Uses Of Antipsychotic Drugs

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Uses Of Antipsychotic Drugs - Quiz

Antipsychotic drugs are a class of drugs also known as neuroleptics and are used as tranquilizers to manage people with mental conditions. Take up the quiz below and learn more about the uses of these drugs.


Questions and Answers
  • 1. 

    An important component of the therapeutic milieu is

    • A.

      Participation of patients and staff in decision-making

    • B.

      Participation of the community in decision-making

    • C.

      Participation of the family in decision-making

    • D.

      Participation of staff in decision-making

    Correct Answer
    A. Participation of patients and staff in decision-making
    Explanation
    The therapeutic milieu refers to the therapeutic environment in a healthcare setting, where patients receive treatment and support. In order for this environment to be effective, it is important for both patients and staff to be involved in decision-making. This allows patients to have a voice in their own treatment plans and fosters a sense of autonomy and empowerment. It also ensures that staff members have a comprehensive understanding of the patients' needs and preferences, leading to more personalized and effective care. Overall, the participation of both patients and staff in decision-making promotes a collaborative and patient-centered approach to healthcare.

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  • 2. 

    The concept of 'transference' by a cient is based on which of the following notions?

    • A.

      The concious

    • B.

      The emotions

    • C.

      Affect

    • D.

      The unconscious

    Correct Answer
    D. The unconscious
    Explanation
    The concept of 'transference' by a client is based on the notion of the unconscious. Transference refers to the unconscious redirection of feelings and emotions from one person to another, often towards the therapist. It is a psychoanalytic concept that suggests that unresolved emotions and conflicts from past relationships are transferred onto the therapist, influencing the therapeutic relationship and providing insights into the client's unconscious dynamics.

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  • 3. 

    Selective srotonin reupatke inhibitors (SSRIs) belong to which gorp of psychotropic drugs?

    • A.

      Mood-stabilisers

    • B.

      Antidepressants

    • C.

      Antipsychotics

    • D.

      Anxiolytics

    Correct Answer
    B. Antidepressants
    Explanation
    Selective serotonin reuptake inhibitors (SSRIs) are a class of psychotropic drugs that are primarily used as antidepressants. They work by increasing the levels of serotonin in the brain, which helps to improve mood and reduce symptoms of depression. SSRIs are commonly prescribed for conditions such as major depressive disorder, generalized anxiety disorder, and obsessive-compulsive disorder. They are not classified as mood stabilizers, antipsychotics, or anxiolytics, which are different classes of psychotropic drugs with different mechanisms of action and indications.

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  • 4. 

    One ethical and self-reflective issue that nurses will need to contend with in mental health is

    • A.

      Unions

    • B.

      Conversion

    • C.

      Aggression

    • D.

      Boundaries

    Correct Answer
    D. Boundaries
    Explanation
    In the context of mental health nursing, the issue of boundaries refers to the professional and personal limits that nurses must establish and maintain in their interactions with patients. It involves maintaining appropriate emotional distance, respecting confidentiality, and avoiding dual relationships that could compromise the therapeutic relationship. Nurses need to be aware of their own biases, values, and potential power dynamics to ensure that they do not overstep boundaries or engage in unethical behavior. Failing to establish and maintain appropriate boundaries can have negative consequences for both the nurse and the patient, potentially compromising the quality of care provided.

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  • 5. 

    The nurse is caring for a client who has been prescribed fluoxetine (prozac) for a daignosis of major depression.  The nurse shoudl caution the client that severe serotonin syndrome can occur if the client takes the medication in conjunction with a/an

    • A.

      Tricyclic antidepressant medication

    • B.

      Antihypertensive medication

    • C.

      Monoamine oxidase inhibitor medication

    • D.

      A typical antidepressant medication

    Correct Answer
    C. Monoamine oxidase inhibitor medication
    Explanation
    Fluoxetine (Prozac) is a selective serotonin reuptake inhibitor (SSRI) medication used to treat depression. When combined with a monoamine oxidase inhibitor (MAOI) medication, it can lead to a potentially life-threatening condition called serotonin syndrome. MAOIs inhibit the breakdown of serotonin in the brain, leading to an excess of serotonin when combined with an SSRI. This can cause symptoms such as confusion, agitation, rapid heartbeat, high blood pressure, dilated pupils, and even seizures. Therefore, caution should be exercised when taking fluoxetine with MAOIs to avoid serotonin syndrome.

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  • 6. 

    A person classified with a borderline personality disorder may effectiviely use which of the following interventions?

    • A.

      Psychopharmacology

    • B.

      Electro-convulsive therapy

    • C.

      Psychotherapy

    • D.

      Dialectical behaviour therpay

    Correct Answer
    D. Dialectical behaviour therpay
    Explanation
    Dialectical behavior therapy (DBT) is an effective intervention for individuals with borderline personality disorder. DBT combines elements of cognitive-behavioral therapy with mindfulness techniques to help individuals regulate their emotions, manage distress, and improve interpersonal relationships. It focuses on teaching skills such as mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. DBT has been shown to reduce self-destructive behaviors, suicide attempts, and improve overall functioning in individuals with borderline personality disorder.

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  • 7. 

    One fot eh main purposes of the multidisciplinary team is to

    • A.

      Establish rules and regulations for team membership

    • B.

      Provide a unique perspective on viewing the client

    • C.

      Establish routine work delegation among team members

    • D.

      Provide an opportunity for communication

    Correct Answer
    B. Provide a unique perspective on viewing the client
    Explanation
    The main purpose of a multidisciplinary team is to provide a unique perspective on viewing the client. This means that by having professionals from different disciplines working together, they can bring their expertise and knowledge to the table, allowing for a comprehensive understanding of the client's needs and situation. This diverse perspective can lead to more effective and holistic treatment or care plans for the client.

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  • 8. 

    When a family is deemed to have hgih levels of expressed emotion (EE) whihc of the following is the appropriate intervention?

    • A.

      Psychotherapy

    • B.

      Psychogenesis

    • C.

      Psychoeducation

    • D.

      Psychopharmacology

    Correct Answer
    C. Psychoeducation
    Explanation
    Psychoeducation is the appropriate intervention when a family is deemed to have high levels of expressed emotion (EE). Psychoeducation involves providing information and education to the family members about the nature of the mental health condition, its causes, symptoms, and treatment options. This intervention helps the family understand and manage the condition better, reduces stigma, improves communication, and enhances coping skills. It empowers the family to provide support and create a more supportive and understanding environment for the individual with the mental health condition.

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  • 9. 

    In teh past, the traditional antipsychotics, particularly haloperiodol, have been prescribed as PRN medication for acute agitation and distrubed behaviour.  New evidence suggests that

    • A.

      SSRIs can be just as effective as traditional antipsychotic PRN medication

    • B.

      Antiparkinsonian drugs are more effective than traditional antipsychotics as PRN

    • C.

      Benzodiazepines are just as effective as traditional antipsychotics as PRN medication

    • D.

      Mood-stabilisers are now more effective than traditional antipsychotics as PRN medication

    Correct Answer
    C. Benzodiazepines are just as effective as traditional antipsychotics as PRN medication
    Explanation
    Benzodiazepines are just as effective as traditional antipsychotics as PRN medication. This means that benzodiazepines can be used as needed to treat acute agitation and disturbed behavior, similar to how traditional antipsychotics like haloperidol have been prescribed in the past. This suggests that benzodiazepines may be a suitable alternative to traditional antipsychotics in certain situations.

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  • 10. 

    Which of the following procedures is a partice that most patients in a mental health setting perceive in a negative way?

    • A.

      Relaxation

    • B.

      Meetings

    • C.

      Seclusion

    • D.

      Groups

    Correct Answer
    C. Seclusion
    Explanation
    Seclusion is the correct answer because it refers to the practice of isolating a patient in a separate room or area, away from others. This can be seen as a negative procedure by most patients in a mental health setting as it can be perceived as punishment or a loss of freedom. Being secluded can lead to feelings of loneliness, anxiety, and a lack of control, which are often viewed negatively by patients.

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  • 11. 

    A client tells the nurse that she has quit taking a prescribed anxiolytic drug.  The nurse should explain to the client that a common withdrawal symptom is  

    • A.

      Bradycardia

    • B.

      Hypotension

    • C.

      Agitation

    • D.

      Depression

    Correct Answer
    C. Agitation
    Explanation
    When a client abruptly stops taking a prescribed anxiolytic drug, it can lead to withdrawal symptoms. One common symptom is agitation. Agitation refers to a state of restlessness, irritability, and anxiety. It can manifest as fidgeting, pacing, or difficulty sitting still. This symptom occurs because the sudden discontinuation of the anxiolytic drug disrupts the balance of chemicals in the brain, causing heightened arousal and emotional distress. It is important for the nurse to explain this to the client so that they understand the potential effects of abruptly stopping their medication and can seek appropriate medical guidance.

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  • 12. 

    A clinet with a mental disorder has been prescribed an antipsychotic medication.  The nurse should explain to teh client and his family that antipsychotic medications act by blocking the effects of

    • A.

      Norepinerphrine

    • B.

      Acetylcholine

    • C.

      Dopamine

    • D.

      Epinephrine

    Correct Answer
    C. Dopamine
    Explanation
    Antipsychotic medications act by blocking the effects of dopamine. Dopamine is a neurotransmitter that plays a role in regulating mood, motivation, and pleasure. In individuals with mental disorders such as schizophrenia, there is an overactivity of dopamine in certain areas of the brain, leading to symptoms such as hallucinations and delusions. By blocking the effects of dopamine, antipsychotic medications help to reduce these symptoms and restore a balance in the brain.

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  • 13. 

    Motivational interviewing was initially an intervention developed for working with which type of clients?

    • A.

      People with substance abuse and dependence problems

    • B.

      People with depressive and suicidal problems

    • C.

      People with perceptual disorders and problems

    • D.

      People with mood disorders

    Correct Answer
    A. People with substance abuse and dependence problems
    Explanation
    Motivational interviewing was initially developed as an intervention for working with people who have substance abuse and dependence problems. This approach focuses on enhancing motivation and commitment to change by exploring and resolving ambivalence. It aims to help individuals recognize the negative consequences of their behavior and find the internal motivation to make positive changes in their lives.

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  • 14. 

    The main difference between a closed question and an open-ended question is that

    • A.

      A closed question is used to allow the respondent to answer more fuly an open-ended question elicits a brief answer or single word

    • B.

      A closed question is used more often in a therapeuti conversation than an open-ended question, to let the conversation flow

    • C.

      A closed question is used to let the conversation flow and an open-ended question is used more often in a therapeutic conversation

    • D.

      A closed qeustion is used to elicit a brief answer or single word and an open-ended question allows the respondent to answer more fully

    Correct Answer
    D. A closed qeustion is used to elicit a brief answer or single word and an open-ended question allows the respondent to answer more fully
    Explanation
    A closed question is used to elicit a brief answer or single word, while an open-ended question allows the respondent to answer more fully. This means that a closed question restricts the response options and is often used when a brief or specific answer is desired. On the other hand, an open-ended question encourages the respondent to provide a more detailed or comprehensive answer, allowing for a broader range of responses.

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  • 15. 

    For a nurse working in teh mental health area, clinical supervision may provide

    • A.

      A safe avenue for nurses to express their feelings

    • B.

      A useful contact for the graduate nurse to be involved in

    • C.

      A way of talking to supervisors about patients

    • D.

      A stepping stone for promotion activities

    Correct Answer
    A. A safe avenue for nurses to express their feelings
    Explanation
    Clinical supervision in the mental health area can provide a safe avenue for nurses to express their feelings. Mental health nursing can be emotionally demanding, with nurses often dealing with challenging and distressing situations. Clinical supervision allows nurses to discuss their experiences, emotions, and concerns in a supportive and confidential environment. This can help nurses process their feelings, reduce stress, and prevent burnout. It also promotes self-reflection and personal growth, enhancing the nurse's ability to provide effective care to patients.

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  • 16. 

    An underlying principle of validation in a therapeutic lieu for the client involves

    • A.

      Accessibility of treatment programs such as group work

    • B.

      Infromation being available for medication compliance

    • C.

      Openess with family members concerning treatment options

    • D.

      Encouraging open discussion of values, feelings and goals

    Correct Answer
    D. Encouraging open discussion of values, feelings and goals
    Explanation
    In a therapeutic setting, validation for the client involves encouraging open discussion of their values, feelings, and goals. By creating a safe and non-judgmental space, the therapist allows the client to express themselves freely, which can lead to a deeper understanding of their own emotions and desires. This open discussion also helps the therapist gain insight into the client's perspectives and helps tailor the treatment approach accordingly. It promotes trust and collaboration between the client and therapist, ultimately enhancing the effectiveness of the therapeutic process.

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  • 17. 

    A client with a bipolar disorder is being treated with carbamazepine (Tegretol).  The nurse should instruct the client that a toxic symptom of the medication is

    • A.

      Headache

    • B.

      Diarrhoea

    • C.

      Urinary frequency

    • D.

      Neuromuscular distrubances

    Correct Answer
    D. Neuromuscular distrubances
    Explanation
    Carbamazepine (Tegretol) is an anticonvulsant medication commonly used to treat bipolar disorder. One of the potential side effects of this medication is the development of neuromuscular disturbances. These disturbances can manifest as muscle weakness, tremors, or difficulty coordinating movements. It is important for the client to be aware of this potential side effect and to report any unusual muscle symptoms to their healthcare provider. Headache, diarrhea, and urinary frequency are not commonly associated with carbamazepine toxicity.

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  • 18. 

    Apart from commitment and expertise from staff, therapeutic communities also need staff to have

    • A.

      Skills to empower clients

    • B.

      Skills in administration

    • C.

      Commitment to helping clients

    • D.

      Commitment to time management

    Correct Answer
    A. Skills to empower clients
    Explanation
    Therapeutic communities require staff members to have skills to empower clients because empowering clients is essential for their growth and progress in the community. Empowerment involves providing individuals with the necessary tools, knowledge, and support to take control of their own lives and make informed decisions. By empowering clients, staff members can help them develop self-confidence, independence, and a sense of ownership over their recovery journey. This ultimately leads to better outcomes and a more effective therapeutic environment.

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  • 19. 

    One of the main concerns regarding the use of ECT as an intervention is that

    • A.

      People are not certain how ECT works

    • B.

      People prefer medication to ECT

    • C.

      People are not certain of how ECT is seen by teh media

    • D.

      People have fmaily options to consider

    Correct Answer
    A. People are not certain how ECT works
    Explanation
    The main concern regarding the use of ECT as an intervention is that people are not certain how ECT works. This lack of understanding can lead to fear and uncertainty among individuals considering ECT as a treatment option. Without a clear understanding of how ECT works, people may be hesitant to undergo the procedure and may prefer alternative treatments such as medication. Additionally, the lack of knowledge about ECT's mechanism of action may also contribute to misconceptions perpetuated by the media, further influencing people's perceptions and decisions regarding ECT.

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  • 20. 

    Adherence and compliance to an antipsychotic medication regimen have been seen as two of the single most important factors in deterring

    • A.

      Recurring side-effects for a client

    • B.

      Mdt interaction with a client

    • C.

      Hospital admission for a client

    • D.

      Family itneraction with a client

    Correct Answer
    C. Hospital admission for a client
    Explanation
    Adherence and compliance to an antipsychotic medication regimen are crucial in preventing recurring side-effects for a client. By consistently taking the prescribed medication, the client can effectively manage their symptoms and avoid relapses or worsening of their condition. This reduces the likelihood of experiencing severe symptoms that may require hospitalization. Therefore, maintaining adherence and compliance to the medication regimen can significantly decrease the need for hospital admission for the client.

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  • Current Version
  • Mar 21, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Oct 10, 2008
    Quiz Created by
    Chamae

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