A nurse is caring for a client who is experiencing periods of hyperactivity, impulsivity, and inattentiveness. Which of the following medications should the nurse anticipate the provider to prescribe?
Dopamine antagonist
Central nervous system stimulant
Selective serotonin reuptake inhibitor
Benzodiazepine
The Correct Answer is B
B. The symptoms described—hyperactivity, impulsivity, and inattentiveness—are characteristic of attention-deficit/hyperactivity disorder (ADHD). Central nervous system (CNS) stimulants, such as methylphenidate or amphetamine-based medications, are commonly prescribed as first- line treatments for ADHD.
A. While dopamine dysregulation is implicated in ADHD, dopamine antagonists are more commonly used to treat psychotic disorders such as schizophrenia.
C. While they may be prescribed for conditions such as depression, anxiety, and certain other mood disorders, they are not typically used as first-line treatment for ADHD.
D. Benzodiazepines are a class of medications primarily used to treat anxiety, insomnia, and seizures. They are not indicated for the treatment of ADHD and do not address the core symptoms of the disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. One of the most significant potential side effects of clozapine is agranulocytosis, a severe decrease in the number of white blood cells not red blood cells, particularly neutrophils.
B. Limiting fluid intake is not typically a specific concern associated with clozapine.
C. Clozapine is not known to have significant interactions with tyramine-rich foods
D. Medication adherence is a key component in clients on clozapine to prevent acute psychotic episodes.
Correct Answer is A
Explanation
A. A lack of emotions, also known as flat affect or emotional blunting, is a common negative symptom of schizophrenia. It refers to a reduced range or intensity of emotional expression, such as reduced facial expressions, tone of voice, or gestures.
B. Paranoia is not a negative symptom but rather a positive symptom of schizophrenia.
C. Confusion may occur in schizophrenia, but it is not specific to negative symptoms. Confusion can be a result of various factors, including medication side effects, acute psychosis, or cognitive deficits.
D. Distorted beliefs, such as delusions, are considered positive symptoms rather than negative symptoms of schizophrenia.
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