Whats that Drug
A nurse is teaching a group of nursing students how the CNS adapts to psychotherapeutic medications. Which statement by a nursing student indicates a need for further teaching?
A. "Adaptation can lead to tolerance of these drugs with prolonged use."
B. " Adaptation helps explain how physical dependence occurs."
C. "Adaptation often must occur before therapeutic effects develop."
D. 'Adaptation results in an increased sensitivity to side effects over time."
"Adaptation results in an increased sensitivity to side effects over time."
A client verbalizes an intense need for psychoactive drugs. The nurse recognizes this behavior as what?
A. physical dependence
B. drug tolerance
C. psychologoic dependence
D. addiction
psychologic dependence
A person who is the primary caregiver for a mother with Alzheimer disease says, “Sometimes I hate my mother for living this long and Dad for dying and not caring for her.” Which response is most therapeutic?
A. "What do you do to cope with these negative feelings?”
B. " It's fairly common for a caregiver to feel such negative emotions."
C." Have you ever felt angry enough to be abusive toward your mother."
D. "Please consider discussing these feelings with other members of your family."
“What do you do to cope with these negative feelings?”
A person who is the primary caregiver for a mother with Alzheimer disease says, “Sometimes I hate my mother for living this long and Dad for dying and not caring for her.” Which response is most therapeutic?
A.“What do you do to cope with these negative feelings?”
B.“It’s fairly common for a caregiver to feel such negative emotions.”
C.“Have you ever felt angry enough to be abusive toward your mother?”
D. “Please consider discussing these feelings with other members of your family.”
“What do you do to cope with these negative feelings?”
A patient hospitalized 3 weeks ago with major depressive disorder presented with suicidal ideations but no suicide plan. Sertraline (Zoloft) was prescribed, and the patient now reports that the feelings of depression have somewhat lessened. The guiding factor the nurse considers when planning care is that there is:
A.little risk for injury if the patient has no plan.
B.an increased risk for suicide as the depression lifts.
c.little suicide risk after 3 weeks on an antidepressant.
D. an increase in patient compliance with sertraline (Zoloft).
an increased risk for suicide as the depression lifts.
A patient who is taking a first-generation antipsychotic (FGA) drug for schizophrenia comes to the clinic for evaluation. The nurse observes that the patient has a shuffling gait and mild tremors. The nurse will ask the patient’s provider about which course of action?
A.Administering a direct dopamine antagonist
b.Giving an anticholinergic medication
c. increasing the dose of the antipsychotic drug
D. Switching to a second-generation antipsychotic druggiving an anticholinergic medication
A family member of a patient who is experiencing a severe manic episode asks the nurse why the patient is receiving an antipsychotic medication. The nurse informs the family member that antipsychotics are used in the treatment of severe manic episodes to do what?
A. Help control symptoms during the severe manic episode
B. Elevate mood during the severe manic episode
C. Produce sedating effects during the severe manic episode
D. reduce the amount of physical pain the patient experiences during the severe manic episode.
help control symptoms during the severe manic episode
A nurse is working with a family with an elderly member who is in the prediagnostic phase of Alzheimer disease. The most important nursing intervention at this time would be to provide:
A. family consultation to facilitate communication
B. information about support groups and counseling
C. Options directed toward the reduction of caregiver stress
D. education that helps them understand their situation
Education that helps them understand their situation
An older adult newly diagnosed with depression says, “Yesterday was such a busy day and with everything I had to remember I couldn’t recall where I had parked my car. Am I getting Alzheimer disease?” An appropriate response from the nurse would be:
A.“Would you like me to have your health care provider discuss your concerns with you?”
B “I do this all the time myself. It will get better after you’ve taken your antidepressant medication for a while.”
C.“When people are very busy or depressed, it’s not unusual for them to be forgetful. Nevertheless, let’s talk about your concerns.
D.“It sounds as if you may have some memory deficit for recent events. When did you first begin to notice your problem with forgetfulness?”
“When people are very busy or depressed, it’s not unusual for them to be forgetful. Nevertheless, let’s talk about your concerns.
In the absence of a previous suicide attempt, the nurse is most concerned about a client’s risk for self-harm when he shares that:
A. his wife divorced him 6 months ago
B. he was diagnosed with major depression 10 years ago
C. his mother experienced postpartum depression after his birth
D. he often spends days alone in a cabin located miles away from the main roadhe was diagnosed with major depression 10 years ago
Which side effects are more common in second-generation antipsychotic medications than in first-generation antipsychotic medications? (Select all that apply.)
A. agranulocytosis
B. Anticholinergic effects
C. Extrapyramidal symptoms
D. Metabolism by CYP3A4
E. Prolactin elevation
Agranulocytosis
Anticholinergic effects
metabolism by CYP3A4
Lithium is used in the treatment of bipolar disorder and what other psychiatric disorders? (Select all that apply.)
A. alcoholism
B. bulimia
C. hypertension
D. Schizophrenia
E. Glucocorticoid-inudeced psychosis
alcoholism, bulimia, schizophrenia, glucocotritoid-induced psychosis
Which nursing diagnosis would be appropriate for a patient with Alzheimer disease?
A.Disorientation related to hyperthermia
B. Anxiety (moderate) related to dementia
C. Disturbed sensory perception (visual) related to normal aging
D. Disturbed thought processes related to irreversible brain disorder
Disturbed thought processes related to irreversible brain disorder
A nurse is working with a family with an elderly member who is in the prediagnostic phase of Alzheimer disease. The most important nursing intervention at this time would be to provide:
A. family consultation to facilitate communication
B. information about support groups and counseling
c. options directed toward the reduction of caregiver stress
D. education that helps them understand their situation
education that helps them understand their situation
patient with depression tells a nurse, “I hope someone will make sure my family gets my jewelry when I’m gone.” This statement can be assessed as a suicide:
A. attempt
B. gesture
C. threat
D. plan
C. threat
The nurse identifies which medication as posing a significant risk of causing confusion, somnolence, psychosis, and visual disturbances in elderly patients?
A. Metronidazole (Flagyl)
B. Rifampin (Rifadin)
C. Ciprofloxacin (Cipro)
D. Daptomycin (Cubicin)
Cipro
A psychiatric nurse is caring for a drug-addicted patient. The nurse knows that the ideal goal of drug rehabilitation for this patient is:
A. abstinence from the drug
B. decreasing episodes of relapse
C. minimizing drug cravings
D. reduction of drug use
abstinence from the drug
A nurse caring for a patient with Alzheimer disease can anticipate that the family will most likely need information about:
A. antimetabolites.
B. benzodiazepines.
C. immunosuppressants.
D. acetylcholinesterase inhibitors.
Acetylcholinesterase inhibitors
The client’s chart indicates that she has experienced trauma to the cerebral cortex as a result of injuries sustained during an attempted suicide. Which observation is most likely the result of this injury?
A. client is often found crying into her pillow
B. client demonstrates involuntary twitching of facial muscles
C. client states, " what do you mean its raining cats and dogs?"
D. Client asks, "Can you address this letter to my mom; I forget her address?"client states, " what do you mean its raining cats and dogs?"
The nursing diagnosis for a patient who is depressed and suicidal at admission is “risk for suicide.” The most appropriate outcome for this diagnosis at discharge from the hospital is, “The patient will:
A. increase feelings of self worth
B. not harm self while hospitalized
C. be able to problem solve effectivelyD. develop a trusting relationship with one staff member
not harm self while hospitalized
Which statements does the nurse include when teaching a patient about antipsychotic drug therapy? (Select all that apply.)
A.Restrict the use of antipsychotic drugs to 3 months to prevent the development of addiction
B.“Dilute oral preparations in fruit juice to improve their palatability."
C.“Store oral preparations in a dark area.”
D.“Do not make skin contact with these drugs; flush the affected area with water if a spill occurs.”
E. “Take an over-the-counter sleep aid if you have trouble falling asleep at night.”
B.“Dilute oral preparations in fruit juice to improve their palatability."
C.“Store oral preparations in a dark area.”
D.“Do not make skin contact with these drugs; flush the affected area with water if a spill occurs.”
The selective serotonin reuptake inhibitors (SSRIs) are recommended therapy for a number of psychologic disorders. The nurse identifies the SSRIs as effective for the treatment of patients with which psychologic disorders? (Select all that apply.)
A. Depression
B. Panic Disorder
C. Social anxiety disorder
D. Post-traumatic stress disorder
E. Obsessive-compulsive disorder
depression, panic disorder, social anxiety disorder, obsessive-compulsive disorder
A person who is the caregiver of a parent with early-to-middle-stage Alzheimer disease is concerned about possible episodes of incontinence. What strategy should the nurse suggest?
A. limiting the patient's fluid intake to 1000 ml daily
B. discussing the use of an indweling catheter with the health care provider
c. putting plastic coverings on the beds, upholstered chairs, and sofas
D. Taking the patient to the bathroom at least every 2 hours when the patient is awake
Taking the patient to the bathroom at least every 2 hours when the patient is awake
In the absence of a previous suicide attempt, the nurse is most concerned about a client’s risk for self-harm when he shares that:
A. his wife divorced him 6 months ago
B. he was diagnosed with major depression 10 years ago
C. his mother experience postpartum depression after his birth
D. he often spends days alone in a cabin located miles away from the main road
he was diagnosed with major depression 10 years ago
A priority for nurses working with psychiatric patients would be the assessment of suicide risk for individuals who have the tendency to be: (Select all that apply.)
A. blaming
B. hostile
C. hopeless
D. impulsive
E. controlling
hostile, hopeless, impulsive, controlling.