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Chapter 49: Antipsychotics Test Bank

Chapter 49: Antipsychotics Test Bank

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Chapter 49: Antipsychotics
Test Bank
MULTIPLE CHOICE
1.   The primary care nurse practitioner (NP) is performing a physical examination on a patient who has been taking mesoridazine (Serentil) for several weeks to treat schizophrenia. The patient is exhibiting rhythmic movements of the face and jaw. The NP should be concerned that the patient may:
a.

need a higher dose of mesoridazine.

b.

need to change to thioridazine (Mellaril).

c.

have developed neuroleptic malignant syndrome.

d.

be exhibiting signs of an irreversible adverse effect.

2.   A patient with a recent diagnosis of schizophrenia is taking thioridazine (Mellaril) to treat psychotic symptoms. The patient’s family member is concerned that the patient continues to have little interest in activities and has difficulty beginning even simple tasks. The primary care NP should contact the patient’s psychiatrist to discuss changing to:
a.

fluphenazine (Prolixin).

b.

risperidone (Risperdal).

c.

chlorpromazine (Thorazine).

d.

prochlorperazine (Compazine).

3.   A 22-year-old male patient who has dropped out of college has increasingly disorganized behavior and delusional thinking. His parents report that he lives at home and has no desire to find a job or help around the house. The primary care NP has ruled out organic causes and has referred the patient to a psychiatrist for treatment. To prepare for the referral visit, the NP should:
a.

begin therapy with a low-potency antipsychotic.

b.

begin therapy with a high-potency antipsychotic.

c.

obtain a complete blood count (CBC), serum lipids, and hemoglobin A1c.

d.

order liver function tests (LFTs), a CBC, an electrocardiogram (ECG), and a urinalysis.

4.   A patient who is newly diagnosed with schizophrenia is overweight and has a positive family history for type 2 diabetes mellitus. The primary care NP should consider initiating antipsychotic therapy with:
a.

ziprasidone (Geodon).

b.

olanzapine (Zyprexa).

c.

risperidone (Risperdal).

d.

chlorpromazine (Thorazine).

5.   A patient has been taking olanzapine (Zyprexa) for 3 weeks to treat schizophrenia. The primary care NP notes that the patient has more coherent speech and improved initiative and attentiveness but continues to have delusional ideation. The NP should:
a.

increase the dose of olanzapine.

b.

decrease the dose of olanzapine.

c.

maintain the same dose of olanzapine.

d.

change from olanzapine to chlorpromazine.


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