Question 1

In the treatment of anxiety disorders, benzodiazepines (such as Ativan and Xanax)  are indicated for_________ use and have__________ abuse potential.

Accepted Answer

A)   short-term; high
B)   long-term; high
C)   short-term; low
D)   long-term; low

Question 2

A client is diagnosed with anxiety disorder. Which medication is prescribed for anxiety?

Accepted Answer

A)   Chlorpromazine (Thorazine) 
B)   Clozapine (Clozaril) 
C)   Diazepam (Valium) 
D)   Methylphenidate (Ritalin)  C

Question 3

A client began taking lithium for the treatment of bipolar disorder approximately 1 month ago and asks why he has gained 12 lbs. since then. Which is the appropriate nursing response?

Accepted Answer

A)   "I'm surprised you have gained; weight loss is the typical pattern when taking lithium."
B)   "Your weight gain is more likely related to food intake than medication."
C)   "Weight gain is a common, but troubling side effect. Let's talk about some strategies for safely improving your nutrition and exercise habits."
D)   "There's not much you can do about the weight gain. It's better than being emotionally unstable, though." C

Question 4

Which medication does not require periodic blood-level monitoring?

Accepted Answer

A)   Eskalith (lithium carbonate) 
B)   Depakote (valproic acid) 
C)   Clozaril (clozapine) 
D)   Paxil (paroxetine)

Question 5

A client with depression and substance abuse has an interrupted sleep pattern. She demands that her psychiatrist prescribe her a sedative. What teaching would the nurse provide about the rationale for the use of nonpharmacological interventions instead?

Accepted Answer

A)   "Sedative-hypnotics are potentially addictive and gradually lose their effectiveness as one builds up tolerance to them."
B)   "Sedative-hypnotics work best in combination with other techniques."
C)   "Sedative-hypnotics are not permitted for use in patients with substance abuse disorders."
D)   "Sedative-hypnotics are not as effective as the antidepressant medications for treating sleep disturbances."

Question 6

A physician prescribes an additional medication for a client taking an antipsychotic agent. The medication is to be administered "prn for EPS." When will the nurse plan to give this medication?

Accepted Answer

A)   When the client's white blood cell count falls below 3,000/mm3
B)   When the client exhibits tremors and a shuffling gait
C)   When the client complains of dry mouth
D)   When the client experiences a seizure

Question 7

A psychiatrist prescribes a MAOI for a client. When teaching the client about the effects of tyramine, which foods will the nurse caution the client to avoid?

Accepted Answer

A)   Pepperoni pizza and red wine
B)   Bagels with cream cheese and tea
C)   Apple pie and coffee
D)   Potato chips and Diet Coke

Question 8

A client was admitted with major depression that was a single episode and moderate. During her stay, she was started on Prozac (fluoxetine)  at 40 mg orally every day. The nurse's discharge teaching should include all of the following except:

Accepted Answer

A)   Continue taking Prozac as prescribed. You will continue to see improvement over the next few weeks.
B)   Make sure that you follow up with outpatient psychotherapy as you and the social worker have arranged.
C)   You may be able to discontinue the medication within 6 months to 1 year, but only under a doctor's supervision. However, there is a chance of recurring episodes.
D)   You should avoid foods with tyramine, including beer, beans, processed meats, and red wine.

Question 9

A client with schizophrenia has recently begun a new medication, clozapine (Clozaril) . Which blood cell counts would reveal a potentially fatal side effect of this medication?

Accepted Answer

A)   WBCs, >3,000/mm3; granulocytes, >2,000/mm3
B)   WBCs, 3; granulocytes, >2,000/mm3
C)   WBCs, >3,000/mm3; granulocytes, 3
D)   WBCs, 3; granulocytes, 3

Question 10

A client is experiencing a psychotic episode. He is in good physical health but has allergies to penicillin, prochlorperazine (Compazine) , and bee stings. Which antipsychotic medication would be contraindicated for the client?

Accepted Answer

A)   Haloperidol, because it is used only in elderly patients
B)   Clozapine, because it is incompatible with desipramine
C)   Risperidone, because it exacerbates symptoms of depression
D)   Thioridazine, because of cross-sensitivity among phenothiazines

Question 11

A client with schizophrenia has recently begun a new medication, clozapine (Clozaril) . Which signs and symptoms of a potentially fatal side effect will the nurse teach the client about?

Accepted Answer

A)   Blurring vision and muscular weakness
B)   Sore throat, fever, and malaise
C)   Tremor, shuffling gait, and rigidity
D)   Fine tremor, tinnitus, and nausea B

Question 12

Joey, age 8 years, takes methylphenidate (Ritalin)  for attention deficit/hyperactivity disorder. His mother complains to the nurse that Joey has a very poor appetite, and she struggles to help him gain weight. What teaching will the nurse provide?

Accepted Answer

A)   Administer Joey's medication immediately after meals.
B)   Administer Joey's medication at bedtime.
C)   Skip a dose of the medication when Joey does not eat anything.
D)   Assure Joey's mother that Joey will eat when he is hungry.

Question 13

Which statement about the tricyclic group of antidepressant medications is accurate?

Accepted Answer

A)   Strong or aged cheese should not be eaten while taking them.
B)   Their full therapeutic potential may not be reached until 4 weeks.
C)   They may cause hypomania or recent memory impairment.
D)   They should not be given with antianxiety agents.

Question 14

A client with schizophrenia has recently begun a new medication, clozapine (Clozaril) . Which potentially fatal side effect will the nurse teach the client about?

Accepted Answer

A)   Agranulocytosis
B)   Akathisia
C)   Dystonia
D)   Akinesia

Question 15

Which medication is most likely to be prescribed for the extrapyramidal side effects of antipsychotic medications?

Accepted Answer

A)   Diazepam (Valium) 
B)   Amitriptyline (Elavil) 
C)   Benztropine (Cogentin) 
D)   Methylphenidate (Ritalin)

Question 16

A client has been diagnosed with major depression and is prescribed imipramine (Tofranil) . What information specifically related to this class of antidepressants will the nurse plan to include in client and family education?

Accepted Answer

A)   The medication may cause dry mouth.
B)   The medication may cause nausea.
C)   The medication should not be discontinued abruptly.
D)   The medication may cause photosensitivity.

Question 17

A client was recently admitted to the inpatient unit after a suicide attempt and has not responded to SSRIs or tricyclic antidepressants. The client asks the nurse, "I heard about monoamine oxidase inhibitors (MAOIs) . Why can't they be added to what I am on now? Wouldn't adding one help?" Which is the appropriate nursing response?

Accepted Answer

A)   "Electroconvulsive therapy is your best option at this point."
B)   "Combined use can lead to a life-threatening condition called hypertensive crisis."
C)   "There is no reason why an MAOI couldn't be added to your therapy."
D)   "They can't be used together because their mechanisms of action are very different."

Question 18

A client was recently admitted to the inpatient unit after a suicide attempt. He has been placed on a tricyclic antidepressant. In terms of medication, what steps should be taken to maintain the client's safety when he is discharged?

Accepted Answer

A)   Provide a 6-month supply to ensure long-term compliance.
B)   Provide a 1-week supply of medication, with refills authorized only after he visits his provider.
C)   Encourage him to increase fluid intake to counteract the common side effect of diarrhea.
D)   Educate him not to eat foods that contain tyramine.

Question 19

Which information suggests that caution is necessary in prescribing a benzodiazepine to an anxious client?

Accepted Answer

A)   The client has a history of alcohol dependence.
B)   The client has a history of diabetes mellitus.
C)   The client has a history of schizophrenia.
D)   The client has a history of hypertension.

Question 20

The nurse is assessing a client who has a diagnosis of schizophrenia and takes an antipsychotic agent daily. Which finding requires further nursing assessment?

Accepted Answer

A)   Respirations of 22 beats/minute
B)   Weight gain of 8 lbs. in 2 months
C)   Temperature of 101oF
D)   Excess salivation

Exam 4: Psychopharmacology

In the treatment of anxiety disorders, benzodiazepines (such as Ativan and Xanax) are indicated for_ use and have__ abuse potential.

Correct Answer
verified

A client is diagnosed with anxiety disorder. Which medication is prescribed for anxiety?

Correct Answer
verified
C

A client began taking lithium for the treatment of bipolar disorder approximately 1 month ago and asks why he has gained 12 lbs. since then. Which is the appropriate nursing response?

Correct Answer
verified
C

Which medication does not require periodic blood-level monitoring?

Correct Answer
verified

A client with depression and substance abuse has an interrupted sleep pattern. She demands that her psychiatrist prescribe her a sedative. What teaching would the nurse provide about the rationale for the use of nonpharmacological interventions instead?

Correct Answer
verified

A physician prescribes an additional medication for a client taking an antipsychotic agent. The medication is to be administered "prn for EPS." When will the nurse plan to give this medication?

Correct Answer
verified

A psychiatrist prescribes a MAOI for a client. When teaching the client about the effects of tyramine, which foods will the nurse caution the client to avoid?

Correct Answer
verified

A client was admitted with major depression that was a single episode and moderate. During her stay, she was started on Prozac (fluoxetine) at 40 mg orally every day. The nurse's discharge teaching should include all of the following except:

Correct Answer
verified

A client with schizophrenia has recently begun a new medication, clozapine (Clozaril) . Which blood cell counts would reveal a potentially fatal side effect of this medication?

Correct Answer
verified

A client is experiencing a psychotic episode. He is in good physical health but has allergies to penicillin, prochlorperazine (Compazine) , and bee stings. Which antipsychotic medication would be contraindicated for the client?

Correct Answer
verified

A client with schizophrenia has recently begun a new medication, clozapine (Clozaril) . Which signs and symptoms of a potentially fatal side effect will the nurse teach the client about?

Correct Answer
verified
B

Joey, age 8 years, takes methylphenidate (Ritalin) for attention deficit/hyperactivity disorder. His mother complains to the nurse that Joey has a very poor appetite, and she struggles to help him gain weight. What teaching will the nurse provide?

Correct Answer
verified

Which statement about the tricyclic group of antidepressant medications is accurate?

Correct Answer
verified

A client with schizophrenia has recently begun a new medication, clozapine (Clozaril) . Which potentially fatal side effect will the nurse teach the client about?

Correct Answer
verified

Which medication is most likely to be prescribed for the extrapyramidal side effects of antipsychotic medications?

Correct Answer
verified

A client has been diagnosed with major depression and is prescribed imipramine (Tofranil) . What information specifically related to this class of antidepressants will the nurse plan to include in client and family education?

Correct Answer
verified

Correct Answer
verified

A client was recently admitted to the inpatient unit after a suicide attempt. He has been placed on a tricyclic antidepressant. In terms of medication, what steps should be taken to maintain the client's safety when he is discharged?

Correct Answer
verified

Which information suggests that caution is necessary in prescribing a benzodiazepine to an anxious client?

Correct Answer
verified

The nurse is assessing a client who has a diagnosis of schizophrenia and takes an antipsychotic agent daily. Which finding requires further nursing assessment?

Correct Answer
verified

Exam 4: Psychopharmacology

In the treatment of anxiety disorders, benzodiazepines (such as Ativan and Xanax) are indicated for_________ use and have__________ abuse potential.

Correct AnswerverifiedShow Answer

A client is diagnosed with anxiety disorder. Which medication is prescribed for anxiety?

Correct AnswerverifiedC

A client began taking lithium for the treatment of bipolar disorder approximately 1 month ago and asks why he has gained 12 lbs. since then. Which is the appropriate nursing response?

Correct AnswerverifiedC

Which medication does not require periodic blood-level monitoring?

Correct AnswerverifiedShow Answer

A client with depression and substance abuse has an interrupted sleep pattern. She demands that her psychiatrist prescribe her a sedative. What teaching would the nurse provide about the rationale for the use of nonpharmacological interventions instead?

Correct AnswerverifiedShow Answer

A physician prescribes an additional medication for a client taking an antipsychotic agent. The medication is to be administered "prn for EPS." When will the nurse plan to give this medication?

Correct AnswerverifiedShow Answer

A psychiatrist prescribes a MAOI for a client. When teaching the client about the effects of tyramine, which foods will the nurse caution the client to avoid?

Correct AnswerverifiedShow Answer

A client was admitted with major depression that was a single episode and moderate. During her stay, she was started on Prozac (fluoxetine) at 40 mg orally every day. The nurse's discharge teaching should include all of the following except:

Correct AnswerverifiedShow Answer

A client with schizophrenia has recently begun a new medication, clozapine (Clozaril) . Which blood cell counts would reveal a potentially fatal side effect of this medication?

Correct AnswerverifiedShow Answer

A client is experiencing a psychotic episode. He is in good physical health but has allergies to penicillin, prochlorperazine (Compazine) , and bee stings. Which antipsychotic medication would be contraindicated for the client?

Correct AnswerverifiedShow Answer

A client with schizophrenia has recently begun a new medication, clozapine (Clozaril) . Which signs and symptoms of a potentially fatal side effect will the nurse teach the client about?

Correct AnswerverifiedB

Joey, age 8 years, takes methylphenidate (Ritalin) for attention deficit/hyperactivity disorder. His mother complains to the nurse that Joey has a very poor appetite, and she struggles to help him gain weight. What teaching will the nurse provide?

Correct AnswerverifiedShow Answer

Which statement about the tricyclic group of antidepressant medications is accurate?

Correct AnswerverifiedShow Answer

A client with schizophrenia has recently begun a new medication, clozapine (Clozaril) . Which potentially fatal side effect will the nurse teach the client about?

Correct AnswerverifiedShow Answer

Which medication is most likely to be prescribed for the extrapyramidal side effects of antipsychotic medications?

Correct AnswerverifiedShow Answer

A client has been diagnosed with major depression and is prescribed imipramine (Tofranil) . What information specifically related to this class of antidepressants will the nurse plan to include in client and family education?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

A client was recently admitted to the inpatient unit after a suicide attempt. He has been placed on a tricyclic antidepressant. In terms of medication, what steps should be taken to maintain the client's safety when he is discharged?

Correct AnswerverifiedShow Answer

Which information suggests that caution is necessary in prescribing a benzodiazepine to an anxious client?

Correct AnswerverifiedShow Answer

The nurse is assessing a client who has a diagnosis of schizophrenia and takes an antipsychotic agent daily. Which finding requires further nursing assessment?

Correct AnswerverifiedShow Answer

In the treatment of anxiety disorders, benzodiazepines (such as Ativan and Xanax) are indicated for_ use and have__ abuse potential.

Correct Answer
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Correct Answer
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C

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C

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B

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