Which of the following is NOT a typical adverse effect of antipsychotics?

Heightened energy is not a typical adverse effect of antipsychotics. These medications are primarily used to manage symptoms of psychosis and are known for their sedative properties, which often result in decreased energy or feelings of sedation rather than increased energy. This calming effect is a fundamental aspect of their function in treating conditions such as schizophrenia or bipolar disorder.

In contrast, paranoid reactions, weight gain, and extrapyramidal symptoms are well-documented adverse effects associated with antipsychotic medications. Paranoid reactions can occur as part of the psychological symptoms that antipsychotics are prescribed to address, while weight gain and extrapyramidal symptoms, which can include tremors and rigidity, are common side effects that may arise from long-term use of these medications. Understanding these effects is crucial for nurses in monitoring and managing patients on antipsychotic therapies.