Dif cognitive level understanding top nursing process

DIF: Cognitive level: Understanding TOP: Nursing process: Planning
MSC: Client Needs: Physiologic Integrity
15.
A patient is being switched to clozapine from therapy using a traditional antipsychotic. The
patient asks, “What’s the advantage of the new drug?” What is the nurse’s best response?
a. “It is much less expensive.”
b. “It has a lower risk for seizure activity.”
c. “It is sometimes effective when other drugs fail.”
d. “It has a lower risk for causing blood abnormalities.”
ANS: C
Clozapine is often effective against refractory schizophrenia. The distracters are incorrect
statements.
DIF: Cognitive level: Applying TOP: Nursing process: Implementation
MSC: Client Needs: Physiologic Integrity
16.
Which drug would a nurse expect to produce a favorable response for both positive and
negative symptoms?

G R A D E S M O R E . C O M
c. Fluphenazine
d. Trifluoperazine
ANS: B
Risperidone is an atypical antipsychotic. It has proven to be effective in managing both
positive and negative symptoms of schizophrenia in many patients. The other drugs are
traditional antipsychotics, all of which are more effective in managing positive symptoms.
DIF: Cognitive level: Understanding TOP: Nursing process: Evaluation
MSC: Client Needs: Physiologic Integrity
17.
A patient has taken a traditional antipsychotic medication for several years is now
demonstrating involuntary tongue movements and lip smacking. What should be the nurse’s
initial action?