DRUGS
A client is experiencing hallucinations and delusions.
The nurse would expect the prescribing health care provider to order which class of drug?
A. Stimulant
B. Antianxiety agent
C. Antipsychotic
D. Mood stabilizer
C. Antipsychotic
Which client would not be able to undergo a magnetic resonance imaging scan (MRI)?
A. A client with a longstanding history of claustrophobia
B. A client with a pacemaker
C. A client with a diagnosed anxiety disorder
D. A client who is obese
wHAT IS B. A client with a pacemaker
A client in the operating room goes into malignant hyperthermia due to an abnormal reaction to the anesthetic. The nurse knows that the area of the brain that regulates body temperature is what?
A.Cerebellum
B. Hypothalamus
C. Thalamus
D. Midbrain
What is B. Hypothalamus?
When the client asks the nurse how long it will take before the selective serotonin reuptake inhibitor (SSRI) antidepressant medication will be effective, which reply is most accurate and therapeutic?
A. “This is a good medication! It will be effective within 20 minutes of the first dose.”
B. “You will have gradual improvement in symptoms over the next few weeks, but the changes may be so subtle that you may not notice them for a while. It is important for you to keep taking the medication.”
C. “It will probably take months for the medication to work. In the meantime, you should work on improving your attitude.”
D. “If you believe it will work, then it will. You must have faith!”
B. “You will have gradual improvement in symptoms over the next few weeks, but the changes may be so subtle that you may not notice them for a while. It is important for you to keep taking the medication.”
Which statement about the neurobiologic causes of mental illness is most accurate?
A. Genetics and heredity can explain all causes of mental illness.
B. Viral infection has been proven to be the cause of schizophrenia.
C. There is no evidence that the immune system is related to mental illness.
D. Several mental disorders may be linked to genetic and nongenetic factors.
D. Several mental disorders may be linked to genetic and nongenetic factors.
0.8 to 1.2 mEq/
What is the therapeutic rage of serum lithium?
Which side effect is associated with selective serotonin reuptake inhibitors (SSRIs)?
A. Myopathy
B. Liver failure
C. Sexual dysfunction
D. Exophthalmia
What is C. Sexual dysfunction
A client taking lithium comes to the hospital for a 2-week follow-up. The client complains of a hand tremor that keeps from holding a coffee cup and states that the client feels confused, has stomach aches, and trips occasionally. Which would be the most therapeutic intervention of the psychiatric nurse?
A. Explain to the client that these are common side effects and that they will subside soon
B. Call the client's psychiatrist because her symptoms are indicative of moderate toxicity
C. Say that you and the client will monitor these side effects to be sure they do not increase in severity
D. Ask the client to return 3 days later to see the psychiatrist, who will be in the clinic on that day
What is B. Call the client's psychiatrist because her symptoms are indicative of moderate toxicity
This statement shows understanding of what classification of medication?
"I should avoid foods that are high in the amino acid tyramine such as aged cheese, meats, and chocolate because this drug causes the level of tyramine to go up to dangerous levels.“
What is monoamine oxidase inhibitor (MAOI)?
Population that requires lower doses
What is older adult?
Sudden cessation of what medication can cause rebound insomnia and nightmares.
What is alprazolam (xanex)?
A client is brought to the emergency department with reports of slurred speech, spasms, and jerky movements. The significant other shows the nurse a pill bottle and states that the client has been taking antipsychotic medications for "awhile". The nurse notices that an "improper dose" is ordered on the prescription bottle.
How would the nurse explain what system is causing the movements?
What is Dysfunction of the extrapyramidal motor track can manifest serious neurologic symptoms including dystonia, pseudoparkinsonism, and akathisia?
The mental health nurse instructs a client prescribed phenelzine to avoid aged foods, such as wine and cheese. For which reasons are these instructions important for client safety?
What is prevention of hypertensive crisis?
(tyramine can provoke)
Intake of this in the diet impacts lithium levels
Salt
Antidepressants are considered the treatment of choice for major depression; however, they should be used most cautiously in clients with a history of:
A. asthma and respiratory diseases.
B. smoking.
C. liver disease.
D. cardiac or seizure disorders.
What is D. cardiac or seizure disorders.
First line treatment for bipolar disorder
What is lithium?
A client is being seen in the mental health clinic. The client has been on haloperidol for 8 months and is now exhibiting tongue protrusion, lip smacking, and rapid eye blinking. A nurse would document this chronic syndrome as:
What is tardive dyskinesia?
A client is newly prescribed a medication that will block the effects of histamine postsynaptically for the treatment of a mental health disorder. The client asks, “What side effects should I anticipate with this new medication?” Which response by the nurse is accurate?
A. “You should expect to feel drowsy.”
B. “You should expect weight loss.”
C. “You should expect to experience insomnia.”
D. “You should expect your blood pressure to increase.”
What is A. “You should expect to feel drowsy.”
A patient should be taught hyperpyrexia, severe hypertension, and diaphoresis are signs of what?
neuroleptic malignant syndrome (NMS)
A female client is brought to the emergency department by her sibling, who reports that the client became very agitated and “started hallucinating.” Further assessment reveals tachycardia, incoordination, vomiting, and diarrhea. The sibling states that the client is taking paroxetine for depression. Which would the nurse most likely suspect?
A. Neuroleptic malignant syndrome
B. Acute dystonic reaction
C. Serotonin syndrome
D. Hypothyroidism
What is C. Serotonin syndrome?
Which antidepressant drug is a preferred drug for clients at high risk of suicide?
A. Tranylcypromine
B. Sertraline
C. Imipramine
D. Phenelzine
What is B. Sertraline
A client brings a spouse to the mental health clinic with reports that the spouse has been exhibiting a tendency to self-mutilate, experiences fits of intense rage, and is increasingly aggressive toward others. How should the nurse elaborate on the type of symptoms this client is demonstrating?
A. "Lack of norepinephrine in the body produces symptoms such as obesity, fibromyalgia, and panic attacks."
B. "Lack of histamine in the body produces symptoms such as anxiety, hypertension, and difficulty regulating body temperature."
C. "Lack of dopamine in the body produces symptoms such as depression, fatigue, and lack of motivation."
D. "Lack of serotonin in the body produces symptoms such as aggression, hostility, and compulsiveness."
What is D. "Lack of serotonin in the body produces symptoms such as aggression, hostility, and compulsiveness."
A client is seen for frequent exacerbation of schizophrenia due to nonadherence to medication regimen. The nurse should assess for which common contributor to nonadherence?
A. The client is symptom-free and therefore does not need to adhere to the medication regimen.
B. The client cannot clearly see the instructions written on the prescription bottle.
C. The client dislikes the weight gain associated with antipsychotic therapy.
D. The client sells the antipsychotics to addicts in the neighborhood.
What is C. The client dislikes the weight gain associated with antipsychotic therapy?
What is the difference between traditional and atypical antipsychotics?
A. Traditional antipsychotics work mostly as dopamine agonists, but antipsychotics work through antagonizing the dopamine receptor.
B. Traditional antipsychotics have a more powerful effect on the negative symptoms of schizophrenia, whereas atypical antipsychotics exert stronger effects on the positive symptoms.
C. Atypical antipsychotics work on dopamine-receptor and serotonin-receptor blockade, whereas traditional antipsychotics work on dopamine-receptor blockade.
D. There are no major differences between these two classes of drugs; their advantages are that there is a wider spectrum of drugs from which to choose.
What is C. Atypical antipsychotics work on dopamine-receptor and serotonin-receptor blockade, whereas traditional antipsychotics work on dopamine-receptor blockade?
When the client experiences facial flushing, a throbbing headache, nausea, and vomiting after consuming alcohol while taking disulfiram, the nurse is aware that this is what?
What is intended therapeutic result?