A nurse can anticipate teaching a patient to expect anticholinergic side effects such as dry mouth, blurred vision, mydriasis, constipation, and urinary retention when they are prescribed which medication?

buspirone

lithium

imipramine

risperidone

Answer and Explanation

The Correct Answer is C

A. Buspirone – This anxiolytic does not typically cause significant anticholinergic effects.

B. Lithium – Common side effects include tremor, polyuria, and mild gastrointestinal upset, not prominent anticholinergic effects.

C. Imipramine, a tricyclic antidepressant, has strong anticholinergic properties, leading to dry mouth, blurred vision, mydriasis, constipation, and urinary retention.

D. Risperidone – An atypical antipsychotic; anticholinergic effects are minimal compared to tricyclic antidepressants.

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Correct Answer is B

Explanation

A. This is an example of insight into underlying fear, not rationalization.

B. Rationalization involves providing a justifiable-sounding reason for unacceptable behavior (blaming the victim for provocation).

C. This reflects lack of awareness, not rationalization.

D. This shows acknowledgment of poor control, not an attempt to justify behavior.

A. communication disorder. B. Attention Deficit Hyperactive Disorder (ADHD). C. intellectual development disorder. D. stereotypic movement disorder.

Correct Answer is B

Explanation

A. Communication disorders involve difficulties with speech, language, or communication (e.g., stuttering, limited vocabulary). The main problem here is hyperactivity, not speech/language impairment.

B. ADHD is characterized by inattention, hyperactivity, and impulsivity. Behaviors such as being in constant motion, excessive talking, lack of sustained interest in activities, and getting up early with energy are hallmark signs of hyperactive/impulsive type ADHD.

C. Intellectual development disorder (formerly mental retardation) involves below-average intellectual functioning and impaired adaptive skills, not constant hyperactivity and excessive talking.

D. Stereotypic movement disorder is repetitive, purposeless motor behavior (e.g., hand flapping, head banging), not generalized hyperactivity and impulsivity.

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A nurse can anticipate teaching a patient to expect anticholinergic side effects such as dry mouth, blurred vision, mydriasis, constipation, and urinary retention when they are prescribed which medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A cruel and abusive person often uses rationalization to explain their behavior. Which comment demonstrates use of this defense mechanism?

Correct Answer is B

Explanation

The parent of a 6-year-old says. "My child is in constant motion and talks all the time. My child isn't interested in toys but is out of bed every morning before me." The child's behavior is most consistent with diagnostic criteria for

Correct Answer is B

Explanation

A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated as needed for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects?

A health care provider considers which antipsychotic medication to prescribe for a patient diagnosed with schizophrenia who has auditory hallucinations and poor social function. The patient is also overweight and hypertensive. Which drug should the nurse advocate?

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Which action by a psychiatric nurse best applies the ethical principle of autonomy?

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A nurse has prepared teaching materials for the parents of a child newly diagnosed with ADHD. The information will focus on which medication likely to be prescribed?

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