan? Select all that apply.
akathisia
pseudoparkinsonism
tardive dyskinesia
dystonia
A nurse suspects that a client with schizophrenia who is receiving antipsychotic therapy is developing neuroleptic malignant syndrome (NMS). Which finding would support the nurse’s suspicion? Select all that apply.
Fever
Tachycardia
Diaphoresis
Incontinence
Which type of delusion refers to a situation whereby a person or someone close to person is being malevolently treated in some way?
Persecutory type
A client with schizoaffective disorder is prescribed long-term medication therapy. The nurse would most likely expect what to be prescribed as the mainstay of treatment?
Atypical antipsychotic
A client is diagnosed with schizoaffective disorder. Which would the nurse identify as supporting this diagnosis?
Evidence of hallucinations and delusions accompanied by major depression
Which is the most common subtype of delusion?
persecutory
Which type of therapy involves increasing the frequency of the client’s positively reinforcing interactions with the environment and decreasing negative interactions?
Behavior therapy
A client is being evaluated 3 days after beginning a new prescription for an antidepressant medication. Upon assessment, the client is agitated, has a fever, and is shivering. Which adverse reaction is the client experiencing?
serotonin syndrome
A client was abandoned by the parents at age 3, resulting in the client’s perception of the world as a hostile place and the subsequent development of rage against men. This statement is an example of what?
A psychodynamic interpretation of the client’s major depressive disorder.
Cognitive psychotherapy is most likely to be appropriate in the care of a client who has been diagnosed with what?
Moderate depression
A nurse is caring for a client diagnosed with depression. The provider believes the depression is caused by a deficiency or dysregulation with the client’s neurotransmitters or in their receptor functions. Which theory supports the provider’s beliefs on etiology of the client’s depression?
neurobiological theory
Which of the following is a cognitive intervention for clients diagnosed with depression?
Thought stopping
A client on a medical unit has a comorbid diagnosis of depression and has been taking mirtazapine for several months prior to the current admission. When providing care to the client, which action would be most appropriate for the nurse to do?
-Monitor the client’s mood and affect over the course of the admission.
-Ensure that the client is not cheeking or stockpiling the medication.
The nurse assesses a client who reports being depressed for over 2 weeks. Which question does the nurse include in the interview portion of the assessment process to determine if the client meets the criteria for major depressive disorder (MDD)?
“Are you experiencing insomnia every day?”
“Have you recently lost weight without dieting?”
“Have you experienced difficulty with concentration when working?”
A client diagnosed with major depressive disorder is being prescribed clomipramine. What assessment by the nurse should be regularly monitored in the client while taking the medication, clomipramine?
orthostatic vital signs
A client has been diagnosed with major depressive disorder. The clinical symptom that would be included when the clinician makes this diagnosis is what?
A significant decrease in appetite
The nurse provides medication teaching to a client with bipolar disorder. Which statement indicates that teaching about divalproex sodium was effective?
“I can take this with a meal.”
