Which of the following has the highest risk of metabolic syndrome?
haloperidol (Haldol)
aripiprazole (Abilify)
clozapine (Clozaril)
lurasidone (Latuda)
The Correct Answer is C
A. Haloperidol (Haldol) is a first-generation (typical) antipsychotic, which has a higher risk of extrapyramidal symptoms (EPS) but a lower risk of metabolic syndrome compared to second-generation antipsychotics.
B. Aripiprazole (Abilify) is a second-generation (atypical) antipsychotic with a lower risk of metabolic side effects. It has a partial dopamine agonist mechanism, which makes it less likely to cause weight gain, dyslipidemia, or glucose intolerance.
C. Clozapine (Clozaril) has the highest risk of metabolic syndrome among antipsychotics. It is associated with significant weight gain, hyperglycemia, dyslipidemia, and an increased risk of diabetes. Regular metabolic monitoring (weight, blood glucose, lipids) is essential for patients taking clozapine.
D. Lurasidone (Latuda) is a second-generation antipsychotic with a lower metabolic risk compared to other atypical antipsychotics. It is generally considered weight-neutral and has minimal effects on glucose and lipid metabolism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Eccentric. Individuals with schizotypal personality disorder (STPD) exhibit odd or eccentric behaviors, speech, and thought patterns. They may dress unusually, speak in vague or metaphorical ways, or hold bizarre beliefs that are not delusional but are far outside societal norms.
B. Mood swings. Frequent mood swings are not a characteristic feature of schizotypal personality disorder. Instead, they are more commonly seen in borderline personality disorder (BPD) or bipolar disorder. While individuals with STPD may experience transient emotional disturbances, their symptoms are more related to social detachment and cognitive distortions than rapid mood fluctuations.
C. Social anxiety. People with STPD experience intense social anxiety, often due to paranoia and distrust of others rather than fear of judgment (as seen in social anxiety disorder). Their discomfort in social situations does not improve with familiarity, leading to persistent isolation.
D. Paranoid. Paranoia is a core symptom of schizotypal personality disorder. Individuals with STPD often have suspiciousness and odd beliefs, such as thinking others are plotting against them or misinterpreting benign events as having hidden meanings. This paranoid thinking contributes to their social withdrawal and difficulty forming close relationships.
Correct Answer is C
Explanation
A. Difficulty in reading skills. This describes dyslexia, a learning disorder characterized by challenges in reading, spelling, and phonemic awareness. Individuals with dyslexia may struggle with word recognition, reading fluency, and comprehension, but their math skills may remain unaffected.
B. Difficulty in fine motor skills. This describes dyspraxia (developmental coordination disorder), which affects motor planning and coordination rather than numerical skills. Individuals with dyspraxia may struggle with writing, buttoning clothes, or other tasks requiring precise hand movements.
C. Difficulty in math skills. Dyscalculia is a specific learning disability in mathematics, affecting number sense, calculations, problem-solving, and understanding mathematical concepts. It is linked to difficulties in basic arithmetic, number sequencing, and spatial reasoning, often unrelated to intelligence or overall cognitive ability.
D. Difficulty in writing. This describes dysgraphia, a learning disorder that impairs handwriting, spelling, and written expression. Individuals with dysgraphia may have poor letter formation, inconsistent spacing, and difficulty organizing thoughts on paper, but their math abilities may not be affected.
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