Psychiatric Medications NCLEX Practice Quiz: 75 Questions

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Jose is diagnosed with amphetamine psychosis and was admitted
to the emergency room. Nurse Ronald would most likely prepare
to administer which of the following medication?
A. Librium D. Haldol
B. Valium
C. Ativan
D. Haldol
2. Question
Which of the following liquids would nurse Leng administer to
a female client who is intoxicated with phencyclidine (PCP) to
hasten excretion of the chemical?
C. Cranberry Juice
A. Shake
B. Tea
C. Cranberry Juice
D. Grape juice
3. Question
When developing a plan of care for a female client with acute
stress disorder who lost her sister in a car accident. Which of the
following would the nurse expect to initiate?
A. Facilitating progressive review of the accident and its conse- A. Facilitating progressive review of the accident and its conse-
quences. quences.
B. Postponing discussion of the accident until the client brings it
up.
C. Telling the client to avoid details of the accident.
D. Helping the client to evaluate her sister's behavior.
4. Question
The nursing assistant tells nurse Ronald that the client is not in
the dining room for lunch. Nurse Ronald would direct the nursing
assistant to do which of the following?
A. Tell the client he'll need to wait until supper to eat if he misses
B. Invite the client to lunch and accompany him to the dining room.
lunch.
B. Invite the client to lunch and accompany him to the dining room.
C. Inform the client that he has 10 minutes to get to the dining
room for lunch.
D. Take the client a lunch tray and let the client eat in his room.
5. Question
The initial nursing intervention for the significant-others during
shock phase of a grief reaction should be focused on:
A. Presenting the full reality of the loss of the individuals. C. Staying with the individuals involved.
B. Directing the individual's activities at this time.
C. Staying with the individuals involved.
D. Mobilizing the individual's support system.
6. Question
Joy's stream of consciousness is occupied exclusively with
thoughts of her father's death. Nurse Ronald should plan to help
Joy through this stage of grieving, which is known as:
C. Resolving the loss
A. Shock and disbelief
B. Developing awareness
C. Resolving the loss
D. Restitution
7. Question
When taking a health history from a female client who has a
moderate level of cognitive impairment due to dementia, the nurse
would expect to note the presence of:
A. Accentuated premorbid traits
A. Accentuated premorbid traits
B. Enhance intelligence
C. Increased inhibitions
D. Hypervigilance
8. Question
What is the priority care for a client with dementia resulting from
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AIDS?
A. Planning for remotivation therapy.
B. Arranging for long-term custodial care. C. Providing basic intellectual stimulation.
C. Providing basic intellectual stimulation.
D. Assessing pain frequently.
9. Question
Jerome who has an eating disorder often exhibits similar symp-
toms. Nurse Lhey would expect an adolescent client with anorexia
to exhibit:
A. Affective instability
A. Affective instability
B. Dishered, unkempt physical appearance
C. Depersonalization and derealization
D. Repetitive motor mechanisms
10. Question
The primary nursing diagnosis for a female client with a medical
diagnosis of major depression would be:
A. Situational low self-esteem related to altered role D. Impaired verbal communication related to depression
B. Powerlessness related to the loss of idealized self
C. Spiritual distress related to depression
D. Impaired verbal communication related to depression
11. Question
When developing an initial nursing care plan for a male client with
a Bipolar I disorder (manic episode) nurse Ron should plan to?
A. Isolate his gym time. C. Provide foods, fluids, and rest.
B. Encourage his active participation in unit programs.
C. Provide foods, fluids, and rest.
D. Discourage his participation in programs.
12. Question
Grace is exhibiting withdrawn patterns of behavior. Nurse Johnny
is aware that this type of behavior eventually produces a feeling
of:
B. Loneliness
A. Repression
B. Loneliness
C. Anger
D. Paranoia
13. Question
One morning a female client on the inpatient psychiatric service
complains to nurse Hazel that she has been waiting for over an
hour for someone to accompany her to activities. Nurse Hazel
replies to the client "We're doing the best we can. There are a lot
of other people in the unit who need attention too." This statement A. Defensive behavior
shows that the nurse's use of:
A. Defensive behavior
B. Reality reinforcement
C. Limit-setting behavior
D. Impulse control
14. Question
A nursing diagnosis for a male client with a diagnosed multiple
personality disorder is chronic low self-esteem probably related to
childhood abuse. The most appropriate short-term client outcome
would be: B. Recognizing each existing personality.
A. Verbalizing the need for anxiety medications.
B. Recognizing each existing personality.
C. Engaging in object-oriented activities.
D. Eliminating defense mechanisms and phobia.
15. Question
A 25-year-old male is admitted to a mental health facility because
of inappropriate behavior. The client has been hearing voices, re-
sponding to imaginary companions, and withdrawing to his room
for several days at a time. Nurse Monette understands that the
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withdrawal is a defense against the client's fear of:
A. Phobia
B. Powerlessness D. Rejection
C. Punishment
D. Rejection
16. Question
When asking the parents about the onset of problems in young
client with the diagnosis of schizophrenia, Nurse Linda would
expect that they would relate the client's difficulties began in:
C. Adolescence
A. Early childhood
B. Late childhood
C. Adolescence
D. Puberty
17. Question
Jose, who has been hospitalized with schizophrenia tells Nurse
Ron, "My heart has stopped and my veins have turned to glass!"
Nurse Ron is aware that this is an example of:
A. Somatic delusions
A. Somatic delusions
B. Depersonalization
C. Hypochondriasis
D. Echolalia
18. Question
In recognizing common behaviors exhibited by a male client who
has a diagnosis of schizophrenia, nurse Josie can anticipate:
A. Slumped posture, pessimistic outlook, and flight of ideas C. Withdrawal, regressed behavior, and lack of social skills
B. Grandiosity, arrogance, and distractibility
C. Withdrawal, regressed behavior, and lack of social skills
D. Disorientation, forgetfulness, and anxiety
19. Question
One morning, nurse Diane finds a disturbed client curled up in
the fetal position in the corner of the dayroom. The most accurate
initial evaluation of the behavior would be that the client is:
D. Feeling more anxious today.
A. Physically ill and experiencing abdominal discomfort.
B. Tired and probably did not sleep well last night.
C. Attempting to hide from the nurse.
D. Feeling more anxious today.
20. Question
Nurse Bea notices a female client sitting alone in the corner smil-
ing and talking to herself. Realizing that the client is hallucinating.
Nurse Bea should:
B. Leave the client alone until he stops talking.
A. Invite the client to help decorate the dayroom.
B. Leave the client alone until he stops talking.
C. Ask the client why he is smiling and talking.
D. Tell the client it is not good for him to talk to himself.
21. Question
When being admitted to a mental health facility, a young female
adult tells Nurse Mylene that the voices she hears frighten her.
Nurse Mylene understands that the client tends to hallucinate
more vividly: D. After going to bed
A. While watching TV
B. During mealtime
C. During group activities
D. After going to bed
22. Question
Nurse John recognizes that paranoid delusions usually are related
to the defense mechanism of:
A. Projection A. Projection
B. Identification
C. Repression
D. Regression
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23. Question
When planning care for a male client using paranoid ideation,
nurse Jasmin should realize the importance of:
A. Giving the client difficult tasks to provide stimulation. B. Providing the client with activities in which success can be
B. Providing the client with activities in which success can be achieved.
achieved.
C. Removing stress so that the client can relax.
D. Not placing any demands on the client.
24. Question
Nurse Gerry is aware that the defense mechanism commonly
used by clients who are alcoholics is:
A. Displacement B. Denial
B. Denial
C. Projection
D. Compensation
25. Question
Within a few hours of alcohol withdrawal, nurse John should
assess the male client for the presence of:
A. Disorientation, paranoia, tachycardia C. Irritability, heightened alertness, jerky movements
B. Tremors, fever, profuse diaphoresis
C. Irritability, heightened alertness, jerky movements
D. Yawning, anxiety, convulsions
26. Question
Mr. Marquez reports losing his job, not being able to sleep at night,
and feeling upset with his wife. Nurse John responds to the client,
"You may want to talk about your employment situation in group
today." The Nurse is using which therapeutic technique? D. Focusing
A. Observations
B. Restating
C. Exploring
D. Focusing
27. Question
Tony refuses his evening dose of Haloperidol (Haldol), then be-
comes extremely agitated in the dayroom while other clients are
watching television. He begins cursing and throwing furniture.
Nurse Oliver first action is to:
D. Remove all other clients from the dayroom.
A. Check the client's medical record for an order for an as-needed
I.M. dose of medication for agitation.
B. Place the client in full leather restraints.
C. Call the attending physician and report the behavior.
D. Remove all other clients from the dayroom.
28. Question
Junnel, who is manic, but not yet on medication, comes to the drug
treatment center. The nurse would not let this client join the group
session because:
A. The client is disruptive.
A. The client is disruptive.
B. The client is harmful to self.
C. The client is harmful to others.
D. The client needs to be on medication first.
29. Question
Dervid, an adolescent boy, was admitted for substance abuse and
hallucinations. The client's mother asks Nurse Armando to talk
with his husband when he arrives at the hospital. The mother says
that she is afraid of what the father might say to the boy. The most
appropriate nursing intervention would be to: C. Agree to talk with the mother and the father together.
A. Inform the mother that she and the father can work through this
problem themselves.
B. Refer the mother to the hospital social worker.
C. Agree to talk with the mother and the father together.
D. Suggest that the father and son work things out.

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30. Question
What is Nurse John likely to note in a male client being admitted
for alcohol withdrawal?
A. Perceptual disorders A. Perceptual disorders
B. Impending coma
C. Recent alcohol intake
D. Depression with mutism
31. Question
Aira has taken amitriptyline HCL (Elavil) for 3 days, but now
complains that it "doesn't help" and refuses to take it. What should
the nurse say or do?
D. Suggest that it takes a while before seeing the results.
A. Withhold the drug.
B. Record the client's response.
C. Encourage the client to tell the doctor.
D. Suggest that it takes a while before seeing the results.
32. Question
Dervid, an adolescent has a history of truancy from school, run-
ning away from home and "borrowing" other people's things with-
out their permission. The adolescent denies stealing, rationalizing
instead that as long as no one was using the items, it was all
right to borrow them. It is important for the nurse to understand
C. Superego
the psychodynamically, this behavior may be largely attributed to
a developmental defect related to the:
A. Id
B. Ego
C. Superego
D. Oedipal complex
33. Question
In preparing a female client for electroconvulsive therapy (ECT),
Nurse Michelle knows that succinylcholine (Anectine) will be ad-
ministered for which therapeutic effect?
C. Skeletal muscle paralysis
A. Short-acting anesthesia
B. Decreased oral and respiratory secretions
C. Skeletal muscle paralysis
D. Analgesia
34. Question
Nurse Gina is aware that the dietary implications for a client in
manic phase of bipolar disorder is:
A. Serve the client a bowl of soup, buttered French bread, and
D. Increase calories, carbohydrates, and protein.
apple slices.
B. Increase calories, decrease fat and decrease protein.
C. Give the client pieces of cut-up steak, carrots, and an apple.
D. Increase calories, carbohydrates, and protein.
35. Question
What parental behavior toward a child during an admission pro-
cedure should cause Nurse Ron to suspect child abuse?
A. Flat affect C. Acting overly solicitous toward the child.
B. Expressing guilt
C. Acting overly solicitous toward the child.
D. Ignoring the child.
36. Question
Nurse Lynnette notices that a female client with obsessive-com-
pulsive disorder washes her hands for long periods each day. How
should the nurse respond to this compulsive behavior?
A. By designating times during which the client can focus on the A. By designating times during which the client can focus on the
behavior. behavior.
B. By urging the client to reduce the frequency of the behavior as
rapidly as possible.
C. By calling attention to or attempting to prevent the behavior.
D. By discouraging the client from verbalizing anxieties.

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37. Question
After seeking help at an outpatient mental health clinic, Ruby who
was raped while walking her dog is diagnosed with posttraumatic
stress disorder (PTSD). Three months later, Ruby returns to the
clinic, complaining of fear, loss of control, and helpless feelings.
Which nursing intervention is most appropriate for Ruby? D. Exploring the meaning of the traumatic event with the client.
A. Recommending a high-protein, low-fat diet.
B. Giving sleep medication, as prescribed, to restore a normal
sleep-wake cycle.
C. Allowing the client time to heal.
D. Exploring the meaning of the traumatic event with the client.
38. Question
Meryl, age 19, is highly dependent on her parents and fears
leaving home to go away to college. Shortly before the semester
starts, she complains that her legs are paralyzed and is rushed to
the emergency department. When physical examination rules out
a physical cause for her paralysis, the physician admits her to the
psychiatric unit where she is diagnosed with conversion disorder.
Meryl asks the nurse, "Why has this happened to me?" What is
C. "Your problem is real but there is no physical basis for it. We'll
the nurse's best response?
work on what is going on in your life to find out why it's happened."
A. "You've developed this paralysis so you can stay with your
parents. You must deal with this conflict if you want to walk again."
B. "It must be awful not to be able to move your legs. You may feel
better if you realize the problem is psychological, not physical."
C. "Your problem is real but there is no physical basis for it. We'll
work on what is going on in your life to find out why it's happened."
D. "It isn't uncommon for someone with your personality to develop
a conversion disorder during times of stress."
39. Question
Nurse Krina knows that the following drugs have been known to
be effective in treating obsessive-compulsive disorder (OCD):
A. benztropine (Cogentin) and diphenhydramine (Benadryl). C. fluvoxamine (Luvox) and clomipramine (Anafranil)
B. chlordiazepoxide (Librium) and diazepam (Valium)
C. fluvoxamine (Luvox) and clomipramine (Anafranil)
D. divalproex (Depakote) and lithium (Lithobid)
40. Question
Alfred was newly diagnosed with anxiety disorder. The physician
prescribed buspirone (BuSpar). The nurse is aware that the teach-
ing instructions for newly prescribed buspirone should include
which of the following?
A. A warning about the drug's delayed therapeutic effect, which is
A. A warning about the drug's delayed therapeutic effect, which is
from 14 to 30 days.
from 14 to 30 days.
B. A warning about the incidence of neuroleptic malignant syn-
drome (NMS).
C. A reminder of the need to schedule blood work in 1 week to
check blood levels of the drug.
D. A warning that immediate sedation can occur with a resultant
drop in pulse.
41. Question
Richard with agoraphobia has been symptom-free for 4 months.
Classic signs and symptoms of phobias include:
A. Insomnia and an inability to concentrate. B. Severe anxiety and fear.
B. Severe anxiety and fear.
C. Depression and weight loss.
D. Withdrawal and failure to distinguish reality from fantasy.

42. Question
Which medications have been found to help reduce or eliminate
panic attacks? A. Antidepressants
A. Antidepressants
B. Anticholinergics

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C. Antipsychotics
D. Mood stabilizers
43. Question
A client seeks care because she feels depressed and has gained
weight. To treat her atypical depression, the physician prescribes
tranylcypromine sulfate (Parnate), 10 mg by mouth twice per day.
When this drug is used to treat atypical depression, what is its
B. 3 to 5 days
onset of action?
A. 1 to 2 days
B. 3 to 5 days
C. 6 to 8 days
D. 10 to 14 days
44. Question
A 65 years old client is in the first stage of Alzheimer's disease.
Nurse Patricia should plan to focus this client's care on:
A. Offering nourishing finger foods to help maintain the client's
nutritional status. B. Providing emotional support and individual counseling.
B. Providing emotional support and individual counseling.
C. Monitoring the client to prevent minor illnesses from turning into
major problems.
D. Suggesting new activities for the client and family to do together.
45. Question
The nurse is assessing a client who has just been admitted to the
emergency department. Which signs would suggest an overdose
of an antianxiety agent?
C. Emotional lability, euphoria, and impaired memory
A. Combativeness, sweating, and confusion
B. Agitation, hyperactivity, and grandiose ideation
C. Emotional lability, euphoria, and impaired memory
D. Suspiciousness, dilated pupils, and increased blood pressure
46. Question
The nurse is caring for a client diagnosed with an antisocial
personality disorder. The client has a history of fighting, cruelty
to animals, and stealing. Which of the following traits would the
nurse be most likely to uncover during the assessment? D. A low tolerance for frustration.
A. History of gainful employment.
B. Frequent expression of guilt regarding antisocial behavior.
C. Demonstrated ability to maintain close, stable relationships.
D. A low tolerance for frustration.
47. Question
Nurse Amy is providing care for a male client undergoing opiate
withdrawal. Opiate withdrawal causes severe physical discomfort
and can be life-threatening. To minimize these effects, opiate
users are commonly detoxified with: C. Methadone
A. Barbiturates
B. Amphetamines
C. Methadone
D. Benzodiazepines
48. Question
Nurse Cristina is caring for a client who experiences false sensory
perceptions with no basis in reality. These perceptions are known
as:
B. Hallucinations
A. Delusions
B. Hallucinations
C. Loose associations
D. Neologisms
49. Question
Nurse Marco is developing a plan of care for a client with anorexia
nervosa. Which action should the nurse include in the plan? C. Set up a strict eating plan for the client.
A. Restricts visits with the family and friends until the client begins
to eat.
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B. Provide privacy during meals.
C. Set up a strict eating plan for the client.
D. Encourage the client to exercise, which will reduce her anxiety.
50. Question
Tim is admitted with a diagnosis of delusions of grandeur. The
nurse is aware that this diagnosis reflects a belief that one is:
A. Highly important or famous. A. Highly important or famous.
B. Being persecuted.
C. Connected to events unrelated to oneself.
D. Responsible for the evil in the world.
51. Question
Nurse Jen is caring for a male client with manic depression. The
plan of care for a client in a manic state would include:
A. Offering high-calorie meals and strongly encouraging the client
to finish all food.
D. Listening attentively with a neutral attitude and avoiding power
B. Insisting that the client remain active through the day so that
struggles.
he'll sleep at night.
C. Allowing the client to exhibit hyperactive, demanding, manipu-
lative behavior without setting limits.
D. Listening attentively with a neutral attitude and avoiding power
struggles.
52. Question
Ramon is admitted for detoxification after a cocaine overdose. The
client tells the nurse that he frequently uses cocaine but that he
can control his use if he chooses. Which coping mechanism is he
using? D. Denial
A. Withdrawal
B. Logical thinking
C. Repression
D. Denial
53. Question
Richard is admitted with a diagnosis of schizotypal personality
disorder. Which signs would this client exhibit during social situa-
tions?
B. Paranoid thoughts
A. Aggressive behavior
B. Paranoid thoughts
C. Emotional affect
D. Independence needs
54. Question
Nurse Mickey is caring for a client diagnosed with bulimia. The
most appropriate initial goal for a client diagnosed with bulimia is
to:
C. Identify anxiety-causing situations.
A. Avoid shopping for large amounts of food.
B. Control eating impulses.
C. Identify anxiety-causing situations.
D. Eat only three meals per day.
55. Question
Rudolf is admitted for an overdose of amphetamines. When as-
sessing the client, the nurse should expect to see:
A. Tension and irritability A. Tension and irritability
B. Slow pulse
C. Hypotension
D. Constipation
56. Question
Nicolas is experiencing hallucinations and tells the nurse, "The
voices are telling me I'm no good." The client asks if the nurse
hears the voices. The most appropriate response by the nurse B. "No, I do not hear your voices, but I believe you can hear them".
would be:
A. "It is the voice of your conscience, which only you can control."
B. "No, I do not hear your voices, but I believe you can hear them".
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C. "The voices are coming from within you and only you can hear
them."
D. "Oh, the voices are a symptom of your illness; don't pay any
attention to them."
57. Question
The nurse is aware that the side effect of electroconvulsive therapy
that a client may experience:
A. Loss of appetite C. Confusion for a time after treatment
B. Postural hypotension
C. Confusion for a time after treatment
D. Complete loss of memory for a time
58. Question
A dying male client gradually moves toward resolution of feel-
ings regarding impending death. Basing care on the theory of
Kubler-Ross, Nurse Trish plans to use nonverbal interventions
when assessment reveals that the client is in the: D. Acceptance stage
A. Anger stage
B. Denial stage
C. Bargaining stage
D. Acceptance stage
59. Question
The outcome that is unrelated to a crisis state is:
A. Learning more constructive coping skills.
D. A higher level of anxiety continuing for more than 3 months.
B. Decompensation to a lower level of functioning.
C. Adaptation and a return to a prior level of functioning.
D. A higher level of anxiety continuing for more than 3 months.
60. Question
Miranda, a psychiatric client is to be discharged with orders for
haloperidol (Haldol) therapy. When developing a teaching plan for
discharge, the nurse should include cautioning the client against:
B. Staying in the sun.
A. Driving at night.
B. Staying in the sun.
C. Ingesting wines and cheeses.
D. Taking medications containing aspirin.
61. Question
Jen, a nursing student is anxious about the upcoming board
examination but is able to study intently and does not become
distracted by a roommate's talking and loud music. The student's
ability to ignore distractions and to focus on studying demon-
D. Moderate-level anxiety
strates:
A. Mild-level anxiety
B. Panic-level anxiety
C. Severe-level anxiety
D. Moderate-level anxiety
62. Question
When assessing a premorbid personality characteristics of a
client with a major depression, it would be unusual for the nurse
to find that this client demonstrated:
C. Diverse interest
A. Rigidity
B. Stubbornness
C. Diverse interest
D. Over meticulousness
63. Question
Nurse Krina recognizes that the suicidal risk for depressed client
is greatest:
A. As their depression begins to improve. A. As their depression begins to improve.
B. When their depression is most severe.
C. Before any type of treatment is started.
D. As they lose interest in the environment.

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64. Question
Nurse Kate would expect that a client with vascular dementia
would experience:
A. Loss of remote memory related to anoxia. D. Disturbance in recalling recent events related to cerebral hy-
B. Loss of abstract thinking related to emotional state. poxia.
C. Inability to concentrate related to decreased stimuli.
D. Disturbance in recalling recent events related to cerebral hy-
poxia.
65. Question
Josefina is to be discharged on a regimen of lithium carbonate. In
the teaching plan for discharge the nurse should include:
A. Advising the client to watch the diet carefully. D. Encouraging the client to have blood levels checked as ordered.
B. Suggesting that the client take the pills with milk.
C. Reminding the client that a CBC must be done once a month.
D. Encouraging the client to have blood levels checked as ordered.
66. Question
The psychiatrist orders lithium carbonate 600 mg p.o t.i.d for a
female client. Nurse Katrina would be aware that the teaching
about the side effects of this drug were understood when the client
state, "I will call my doctor immediately if I notice any: B. Fine hand tremors or slurred speech.
A. Sensitivity to bright light or sun.
B. Fine hand tremors or slurred speech.
C. Sexual dysfunction or breast enlargement.
D. Inability to urinate or difficulty when urinating.
67. Question
Nurse Mylene recognizes that the most important factor neces-
sary for the establishment of trust in a critical care area is:
A. Privacy D. Presence
B. Respect
C. Empathy
D. Presence
68. Question
When establishing an initial nurse-client relationship, Nurse Hazel
should explore with the client the:
A. Client's perception of the presenting problem. A. Client's perception of the presenting problem.
B. Occurrence of fantasies the client may experience.
C. Details of any ritualistic acts carried out by the client.
D. Client's feelings when external; controls are instituted.
69. Question
Tranylcypromine sulfate (Parnate) is prescribed for a depressed
client who has not responded to the tricyclic antidepressants. After
teaching the client about the medication, Nurse Marian evaluates
that learning has occurred when the client states, "I will avoid: B. Chocolate milk, aged cheese, and yogurt"
A. Citrus fruit, tuna, and yellow vegetables."
B. Chocolate milk, aged cheese, and yogurt"
C. Green leafy vegetables, chicken, and milk."
D. Whole grains, red meats, and carbonated soda."
70. Question
Nurse John is aware that most crisis situations should resolve in
about:
A. 1 to 2 weeks B. 4 to 6 weeks
B. 4 to 6 weeks
C. 4 to 6 months
D. 6 to 12 months

71. Question
Nurse Judy knows that statistics show that in adolescent suicidal
behavior: D. Males are more likely to use lethal methods than are females.
A. Females use more dramatic methods than males.
B. Males account for more attempts than do females.

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C. Females talk more about suicide before attempting it.
D. Males are more likely to use lethal methods than are females.
72. Question
David with paranoid schizophrenia repeatedly uses profanity dur-
ing an activity therapy session. Which response by the nurse
would be most appropriate?
A. "Your behavior won't be tolerated. Go to your room immediate-
ly." C. "Your cursing is interrupting the activity. Take time out in your
B. "You're just doing this to get back at me for making you come room for 10 minutes."
to therapy."
C. "Your cursing is interrupting the activity. Take time out in your
room for 10 minutes."
D. "I'm disappointed in you. You can't control yourself even for a
few minutes."
73. Question
Nurse Maureen knows that the non-antipsychotic medication
used to treat some clients with schizoaffective disorder is:
A. phenelzine (Nardil) C. lithium carbonate (Lithane)
B. chlordiazepoxide (Librium)
C. lithium carbonate (Lithane)
D. imipramine (Tofranil)
74. Question
Which information is most important for the nurse Trinity to include
in a teaching plan for a male schizophrenic client taking clozapine
(Clozaril)?
B. Report a sore throat or fever to the physician immediately.
A. Monthly blood tests will be necessary.
B. Report a sore throat or fever to the physician immediately.
C. Blood pressure must be monitored for hypertension.
D. Stop the medication when symptoms subside.
75. Question
Ricky with chronic schizophrenia takes neuroleptic medication
and is admitted to the psychiatric unit. Nursing assessment re-
veals rigidity, fever, hypertension, and diaphoresis. These findings
suggest which life-threatening reaction: C. Neuroleptic malignant syndrome
A. Tardive dyskinesia
B. Dystonia
C. Neuroleptic malignant syndrome
D. Akathisia

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