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Medications
Nursing Brain
PsychoPharm
Neuro Transmitters
Symptoms
100

A patient is given IM haloperidol for acute psychosis. What is the Black Box Warning (BBW) associated with this medication and why?

Increases mortality in dementia related psychosis

100

What type of hallucinations are the most dangerous?

Auditory 

100

What type of medication is used to treat positive symptoms in schizophrenia?

1st Generation Antipsychotic

Typical

100

Low serotonin causes this

Depression 

100

Jared states that demons in the corned of the room are telling him to strangle you. What type of hallucinations are present?

Auditory and Physical

200

How does an SSRI work?

It inhibits serotonin reuptake

200
What is the priority for a suicidal patient?

Safety

200

What does benztropine treat?

EPS

200

Joel has schizophrenic. Is the level of norepinephrine likely to be high or low?

High

200

Janice is participating in group therapy. You recognize that repetitive lip smacking is indicative of this condition

Tardive Dyskinesia

300

Jayson is admitted to the acute behavioral care unit with a new diagnosis of bipolar disorder. Which type of medication is commonly used for this?

Lithium

Anticonvulsants

300
Name two (2) educational points when teaching about first generation antipsychotic medications.
Does not treat negative symptoms


EPS is a main side effect


sunscreen usage is important when exposed to sun


QT prolongation


TD with long term usage

300

What is the functional class of ziprasidone? 

2nd Generation Antipsychotic

Atypical

300

What mental illnesses can be attributed to an excess of dopamine?

Schizophrenia

Mania

300

Describe anhedonia 

Inability to experience pleasure

400

Which medication is best for long term use in anxiety

BuSpar

buspirone

400

Emelia recently placed Simon in 4 point hard restraints due to Simon attempting to stab a patient in the milieu with his glasses. How often should Simon be charted on?

q15m

400
You are the nurse caring for Esmerelda, a 84 year old female with a history of dementia that is having a panic attack. The doctor has standing orders for medications. Which is MOST appropriate in this situation?


Lorazepam 4mg PO

Haldol Decanoate 5mg IM

Lorazepam 2mg IM 

Ondansetron 4mg IV

Methylphenidate 18mg PO

Lamotrigine 100mg PO

Lorazepam 2mg IM

400

High levels of GABA cause this

Reduction of anxiety

400

Holly recently started fluphenazine for her schizophrenia. She is suddenly confused and has a fever. What is she experiencing?

NMS

500

What is the only medication in the antipsychotic group that does not cause weight gain?

aripiprazole 

Abillify

500
Edna is a behavioral health nurse speaking with a patient. After speaking with her patient she tells a coworker "Jeremy reminds me of my great uncle Harrison." What type of  non-therapeutic communication is this?

Countertransference 

500

What is the action of anticonvulsants in mania?

Decrease glutamate and increase GABA

500

High acetylcholine levels are associated with this

Depression
500

When looking in Jeffery's chart you see the following statement "positive neurological, echolalia during conversation." What does echolalia mean?

pathological repetition of someone else's words