All of the following are second generation antipsychotics except
haloperidol (Haldol)
ziprasidone (Geodon)
risperidone (Risperdal)
olanzapine (Zyprexa)
The Correct Answer is A
A. Haloperidol (Haldol) is a first-generation (typical) antipsychotic that primarily blocks dopamine (D2) receptors. It is associated with a higher risk of extrapyramidal side effects (EPS), including dystonia, akathisia, and tardive dyskinesia, compared to second-generation antipsychotics.
B. Ziprasidone (Geodon) is a second-generation (atypical) antipsychotic that blocks both dopamine (D2) and serotonin (5-HT2A) receptors. It has a lower risk of EPS but can cause QT prolongation, requiring ECG monitoring in patients with cardiac conditions.
C. Risperidone (Risperdal) is a second-generation antipsychotic with dopamine and serotonin antagonism. It is effective for schizophrenia, bipolar disorder, and irritability in autism but has a higher likelihood of prolactin elevation and EPS at higher doses.
D. Olanzapine (Zyprexa) is a second-generation antipsychotic known for its high risk of metabolic side effects, including weight gain, diabetes, and dyslipidemia. It has a lower risk of EPS compared to first-generation antipsychotics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Recurrent eye plucking. There is no recognized disorder specifically involving eye plucking. However, repetitive behaviors targeting the eyes may be seen in severe body-focused repetitive behaviors (BFRBs) or obsessive-compulsive disorder (OCD)-related conditions.
B. Recurrent lip biting. While some individuals engage in compulsive lip biting, this behavior is not classified under excoriation disorder but may be part of body-focused repetitive behaviors (BFRBs) or impulse control disorders.
C. Recurrent skin picking. Excoriation disorder (dermatillomania) is a mental health condition characterized by compulsive skin picking, leading to tissue damage, infections, and scarring. It is classified under obsessive-compulsive and related disorders (OCRDs) in the DSM-5 and is often associated with anxiety, stress, or perfectionism.
D. Recurrent hair pulling. Trichotillomania (hair-pulling disorder) is a separate condition from excoriation disorder, involving compulsive hair pulling that results in noticeable hair loss. It is also classified under obsessive-compulsive and related disorders in the DSM-5.
Correct Answer is D
Explanation
A. Stabilization phase. The stabilization phase occurs after the acute phase, when psychotic symptoms begin to improve with treatment. During this phase, the focus is on reducing symptom severity, medication adjustment, and preventing relapse.
B. Maintenance phase. The maintenance phase follows stabilization and involves long-term management to prevent relapse. During this phase, symptoms are either in remission or significantly reduced, and the goal is to ensure medication adherence, therapy, and social reintegration.
C. Prodromal phase. The prodromal phase precedes the acute phase and is marked by early warning signs such as social withdrawal, decreased motivation, mild paranoia, and subtle cognitive changes. It may last weeks to years before full-blown psychotic symptoms appear.
D. Acute phase. The acute phase is the period of full-blown psychotic symptoms, including hallucinations, delusions, disorganized speech, and impaired functioning. This is the most severe phase, often requiring hospitalization and intensive treatment to stabilize the patient.
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