ATI LPN
Psychiatric Mental Health Nursing 8th Edition
Chapter 2 Questions
Question 1 of 5
Which of the following disorders are extrapyramidal symptoms that may be caused by antipsychotic drugs?
Correct Answer: A,B,D
Rationale: Extrapyramidal symptoms include akathisia, pseudoparkinsonism, and dystonia. Neuroleptic malignant syndrome and breast tenderness are side effects of antipsychotics but not classified as extrapyramidal. Anticholinergic effects are distinct side effects.
Question 2 of 5
Which of the following is the primary consideration with clients taking antidepressants?
Correct Answer: C
Rationale: Suicide is always a primary consideration when treating clients with depression due to the risk of worsening symptoms or medication-related effects.
Question 3 of 5
A client with severe and persistent mental illness has been taking antipsychotic medication for 20 years. The nurse observes that the client's behavior includes repetitive movements of the mouth and tongue, facial grimacing, and rocking back and forth. The nurse recognizes these behaviors as indicative of
Correct Answer: D
Rationale: These behaviors are classic signs of tardive dyskinesia, a syndrome of permanent involuntary movements commonly caused by long-term use of conventional antipsychotic drugs.
Question 4 of 5
Which of the following medications rarely causes extrapyramidal side effects (EPS)?
Correct Answer: A
Rationale: Atypical antipsychotics like ziprasidone rarely cause EPS compared to first-generation antipsychotics like chlorpromazine, haloperidol, and fluphenazine.
Question 5 of 5
When the client asks the nurse how long it will take before the SSRI antidepressant medication will be effective, which of the following replies is most accurate and therapeutic?
Correct Answer: B
Rationale: SSRIs typically take 2-3 weeks to show effectiveness, with gradual symptom improvement that may be subtle initially, requiring continued adherence.