ATI RN
Psychobiologic Disorders Med Surg 2 Questions
Question 1 of 5
A patient diagnosed with schizophrenia has taken fluphenazine (Prolixin) 5 mg po bid for 3 weeks. The nurse now observes a shuffling propulsive gait, a mask-like face, and drooling. Which term applies to these symptoms?
Correct Answer: C
Rationale: Pseudoparkinsonism induced by antipsychotic medication mimics the symptoms of Parkinsons disease. It frequently appears within the first month of treatment and is more common with first-generation antipsychotic drugs. Hepatocellular effects would produce abnormal liver test results. Neuroleptic malignant syndrome is characterized by autonomic instability. Akathisia produces motor restlessness.
Question 2 of 5
A patient says to the nurse, My life doesnt have any happiness in it anymore. I once enjoyed holidays, but now theyre just another day. The nurse documents this report as an example of:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A nurse worked with a patient diagnosed with major depression, severe withdrawal, and psychomotor retardation. After 3 weeks, the patient did not improve. The nurse is most at risk for feelings of:
Correct Answer: D
Rationale: Nurses may have expectations for self and patients that are not wholly realistic, especially regarding the patients progress toward health. Unmet expectations result in feelings of ineffectiveness, anger, or frustration. Nurses rarely become over-involved with patients with depression because of the patients resistance. Guilt and despair might be seen when the nurse experiences the patients feelings because of empathy. Interest is possible but not the most likely result.
Question 4 of 5
A nurse provided medication education for a patient diagnosed with major depression who began a new prescription for phenelzine (Nardil). Which behavior indicates effective learning? The patient:
Correct Answer: D
Rationale: Over-the-counter medicines may contain vasopressor agents or tyramine, a substance that must be avoided when the patient takes MAOI antidepressants. Medications for colds, allergies, or congestion or any preparation that contains ephedrine or phenylpropanolamine may precipitate a hypertensive crisis. MAOI antidepressant therapy is unrelated to the need for sodium limitation, support stockings, or leg elevation. MAOIs interact with tyramine-containing foods, not selenium, to produce dangerously high blood pressure.
Question 5 of 5
Which documentation for a patient diagnosed with major depression indicates the treatment plan was effective?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.