Author Question: When the nurse understands that clozapine preferentially blocks dopamine receptors in the limbic ... (Read 205 times)

kshipps · **on:** Jul 19, 2018

When the nurse understands that clozapine preferentially blocks dopamine receptors in the limbic
system rather than in the basal ganglia, the nurse will plan to assess the client for

a. seizures.
b. marked motor disturbances.
c. strong suicidal tendencies.
d. greatly increased appetite.

Question 2

During periods of laughter, talkativeness, and banter, a client with manic behavior is noted to
abruptly become irritable. Such changes in mood should be assessed as

a. dissociation.
b. lability.
c. undoing.
d. flight of ideas.

Jsherida · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: A
Clozapine has the potential for inducing convulsions in approximately 3 of clients. All clients
receiving this drug should be monitored for seizure activity. Option B: The blockade of dopamine
receptors in the basal ganglia is responsible for movement disorders associated with administration
of standard antipsychotics. Clozapine selectively targets the limbic system, which is not involved in
movement. Option C: Clozapine therapy is not associated with producing suicidal ideation. Option
D: Clozapine therapy is not associated with increased appetite.

Answer to Question 2

B
The mood of the manic client is often unstable. Rapid mood shifts are called mood lability. Options
A and C: Dissociation and undoing are ego defense mechanisms. Option D: Flight of ideas is a
speech pattern in which speech is delivered rapidly and with abrupt changes of topic.