NSG 141 (mental health) Final Exam Questions and Correct Answers
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Course
NUR 141
Institution
NUR 141
The family of a client with schizophrenia asks the nurse about the difference between conventional and atypical antipsychotic medications. The nurse's answer is based on which of the following? a. Atypical antipsychotics are newer medications but act in the same ways as conventional antipsychotics....
NSG 141 (mental health) Final Exam
Questions and Correct Answers
The family of a client with schizophrenia asks the nurse about the difference between
conventional and atypical antipsychotic medications. The nurse's answer is based on
which of the following?
a. Atypical antipsychotics are newer medications but act in the same ways as
conventional antipsychotics.
b. Conventional antipsychotics are dopamine antagonists; atypical antipsychotics inhibit
the reuptake of serotonin.
c. Conventional antipsychotics have serious side effects; atypical antipsychotics have
virtually no side effects.
d. Atypical antipsychotics are dopamine and serotonin antagonists; conventional
antipsychotics are only dopamine antagonists. ✅d. atypical antipsychotics are
dopamine and serotonin antagonists; coventional antipsychotics are only dopamine
antagonists
The nurse is planning discharge teaching for a client taking clozapine (Clozaril). Which
of the following is essential to include?
a. Caution the client not to be outdoors in the sunshine without protective clothing.
b. Remind the client to go to the lab to have blood drawn for a white blood cell count.
c. Instruct the client about dietary restrictions.
d. Give the client a chart to record the daily pulse rate. ✅b. remind the client to go to
the lab to have blood drawn for a white blood cell count
The nurse is caring for a client who has been taking fluphenazine (Prolixin) for 2 days.
The client suddenly cries out, his neck twists to one side, and his eyes appear to roll
back in the sockets. The nurse finds the following PRN medications ordered for the
client. Which one should the nurse administer?
a. Benztropine (Cogentin), 2 mg PO, bid, PRN
b. Fluphenazine (Prolixin), 2 mg PO, tid, PRN
c. Haloperidol (Haldol), 5 mg IM, PRN extreme agitation
d. Diphenhydramine (Benadryl), 25 mg IM, PRN ✅d. Diphenhydramine (Benadryl), 25
mg IM, PRN
Which of the following statements would indicate that family teaching about
schizophrenia had been effective?
a. "If our son takes his medication properly, he won't have another psychotic episode."
b. "I guess we'll have to face the fact that our daughter will eventually be
institutionalized."
c. "It's a relief to find out that we did not cause our son's schizophrenia."
d. "It is a shame our daughter will never be able to have children." ✅c. "It's a relief to
find out that we did not cause our son's schizophrenia."
, When the client describes fear of leaving his apartment as well as the desire to get out
and meet others, it is called:
a. ambivalence.
b. anhedonia.
c. alogia.
d. avoidance. ✅a. ambivalence
The client who hesitates 30 seconds before responding to any question is described as
having:
a. blunted affect.
b. latency of response.
c. paranoid delusions.
d. poverty of speech. ✅b. latency of response
The overall goal of psychiatric rehabilitation is for the client to gain:
a. control of symptoms.
b. freedom from hospitalization.
c. management of anxiety.
d. recovery from the illness. ✅d. recovery from the illness
A teaching plan for the client taking an antipsychotic medication will include which of the
following?
a. Apply sun block lotion before going outdoors.
b. Drink sugar-free beverages for dry mouth.
c. Have serum blood levels drawn once a month.
d. Rise slowly from a sitting position.
e. Skip any dose that is not taken on time.
f. Take medication with food to avoid nausea. ✅a. apply sun block lotion before going
outdoors
b. drink sugar-free beverages for dry mouth
d. rise slowly from a sitting position
Which of the following are considered to be positive signs of schizophrenia?
a. Anhedonia
b. Delusions
c. Hallucinations
d. Disorganized thinking
e. Illusions
f. Social withdrawal ✅b. delusions
c. hallucinations
d. disorganized thinking
The nurse is teaching a client taking an MAOI about foods with tyramine that he or she
should avoid. Which of the following statement indicates that the client needs further
teaching?
a. "I'm so glad I can have pizza as long as I don't order pepperoni."
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