Nonadherence with Antipsychotics Quiz
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Questions and Answers

Which term is the preferred name for the group of drugs used to manage symptoms of psychosis and anxiety disorders?

  • Psychotropics
  • Antipsychotics (correct)
  • Neuroleptics
  • Anxiolytics

    • What is the term for drugs that modify psychotic behavior and have an antipsychotic effect?

  • Sedative-hypnotics
  • Neuroleptics (correct)
  • Anxiolytics
  • Antipsychotics

    • Which mental disorder category is characterized by symptoms such as disorganized thinking, memory difficulty, and decreased ability to focus attention?

  • Schizophrenia (correct)
  • Psychosis
  • Anxiety disorders
  • Catatonia

    • What are the manifestations of psychosis usually characterized by?

    <p>Aggressive or violent behavior</p> Signup and view all the answers

    Which group of symptoms in schizophrenia may be characterized by exaggeration of normal function and incoherent speech?

    <p>Positive symptoms</p> Signup and view all the answers

    What do anxiolytics refer to?

    <p>Antianxiety drugs</p> Signup and view all the answers

    What is the major category of psychosis in which many symptoms like disorganized thinking and hallucinations are manifested?

    <p>Schizophrenia</p> Signup and view all the answers

    Which term refers to any drug that modifies psychotic behavior and exerts an antipsychotic effect?

    <p>Neuroleptics</p> Signup and view all the answers

    What are anxiolytics used to treat besides anxiety disorders?

    <p>Sleep disorders</p> Signup and view all the answers

    What characterizes the cognitive symptoms of schizophrenia?

    <p>Memory difficulty</p> Signup and view all the answers

    What is the recommended maximum duration for prescribing benzodiazepines?

    <p>4 to 6 months</p> Signup and view all the answers

    What is the primary difference between primary anxiety and secondary anxiety according to the text?

    <p>Primary anxiety is caused by a medical condition, while secondary anxiety is related to medical or psychiatric disorders or drug use</p> Signup and view all the answers

    Which medication has fewer side effects of sedation and physical and psychological dependency associated with many benzodiazepines?

    <p>Buspirone hydrochloride</p> Signup and view all the answers

    What action should be taken before giving anxiolytics?

    <p>Use nonpharmacologic measures for decreasing anxiety</p> Signup and view all the answers

    What percentage of benzodiazepines are highly protein-bound according to the text?

    <p>80% to 98%</p> Signup and view all the answers

    Why are benzodiazepines contraindicated during pregnancy according to the text?

    <p>They have teratogenic effects on the fetus</p> Signup and view all the answers

    When is buspirone hydrochloride expected to be effective after continuous use?

    <p>$2$ weeks</p> Signup and view all the answers

    What is the most frequently prescribed benzodiazepine according to the text?

    <p>$Lorazepam$</p> Signup and view all the answers

    What happens if benzodiazepines are abruptly discontinued as per the text?

    <p>$Withdrawal symptoms$ are likely to occur</p> Signup and view all the answers

    Which atypical antipsychotic agent is indicated only for the treatment of severely ill schizophrenics who have not responded to traditional antipsychotic drugs?

    <p>Clozapine</p> Signup and view all the answers

    Which atypical antipsychotic agent is the major active metabolite of risperidone and is available as an extended-release tablet with once-a-day dosing?

    <p>Paliperidone</p> Signup and view all the answers

    Which group of nonphenothiazine drugs does haloperidol belong to?

    <p>Butyrophenone</p> Signup and view all the answers

    What is the most common side effect for all antipsychotics?

    <p>Drowsiness</p> Signup and view all the answers

    Which type of antipsychotic agents are effective in treating both positive and negative symptoms of schizophrenia?

    <p>Atypical agents</p> Signup and view all the answers

    What are two advantages of atypical antipsychotic agents over typical agents?

    <p>Effective in treating negative symptoms and unlikely to cause EPS</p> Signup and view all the answers

    What is the major anxiolytic group primarily used to treat anxiety and insomnia?

    <p>Benzodiazepines</p> Signup and view all the answers

    What happens to blood pressure with the use of antipsychotics?

    <p>It decreases</p> Signup and view all the answers

    What is a common side effect of atypical antipsychotics?

    <p>Weight gain</p> Signup and view all the answers

    What is the Black-Box Warning related to the use of antipsychotics in elderly patients with dementia-related psychosis?

    <p>Increased mortality</p> Signup and view all the answers

    What is the main theory behind the cause of psychotic symptoms?

    <p>Imbalance in the neurotransmitter dopamine</p> Signup and view all the answers

    Which type of antipsychotics is more helpful for managing positive symptoms?

    <p>Typical antipsychotics</p> Signup and view all the answers

    What is the immediate treatment for neuroleptic malignant syndrome (NMS)?

    <p>Immediate withdrawal of antipsychotics, hydration, and administration of antipyretics, benzodiazepines, and muscle relaxants</p> Signup and view all the answers

    What are the common symptoms of tardive dyskinesia?

    <p>Involuntary movements of the face, trunk, and extremities</p> Signup and view all the answers

    Which group of phenothiazines produces a strong sedative effect and may cause moderate extrapyramidal symptoms (EPS)?

    <p>Aliphatic phenothiazines</p> Signup and view all the answers

    Study Notes

    Antipsychotics and Anxiolytics

    • Antipsychotics are the preferred name for the group of drugs used to manage symptoms of psychosis and anxiety disorders.
    • The term for drugs that modify psychotic behavior and have an antipsychotic effect is neuroleptics.
    • Psychosis is a mental disorder category characterized by symptoms such as disorganized thinking, memory difficulty, and decreased ability to focus attention.
    • Manifestations of psychosis are usually characterized by disorganized thinking, hallucinations, and delusions.

    Schizophrenia

    • Positive symptoms of schizophrenia may be characterized by exaggeration of normal function and incoherent speech.
    • Cognitive symptoms of schizophrenia are characterized by disorganized thinking, memory difficulty, and decreased ability to focus attention.
    • The major category of psychosis in which many symptoms like disorganized thinking and hallucinations are manifested is schizophrenia.

    Anxiolytics

    • Anxiolytics refer to drugs that are used to treat anxiety disorders.
    • Anxiolytics are used to treat anxiety disorders, panic attacks, and sleep disorders.
    • Benzodiazepines are the most common type of anxiolytics.

    Benzodiazepines

    • The recommended maximum duration for prescribing benzodiazepines is 2-4 weeks.
    • The primary difference between primary anxiety and secondary anxiety is that primary anxiety is a primary symptom, whereas secondary anxiety is a secondary symptom.
    • Alprazolam is a medication that has fewer side effects of sedation and physical and psychological dependency associated with many benzodiazepines.
    • Action should be taken before giving anxiolytics, such as evaluating the patient's history and assessing the risk of dependence.
    • 80-90% of benzodiazepines are highly protein-bound.
    • Benzodiazepines are contraindicated during pregnancy due to their potential to cause harm to the fetus.
    • Buspirone hydrochloride is expected to be effective after 2-4 weeks of continuous use.
    • Alprazolam is the most frequently prescribed benzodiazepine.
    • Abruptly discontinuing benzodiazepines can lead to withdrawal symptoms.

    Atypical Antipsychotics

    • Clozapine is an atypical antipsychotic agent indicated only for the treatment of severely ill schizophrenics who have not responded to traditional antipsychotic drugs.
    • Paliperidone is an atypical antipsychotic agent and the major active metabolite of risperidone, available as an extended-release tablet with once-a-day dosing.
    • Haloperidol belongs to the group of nonphenothiazine drugs called butyrophenones.
    • The most common side effect for all antipsychotics is extrapyramidal symptoms (EPS).
    • Atypical antipsychotic agents are effective in treating both positive and negative symptoms of schizophrenia.
    • Two advantages of atypical antipsychotic agents over typical agents are that they have a lower risk of EPS and are more effective in treating negative symptoms.

    Other

    • The major anxiolytic group primarily used to treat anxiety and insomnia is benzodiazepines.
    • Antipsychotics can increase blood pressure.
    • A common side effect of atypical antipsychotics is weight gain.
    • The Black-Box Warning related to the use of antipsychotics in elderly patients with dementia-related psychosis is an increased risk of mortality.
    • The main theory behind the cause of psychotic symptoms is the dopamine hypothesis.
    • Typical antipsychotics are more helpful for managing positive symptoms.
    • The immediate treatment for neuroleptic malignant syndrome (NMS) is discontinuation of the antipsychotic and supportive care.
    • Common symptoms of tardive dyskinesia include abnormal involuntary movements of the face, tongue, and limbs.
    • The group of phenothiazines that produces a strong sedative effect and may cause moderate extrapyramidal symptoms (EPS) is the aliphatic phenothiazines.

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    Description

    Test your knowledge about encouraging patients to take antipsychotic medication as prescribed, emphasizing essential information, and providing interpreters for patients with different language backgrounds. Explore the classification of nonphenothiazine antipsychotics, including butyrophenone, dibenzoxazepines, dihydroindolones, and thioxanthenes.

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