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A nurse is preparing to administer an antipsychotic medication to a patient diagnosed with schizophrenia. The prescribed dose is 10 mg, and the medication is available in 5 mg tablets. How many tablets should the nurse administer?

0 tablet

3 tablets

0.5 tablet

2 tablets

Answer and Explanation

The Correct Answer is D

Choice A reason: Zero tablets would result in the patient not receiving the required medication.

Choice B reason: Three tablets equal 15 mg, which is above the prescribed dose and could cause adverse effects.

Choice C reason: Half a tablet equals 2.5 mg, which is insufficient to meet the 10 mg prescribed dose.

Choice D reason: Two tablets equal the prescribed 10 mg, which is correct.

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Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason: Administering prescribed antipsychotic medication is a priority in acute psychotic episodes to reduce agitation, control hallucinations, and stabilize thought processes. Prompt pharmacologic intervention can prevent escalation of symptoms and potential harm.

Choice B reason: Ensuring a safe environment is essential because patients experiencing psychosis are at increased risk of self-harm or harming others due to delusions and impaired judgment. Safety is always the first priority in emergency psychiatric care.

Choice C reason: Monitoring for side effects of medications is necessary because antipsychotics can cause acute adverse reactions such as dystonia, akathisia, or even neuroleptic malignant syndrome. Early recognition and intervention can prevent complications.

Choice D reason: Leaving the patient alone while highly agitated is unsafe, as the patient may harm themselves or others. Continuous supervision and therapeutic presence are needed.

Choice E reason: Using calm and clear communication builds trust, reduces paranoia, and helps orient the patient. Clear, simple language is effective when the patient’s cognitive processing is impaired.

Choice F reason: Group therapy is inappropriate during acute agitation. The patient must first stabilize before being introduced to therapeutic group settings.

Choice G reason: Ignoring hallucinations and delusions is not therapeutic. While the nurse should not reinforce false beliefs, acknowledging the patient’s feelings and providing reality orientation is best practice.

Choice H reason: Providing detailed explanations about the condition and treatment during acute psychosis is ineffective. The patient is unlikely to process complex information until stabilized.

A. The Hamilton Depression Scale B. The Body Attitude Test C. The Abnormal Involuntary Movement Scale D. The Recovery Attitude and Treatment Evaluator

Correct Answer is C

Explanation

Choice A reason: The Hamilton Depression Scale is used to assess severity of depression, not antipsychotic side effects.

Choice B reason: The Body Attitude Test is used in eating disorder assessments, unrelated to risperidone therapy.

Choice C reason: The Abnormal Involuntary Movement Scale (AIMS) evaluates for movement disorders like tardive dyskinesia, which are possible side effects of antipsychotics. Baseline assessment is essential before starting treatment.

Choice D reason: The Recovery Attitude and Treatment Evaluator measures patient attitudes about recovery and treatment, not medication side effects.

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A nurse is preparing to administer an antipsychotic medication to a patient diagnosed with schizophrenia. The prescribed dose is 10 mg, and the medication is available in 5 mg tablets. How many tablets should the nurse administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 25-year-old male with schizophrenia is brought to the emergency department by his family. He is exhibiting severe agitation, auditory hallucinations, and paranoid delusions. What are the nursing priorities for managing this patient in an acute situation? (Select All that Apply.)

Correct Answer is ["A","B","C","E"]

Explanation

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Correct Answer is C

Explanation

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