A 26-Year-Old Man Is Hospitalized After He Was Found in the Park

question 193

Multiple Choice

A 26-year-old man is hospitalized after he was found in the park shouting and laughing to himself.  He insists on wearing a cap lined with several layers of aluminum foil and explains that the hat prevents laser beams from reprogramming his mind.  For the past 3 years, the patient has been hearing the voices of his deceased mother, the devil, and a world-famous singer.  He has had one previous psychiatric hospitalization, during which he responded well to haloperidol.  However, the patient stopped the medication shortly after discharge because he did not like the way it made him feel.  A decision is made to administer a second-generation antipsychotic medication.  Compared with first-generation antipsychotics, this class of medication is associated with which of the following?

• A)Greater efficacy in the treatment of positive psychotic symptoms
• B)Greater risk of anticholinergic effects
• C)Greater risk of tardive dyskinesia
• D)Lower risk of acute dystonia
• E)Lower risk of metabolic adverse effects
• F)Lower risk of seizures

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Definitions:

Epidemic

A widespread occurrence of an infectious disease within a community or region over a specific period.

Sick Role

The actions and attitudes that society expects from someone who is ill.

HIV/AIDS

Human Immunodeficiency Virus (HIV) is a virus that can lead to Acquired Immune Deficiency Syndrome (AIDS), a condition in humans in which progressive failure of the immune system allows life-threatening infections and cancers to thrive.

Contracted

The state of having entered into a formal agreement or compact, often legally binding, specifying conditions and terms of service, employment, or any other engagement.