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 C
Explanation
A. Needs to be taken care of. Individuals with dependent personality disorder (DPD) have an excessive need for care and reassurance. They rely heavily on others to make decisions and take responsibility for their daily life.
B. Conflict avoidance. People with DPD avoid conflict and disagreement out of fear of losing support or approval from others. They may go to great lengths to maintain relationships, even if they are unhealthy.
C. Lacks remorse. Lack of remorse is more characteristic of antisocial personality disorder (ASPD), where individuals show little concern for the rights or feelings of others. In contrast, those with DPD tend to feel excessive guilt and anxiety rather than a lack of remorse.
D. Afraid to be alone. A strong fear of being alone is a core feature of DPD. Individuals may feel helpless or unable to function independently, leading them to tolerate mistreatment or stay in dependent relationships.
Correct Answer is B
Explanation
A. Fear of rejection. Individuals with avoidant personality disorder (AVPD) have an intense fear of rejection or criticism, leading them to avoid social situations, relationships, and new experiences despite wanting social connection. This fear stems from deep feelings of inadequacy.
B. Jealous of others. Jealousy is not a defining trait of AVPD but is more commonly associated with narcissistic or borderline personality disorders. People with AVPD are more self-critical and insecure rather than envious of others’ success or relationships.
C. Afraid to make new relationships. Those with AVPD struggle to form new relationships due to fear of embarrassment, criticism, or social failure. They often require strong reassurance and validation before feeling comfortable in social settings.
D. Avoids social interactions. Avoidance of social interactions is a hallmark of AVPD, as individuals tend to withdraw from work, friendships, and social activities to protect themselves from perceived humiliation or failure.
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