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Schizophrenia: Multiple Choice Questions and Answers, Exams of Nursing

Cranfield UniversityNursing

This resource provides a series of multiple-choice questions and answers covering various aspects of schizophrenia, including symptoms, diagnosis, treatment, and nursing interventions. It is designed to help nursing students deepen their understanding of the disorder.

Typology: Exams

2024/2025

Available from 12/22/2024

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ATI Rn Comprehensive Predictor Schizophrenia 70
Questions and Answers 100% Correct
1. A paranoid client presents with bizarre behaviors, neologisms, and thought
insertion. Which nursing action should be prioritized to maintain this client's
safety?
A. Assess for medication noncompliance
B. Note escalating behaviors and intervene immediately
C. Interpret attempts at communication
D. Assess triggers for bizarre, inappropriate behaviors
- ANS: B
The nurse should note escalating behaviors and intervene immediately to
maintain this client's safety. Early intervention may prevent an aggressive
response and keep the client and others safe.
2. A client diagnosed with schizoaffective disorder is admitted for social skills
training. Which information should be taught by the nurse?
A. The side effects of medications
B. Deep breathing techniques to decrease stress
C. How to make eye contact when communicating
D. How to be a leader
- ANS: C
The nurse should plan to teach the client how to make eye contact when
communicating. Social skills, such as making eye contact, can assist clients in
communicating needs and maintaining connectedness.
3. A 16-year-old-client diagnosed with paranoid schizophrenia experiences
command hallucinations to harm others. The client's parents ask a nurse, "Where
do the voices come from?" Which is the appropriate nursing reply?
A. "Your child has a chemical imbalance of the brain which leads to altered
thoughts."
B. "Your child's hallucinations are caused by medication interactions."
C. "Your child has too little serotonin in the brain causing delusions and
hallucinations."
D. "Your child's abnormal hormonal changes have precipitated auditory
hallucinations."
- ANS: A
The nurse should explain that a chemical imbalance of the brain leads to altered
thought processes. Hallucinations, or false sensory perceptions, may occur in all
five senses. The client who hears voices is experiencing an auditory
hallucination.
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ATI Rn Comprehensive Predictor Schizophrenia 70

Questions and Answers 100% Correct

  1. A paranoid client presents with bizarre behaviors, neologisms, and thought insertion. Which nursing action should be prioritized to maintain this client's safety? A. Assess for medication noncompliance B. Note escalating behaviors and intervene immediately C. Interpret attempts at communication D. Assess triggers for bizarre, inappropriate behaviors - ANS: B The nurse should note escalating behaviors and intervene immediately to maintain this client's safety. Early intervention may prevent an aggressive response and keep the client and others safe.
  2. A client diagnosed with schizoaffective disorder is admitted for social skills training. Which information should be taught by the nurse? A. The side effects of medications B. Deep breathing techniques to decrease stress C. How to make eye contact when communicating D. How to be a leader - ANS: C The nurse should plan to teach the client how to make eye contact when communicating. Social skills, such as making eye contact, can assist clients in communicating needs and maintaining connectedness.
  3. A 16-year-old-client diagnosed with paranoid schizophrenia experiences command hallucinations to harm others. The client's parents ask a nurse, "Where do the voices come from?" Which is the appropriate nursing reply? A. "Your child has a chemical imbalance of the brain which leads to altered thoughts." B. "Your child's hallucinations are caused by medication interactions." C. "Your child has too little serotonin in the brain causing delusions and hallucinations." D. "Your child's abnormal hormonal changes have precipitated auditory hallucinations." - ANS: A The nurse should explain that a chemical imbalance of the brain leads to altered thought processes. Hallucinations, or false sensory perceptions, may occur in all five senses. The client who hears voices is experiencing an auditory hallucination.
  1. Parents ask a nurse how they should reply when their child, diagnosed with paranoid schizophrenia, tells them that voices command him to harm others. Which is the appropriate nursing reply? A. "Tell him to stop discussing the voices." B. "Ignore what he is saying, while attempting to discover the underlying cause." C. "Focus on the feelings generated by the hallucinations and present reality." D. "Present objective evidence that the voices are not real." - ANS: C The most appropriate response by the nurse is to instruct the parents to focus on the feelings generated by the hallucinations and present reality. The parents should maintain an attitude of acceptance to encourage communication but should not reinforce the hallucinations by exploring details of content. It is inappropriate to present logical arguments to persuade the client to accept the hallucinations as not real.
  2. A nurse is assessing a client diagnosed with paranoid schizophrenia. The nurse asks the client, "Do you receive special messages from certain sources, such as the television or radio?" Which potential symptom of this disorder is the nurse assessing? A. Thought insertion B. Paranoid delusions C. Magical thinking D. Delusions of reference - ANS: D The nurse is assessing for the potential symptom of delusions of reference. A client who believes that he or she receives messages through the radio is experiencing delusions of reference. When a client experiences these delusions, he or she interprets all events within the environment as personal references.
  3. A client diagnosed with schizophrenia tells a nurse, "The 'Shopatouliens' took my shoes out of my room last night." Which is an appropriate charting entry to describe this client's statement? A. "The client is experiencing command hallucinations." B. "The client is expressing a neologism." C. "The client is experiencing a paranoid delusion." D. "The client is verbalizing a word salad." - ANS: B The nurse should describe the client's statement as experiencing a neologism. A neologism is when a client invents a new word that is meaningless to others but may have symbolic meaning to the client. Word salad refers to a group of words that are put together randomly.
  1. Which nursing intervention would be most appropriate when caring for an acutely agitated client diagnosed with paranoid schizophrenia? A. Provide neon lights and soft music. B. Maintain continual eye contact throughout the interview. C. Use therapeutic touch to increase trust and rapport. D. Provide personal space to respect the client's boundaries. - ANS: D The most appropriate nursing intervention is to provide personal space to respect the client's boundaries. Providing personal space may serve to reduce anxiety and thus reduce the client's risk for violence.
  2. Which nursing behavior will enhance the establishment of a trusting relationship with a client diagnosed with schizophrenia? A. Establishing personal contact with family members. B. Being reliable, honest, and consistent during interactions. C. Sharing limited personal information. D. Sitting close to the client to establish rapport. - ANS: B The nurse can enhance the establishment of a trusting relationship with a client diagnosed with schizophrenia by being reliable, honest, and consistent during interactions. The nurse should also convey acceptance of the client's needs and maintain a calm attitude when dealing with agitated behavior.
  3. A client diagnosed with paranoid schizophrenia states, "My psychiatrist is out to get me. I'm sad that the voice is telling me to stop him." What symptom is the client exhibiting, and what is the nurse's legal responsibility related to this symptom? A. Magical thinking; administer an antipsychotic medication B. Persecutory delusions; orient the client to reality C. Command hallucinations; warn the psychiatrist D. Altered thought processes; call an emergency treatment team meeting - ANS: C The nurse should determine that the client is exhibiting command hallucinations. The nurse's legal responsibility is to warn the psychiatrist of the potential for harm. A client who is demonstrating a risk for violence could potentially become physically, emotionally, and/or sexually harmful to others or to self.
  4. Which statement should indicate to a nurse that an individual is experiencing a delusion? A. "There's an alien growing in my liver." B. "I see my dead husband everywhere I go."

C. "The IRS may audit my taxes." D. "I'm not going to eat my food. It smells like brimstone."

  • ANS: A The nurse should recognize that a client who claims that an alien is inside his or her body is experiencing a delusion. Delusions are false personal beliefs that are inconsistent with the person's intelligence or cultural background.
  1. A client diagnosed with schizophrenia is slow to respond and appears to be listening to unseen others. Which medication should a nurse expect a physician to order to address this type of symptom? A. Haloperidol to address the negative symptom B. Clonazepam to address the positive symptom C. Risperidone to address the positive symptom D. Clozapine to address the negative symptom
  • ANS: C The nurse should expect the physician to order risperidone (Risperdal) to address the positive symptoms of schizophrenia. Risperidone (Risperdal) is an atypical antipsychotic used to reduce positive symptoms, including disturbances in content of thought (delusions), form of thought (neologisms), or sensory perception (hallucinations).
  1. A client is diagnosed with schizophrenia. A physician orders haloperidol 50 mg bid, benztropine 1 mg prn, and zolpidem 10 mg HS. Which client behavior would warrant the nurse to administer benztropine? A. Tactile hallucinations B. Tardive dyskinesia C. Restlessness and muscle rigidity D. Reports of hearing disturbing voices
  • ANS: C The symptom of tactile hallucinations and reports of hearing disturbing voices would be addressed by an antipsychotic medication such as haloperidol. Tardive dyskinesia, a potentially irreversible condition, would warrant the discontinuation of an antipsychotic medication such as haloperidol. An anticholinergic medication such as benztropine would be used to treat the extrapyramidal symptoms of restlessness and muscle rigidity.
  1. A nurse is caring for a client who is experiencing a flat affect, paranoid delusions, anhedonia, anergia, neologisms, and echolalia. Which statement correctly differentiates the client's positive and negative symptoms of schizophrenia? A. Paranoid delusions, anhedonia, and anergia are positive symptoms of schizophrenia. B. Paranoid delusions, neologisms, and echolalia are positive symptoms of schizophrenia.

of typical antipsychotics is largely being replaced by atypical antipsychotics due to fewer side effects and lower risks.

  1. A client diagnosed with schizophrenia takes an antipsychotic agent daily. Which assessment finding should a nurse immediately report to the client's attending psychiatrist? A. Respirations of 22 beats/minute B. Weight gain of 8 pounds in 2 months C. Temperature of 104F (40C) D. Excessive salivation - ANS: C When assessing a client diagnosed with schizophrenia who takes an antipsychotic agent daily, the nurse should immediately address a temperature of 104F (40C). A temperature this high can be a symptom of the rare but life- threatening neuroleptic malignant syndrome.
  2. An aging client diagnosed with chronic schizophrenia takes an antipsychotic and a beta-adrenergic blocking agent (propranolol) for hypertension. Understanding the combined side effects of these drugs, which statement by a nurse is most appropriate? A. "Make sure you concentrate on taking slow, deep, cleansing breaths." B. "Watch your diet and try to engage in some regular physical activity." C. "Rise slowly when you change position from lying to sitting or sitting to standing." D. "Wear sunscreen and try to avoid midday sun exposure." - ANS: C The most appropriate statement by the nurse is to instruct the client to rise slowly when changing positions. Antipsychotic medications and beta blockers cause a decrease in blood pressure. When given in combination, this side effect places the client at risk for developing orthostatic hypotension.
  3. A client diagnosed with schizophrenia is prescribed clozapine. Which client symptoms related to the side effects of this medication should prompt a nurse to intervene immediately? A. Sore throat, fever, and malaise B. Akathisia and hypersalivation C. Akinesia and insomnia D. Dry mouth and urinary retention - ANS: A The nurse should intervene immediately if the client experiences a sore throat, fever, and malaise when taking the atypical antipsychotic drug clozapine (Clozaril). Clozapine can have a serious side effect of agranulocytosis, in which a

potentially fatal drop in white blood cells can occur. Symptoms of infectious processes would alert the nurse to this potential.

  1. If clozapine therapy is being considered, the nurse should evaluate which laboratory test to establish a baseline for comparison in order to recognize a potentially life-threatening side effect? A. White blood cell count B. Liver function studies C. Creatinine clearance D. Blood urea nitrogen - ANS: A The nurse should establish a baseline white blood cell count to evaluate a potentially life-threatening side effect if clozapine (Clozaril) is being considering as a treatment option. Clozapine can have a serious side effect of agranulocytosis in which a potentially fatal drop in white blood cells can occur.
  2. During an admission assessment, a nurse notes that a client diagnosed with schizophrenia has allergies to penicillin, prochlorperazine, and bee stings. Based on this assessment data, which antipsychotic medication would be contraindicated? A. Haloperidol, because it is used only in elderly patients B. Clozapine , because of a cross-sensitivity to penicillin C. Risperidone , because it exacerbates symptoms of depression D. Thioridazine , because of cross-sensitivity among phenothiazines - ANS: D The nurse should know that thioridazine (Mellaril) would be contraindicated because of cross-sensitivity among phenothiazines. Prochlorperazine (Compazine) and thioridazine are both classified as phenothiazines.
  3. A college student has quit attending classes, isolates self due to hearing voices, and yells accusations at fellow students. Based on this information, which nursing diagnosis should the nurse prioritize? A. Altered thought processes R/T hearing voices AEB increased anxiety B. Risk for other-directed violence R/T yelling accusations C. Social isolation R/T paranoia AEB absence from classes D. Risk for self-directed violence R/T depressed mood - ANS: B The nursing diagnosis that must be prioritized in this situation should be risk for other-directed violence R/T yelling accusations. Hearing voices and yelling accusations indicates a potential for violence, and this potential safety issue should be prioritized.
  1. Which of the following components should a nurse recognize as an integral part of a rehabilitative program when planning care for clients diagnosed with schizophrenia? (Select all that apply.) A. Group therapy B. Medication management C. Deterrent therapy D. Supportive family therapy E. Social skills training - ANS: A, B, D, E The nurse should recognize that group therapy, medication management, supportive family therapy, and social skills training all play an integral part in rehabilitative programs for clients diagnosed with schizophrenia. Schizophrenia results from various combinations of genetic predispositions, biochemical dysfunctions, physiological factors, and psychological stress. Effective treatment requires a comprehensive, multidisciplinary effort.
  2. A nurse is administering risperidone (Risperdal) to a client diagnosed with schizophrenia. The therapeutic effect of this medication would most effectively address which of the following symptoms? (Select all that apply.) A. Somatic delusions B. Social isolation C. Gustatory hallucinations D. Flat affect E. Clang associations - ANS: A, C, E The nurse should expect that risperidone (Risperdal) would be effective treatment for somatic delusions, gustatory hallucinations, and clang associations. Risperidone is an atypical antipsychotic that has been effective in the treatment of the positive symptoms of schizophrenia and in maintenance therapy to prevent exacerbation of schizophrenic symptoms.
  3. Laboratory results reveal decreased levels of prolactin in a client diagnosed with schizophrenia. When assessing the client, which symptoms should a nurse expect to observe?(Select all that apply.) A. Apathy B. Social withdrawal C. Anhedonia D. Auditory hallucinations E. Delusions - ANS: A, B, C

The nurse should expect that a client with decreased levels of prolactin would experience apathy, social withdrawal, and anhedonia. Decreased levels of prolactin can cause depression which would result in the above symptoms.

  1. Nico, a 22-year-old patient, is diagnosed with schizophrenia. Which of the following symptoms would alert a provider to a possible diagnosis of schizophrenia? A. Excessive sleeping with disturbing dreams B. Hearing voices telling him to hurt his roommate C. Withdrawal from college because of failing grades D. Chaotic and dysfunctional relationships with his family and peers - B People diagnosed with schizophrenia all have at least one psychotic symptom such as hallucinations, delusional thinking, or disorganized speech. The other options do not describe schizophrenia but could be caused by a number of problems.
  2. Tara and Aaron are twins who are both diagnosed with schizophrenia. Aaron was diagnosed at 23 years and Tara at 31 years. Based on your knowledge of early and late onset of schizophrenia, which of the following is true? A. Tara and Aaron have the same expectation of a poor long-term prognosis. B. Tara will experience more positive signs of schizophrenia such as hallucinations. C. Aaron will be more likely to hold a job and live a productive life. D. Tara has a better chance for positive outcomes because of later onset. - D Female patients diagnosed with schizophrenia between the ages of 25 and 35 years have better outcomes than do their male counterparts diagnosed earlier. These two patients do not have the same expectation of a poor prognosis. There is no evidence suggesting that Tara will have more positive signs of schizophrenia. It is actually more unlikely that Aaron will be able to live a productive life because of his earlier onset, which has a poorer prognosis.
  3. Which of the following is true regarding schizophrenia treatment and outcomes? A. If treated quickly following diagnosis, schizophrenia can be cured. B. Schizophrenia can be managed by receiving treatment only at the time of acute exacerbations. C. Patients with schizophrenia often do not fully respond to treatment and have residual symptoms and varying degrees of disability. D. If patients with schizophrenia stay on their drug regimen, they usually lead fully productive lives with no further symptoms.
  1. A client diagnosed with paranoid schizophrenia refuses food, stating the voices are saying the food is contaminated and deadly. A therapeutic response for the nurse would be A. "You are safe here in the hospital; nothing bad will happen to you." B. "The voices are wrong about the hospital food. It is not contaminated." C. "I understand that the voices are very real to you, but I do not hear them." D. "Other people are eating the food, and nothing is happening to them." - C This reply acknowledges the client's reality but offers the nurse's perception that he or she is not experiencing the same thing.
  2. A client diagnosed with disorganized schizophrenia would have greatest difficulty with the nurse A. interacting with a neutral attitude. B. using concrete language. C. giving multistep directions. D. providing nutritional supplements. - C The thought processes of the client with disorganized schizophrenia are severely disordered, and severe perceptual problems are present, making it extremely difficult for the client to understand what others are saying. All communication should be simple and concrete and may need to be repeated several times.
  3. A nursing intervention designed to help a schizophrenic client manage relapse is to A. schedule the client to attend group therapy that includes those who have relapsed. B. teach the client and family about behaviors associated with relapse. C. remind the client of the need to return for periodic blood draws to minimize the risk for relapse. D. help the client and family adapt to the stigma of chronic mental illness and periodic relapses. - B By knowing what behaviors signal impending relapse, interventions can be quickly invoked when the behaviors occur. The earlier the intervention, the greater the likelihood that a recurrence can be averted.
  4. A client diagnosed with paranoid schizophrenia tells the nurse, "I have to get away. The volmers are coming to execute me." The term "volmers" can be assessed as

A. a neologism. B. clang association. C. blocking. D. a delusion.

  • A v
  1. When a client diagnosed with paranoid schizophrenia tells the nurse, "I have to get away. The volmers are coming to execute me," an appropriate response for the nurse would be A. "You are safe here. This is a locked unit, and no one can get in." B. "I do not believe I understand the word volmers. Tell me more about them." C. "Why do you think someone or something is going to harm you?" D. "It must be frightening to think something is going to harm you."
  • D
  1. This response focuses on the client's feelings and neither directly supports the delusion nor denies the client's experience. Option A gives global reassurance. Option B encourages elaboration about the delusion. Option C asks for information that the client will likely be unable to answer.
  2. A desired outcome for a client diagnosed with schizophrenia who has a nursing diagnosis of Disturbed sensory perception: auditory hallucinations related to neurobiological dysfunction would be that the client will A. ask for validation of reality. B. describe content of hallucinations. C. demonstrate a cool, aloof demeanor. D. identify prodromal symptoms of disorder.
  • A Beginning to question his or her own altered perceptions by seeking input from staff is highly desirable.
  1. A client has reached the stable plateau phase of schizophrenia. An appropriate clinical focus for planning would be A. safety and crisis intervention. B. acute symptom stabilization. C. stress and vulnerability assessment. D. social, vocational, and self-care skills.
  • D

A. Anhedonia B. Hostility C. Agitation D. Hallucinations

  • Negative symptoms refer to deficits that characterize schizophrenia. They include the crippling symptoms of affective blunting (lack of facial expression), anergia (lack of energy), anhedonia (inability to experience happiness), avolition (lack of motivation), poverty of content of speech, poverty of speech, and thought blocking.
  1. The type of altered perception most commonly experienced by clients with schizophrenia is A. delusions. B. illusions. C. tactile hallucinations. D. auditory hallucinations
  • D Hallucinations, especially auditory hallucinations, are the major example of alterations of perception in schizophrenia. They are experienced by as many as 90% of individuals with schizophrenia.
  1. The most common course of schizophrenia is an initial episode followed by A. recurrent acute exacerbations and deterioration. B. recurrent acute exacerbations. C. continuous deterioration. D. complete recovery.
  • A Schizophrenia is usually a disorder marked by an initial episode followed by recurrent acute exacerbations. With each relapse of psychosis, an increase in residual dysfunction and deterioration occurs.
  1. The causation of schizophrenia is currently understood to be A. a combination of inherited and non-genetic factors. B. deficient amounts of the neurotransmitter dopamine. C. excessive amounts of the neurotransmitter serotonin. D. stress related and ineffective stress management skills.
  • A Causation is a complicated matter. Schizophrenia most likely occurs as a result of a combination of inherited genetic factors and extreme non-genetic factors

(e.g., viral infection, birth injuries, nutritional factors) that can affect the genes governing the brain or directly injure the brain.

  1. Which symptom would NOT be assessed as a positive symptom of schizophrenia? A. Delusion of persecution B. Auditory hallucinations C. Affective flattening D. Idea of reference - C Positive symptoms are those symptoms that should not be present, but are. They include hallucinations, delusions, bizarre behavior, and paranoia and are referred to as florid symptoms. Affective flattening is one of the negative symptoms that contribute to rendering the person inert and unmotivated.
  2. When a client diagnosed with schizophrenia hears voices saying that he is a horrible human being, the nurse can correctly assume that the hallucination A. is a projection of the client's own feelings. B. derives from neuronal impulse misfiring. C. is a retained memory fragment. D. may signal seizure onset. - A One theory about derogatory hallucinations is that the content is a projection of the individual's feelings about himself or herself. The derogatory hallucinations are an extension of the strong feelings of rejection and lack of self-respect experienced by the individual during the prodromal period.
  3. Which side effect of antipsychotic medication is generally nonreversible? A. Anticholinergic effects B. Pseudoparkinsonism C. Dystonic reaction D. Tardive dyskinesia
    • D Tardive dyskinesia is not always reversible with discontinuation of the medication and has no proven cure. The side effects in A, B, and C often appear early in therapy and can be minimized with treatment.
  4. Although symptoms of schizophrenia occur at various times in the life span,, what patient would be at greatest risk for the dx? A. 10 yo girl
  1. The nurse states, "it is time for supper." The schizophrenic pt responds with "it's time for supper supper supper." Which communication process is the client using and what is the underlying reason for the use? A. echopraxia, attempt to identify with the person speaking B. echolalia, attempt to acquire a sense of self and identity C. unconscious identification to reinforce weak ego boundaries D. depersonalization to stabilize self-identity - B They repeat words they hear. weak ego boundaries cause these clients to lack feelings of uniqueness. use echolalia to attempt to identify with the person speaking.
  2. The nurse is doing an assessment on a pt and recognizes which of the following as s/s of paranoid schizophrenia? Select All That Apply A. Exhibiting delusions of persecution or grandeur. B. Auditory hallucinations related to a persecutory theme C. Exhibits more negative s/s than positive s/s such as blunt affect and alogia D. Tense, suspicious and guarded E. Argumentative, hostile, and aggressive. - A, B, D, E C is incorrect b/c paranoid schizophrenia exhibits more positive s/s such as hallucinations, delusions so they do well with medications
  3. A client is brought to ER for hearing and seeing things others do not. Labs show sodium level of 160mEq/L. Which nursing dx would take priority? A. Altered thought process r/t low blood sodium levels B. Risk for impaired tissue integrity r/t dry oral mucous membranes C. altered communication process r/t altered thought process D. imalanced fluid volume r/t increased serum sodium levels - D All physiological problems must be corrected before considering thought disorders.
  4. A nurse is admitting a pt in the mental health facility with marked abnormalities in motor behavior manifested in extreme psychomotor retardation with pronounced decreases in spontaneous movements and activity. Waxy flexibility is exhibited. The nurse recognizes these as symptoms of which schizophrenia dx A. paranoid B. Undifferentiated C. Catatonic D. Disorganized - C Catatonic
  1. Pt dx with schizophrenia is experiencing anhedonia. Which dx addresses this correctly? A. disturbed thought process B. disturbed sensory perception C. risk for suicide D. impaired verbal communication - C negative symptoms of anhedonia (inability to experience pleasure) generates hopelessness and can lead to thoughts of suicide.
  2. The nurse in the ER assesses a new arrival pt that is talking delusional, weak or absent reflexes, stares off into space and dry mucous membranes. The lab results are sodium 162; potassium 2.8; BP 80/55; pulse 144. The nurse will A. begin to address the patients psychosis issues to see if he needs an admission to the psych floor B. begin to treat the hyponatremia and hypopotassium issues C. begin addressing and treating the hypotension, tachycardia and electrolyte isues D. treat the symptoms of the possible schizophrenia to get the pt stable - C need to know the normal values in order to recognize the medical s/s. Treat all medical issues before any suspicions of a psych disorder. Na+ 135-145mEq/L Cl- 98 - 108 mEq/L K+ 3.5-5 mEq/L Ca++ 4-5 mEq/L Phos 2.5-4.5 mEq/L Mg++ 1.8-2.4 mEq/L BP 120/80 - 140/ Pulse 60-100 bpm Temp 97.6 - 98.
  3. A pt has a hx of schizophrenia, controlled by haloperidol. The nurse notices the pt is continuously restless during the visit. Which med does the nurse expect to be ordered by the physician? A. haloperidol B. fluphenazine decanoate C. clozapine D. benztropine mesylate - D benztropine mesylate (Cogentin) The pt is experiencing akathisia so doc would order benztropine mesylate (Cogentin) for this EPS s/s. This anticholinergic med would treat the symptom. clozapine (Clozaril), haloperidol (Haldol) and fluphenazine deconoate (Prolizin