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100
Tracy is on a tricyclic antidepressants TCA) and recently has been sick with a cold that developed into bronchitis. She feels her medicine is causing her to:
What is A. feel dizzy when she stands up B. experience insomnia C. develop a dry hacking cough D. develop a productive cough
100
Which of the following is primarily used as hypnotics to treat insomnia?
What is A. Nonbenzodiazepines B. Benzodiazepines C. Antidepressants D. Barbiturates
100
A nurse should include which of the following patient teaching for the drug Lorazepam (Ativan) (Select all that apply)
What is A. Limit the amount of alcohol to only 1 glass while taking this medication B. It is safe to take this medication while you are pregnant C. Call the doctor if you suspect pregnancy D. You should use another form of birth control if you are taking oral contraception E. This drug may cause drowsiness and dizziness
100
Bipolar disorder is a serious psychiatric disorder characterized by extreme mood swings from depression to euphoria. What is the conventional treatment of choice for these patients
What is A) Lithium B) Lorazapam C) Dilantin D) Music therapy
100
When your body temperature, blood pressure, hormone levels, and respiration all fluctuate throughout the day this is known as:
What is A. Homeostasis B. Circadian rhythm C. Cataplexy D. Refractory period
200
Jenna is taking a monoamine oxidase inhibitors to treat her depression because she has not responded to other antidepressant therapy. Recently, she to a trip to California Vineyards were she enjoyed a week of wines, cheeses, and olives. As a result of her indulgence, on the airplane home, she found herself in a
What is A) depressive state B) a euphoric state C) orthostatic hypotensive D) hypertensive crisis
200
CNS depressants are prescription drugs that decrease brain activity, thus reducing anxiety, insomnia, or both. CNS agents used for sleep and anxiety disorders include: (check all that apply):
What is A) benzodiazepines B) nonbenzodiazepine C) anxiolytics, D) antidepressants E) barbiturates
200
Which patient education should be included for the drug Phenobarbital (Luminal) (Select all that apply)
What is A. Consume plenty of foods containing vitamin C B. Consume plenty of foods containing vitamins D and K C. Take this drug immediately prior to expected sleep D. Do not breastfeed while taking this medication E. Take the last does by 4 p.m. to avoid insomnia
200
Which drug am I? I have a short half-life so I need multiple doses a day, an inorganic element, you must monitor sodium intake, I take 1-3 weeks to work therapeutically, and should be taken with food?
What is A. Phenelzine (Nardil) B. Lithium (Eskalith, Lithobid) C. Fluoxetine (Prozac, Sarafem) D. Imipramine (Tofranil)
200
Situational anxiety can be best described as:
What is A. A persistent fear of crowds or being ridiculed or embarrassed in public B. An intense feeling of immediate apprehension, fearfulness, terror or impending doom accompanied by increased autonomic nervous system activity such as sweating, increased heart rate, shortness of breath, and trembling. C. Recurrent, intrusive thoughts or repetitive behaviors. D. Anxiety experienced by people faced with a temporary stressful environment
300
Sarah the nurse administered lithium carbonate to John for a mood disorder. Later in the day, John’s lithium toxicity range was above 1.0 mEq/L. She went into his room and he was watching television and drinking a cup of black tea. What did her physical assessment find? (choose all that apply):
What is a) Fine hand tremors while sipping his tea b) He was complaining of abdominal pain c) He was unable to lift his hands and feet d) He was super sensitive of the temperature of the tea
300
Alice frequently has anxiety and cannot sleep. The physician knows the drug of choice for generalized anxiety disorder and the short-term therapy of insomnia are (only one choice here)?
What is A) benzodiazepines B) nonbenzodiazepine C) anxiolytics, D) antidepressants E) barbiturates
300
Which statement by the client who has been taking diazepam (Valium) for 3 months would indicate that the outcome of medication therapy has been successfully achieved?
A. “I will need to take this medication for the rest of my life.” B. “I feel like I am able to cope with routine stress at my job and home responsibility.” C. “Because I am now feeling better, I am planning to stay on it for a long time.” D. I thought this medication would make me think better.”
300
Which of the following drug is also approved for bed wetting in children?
What is A. Imipramine (Tofranil) B. Fluoxetine (Prozac, Sarafem) C. Phenobarbital (Luminal) D. Zolpidem (Ambien, Tovalt)
300
The mechanism of action for the drug Phenobarbital (Luminal) is:
What is A. Enhances the action on GABA, the inhibitory neurotransmitter binding to only one type of receptor. B. Potentiates the action of GABA, capable of causing all levels of CNS depression. C. Binds to GABA receptors, enhancing the GABA activity. D. Binds to MOA and intensifies the action of epinephrine, norepinephrine, serotonin, and dopamine in the CNS.
400
Hypertensive crisis is an adverse effect of which of the following if combined with tyramine:
What is A. MAOIs Monoamine oxidase inhibitors B. SSRIs Selective serotonin reuptake inhibitors C. SNRIs Selective norepinephrine reuptake inhibitors D. TCAs Tricilyic antidepressants
400
Dr. Wong has to choose a antidepressants to prescribe for Tom who has an anxiety disorders. What drug classes of drugs does Dr Wong have to choose from (Select all that apply)
What is A) TCAs B) MAOIs C) SSRIs. D) Antihistamines
400
The nurse determines that the client understands an important principle in self-administration of fluoxetine (Prozac) when the client makes which of the following statements?
What is A. “I should not decrease my sodium or water intake”. B. “This drug can be taken concurrently with an MAOI.” C. “It may take up to 1 month to reach full therapeutic effects.” D. “There are no problems associated with concurrent use of other depressants.”
400
The development of which symptoms(s) is a client taking an anti-psychotic must be reported immediately?
What is A. Fever, tachycardia, stupor, and incontinence B. Suddenly occurring muscle spasms, especially in the neck and back C. Sexual dysfunction D. Leg pains, pacing, an inability to sit still
400
Which of the following is administered as the antidote for Lorazepam (Ativan)
What is A. Zalephlon (Sonata) B. Estazolam (ProSon) C. Flumazenil (Romazicon) D. Midazolam (Versed)
500
Dr. Mike has prescribed Jenna a Selective Serotonin Reuptake Inhibitor Fluoxetine (Prozac) for her post postpartum depression, some vitamins; calcium with vitamin D and Folic Acid for her anemia, and Digoxin for her hypertension. She suddenly became very agitated with her newborn and very thirsty. What drug can cause dry mouth and agitation?
What is A) Fluoxetine (Prozac) B) calcium with vitamin D C) Digoxin
500
Dr. Wong who is prescribing to Tom knows that which antidepressant is the drug of choice for anxiety disorders owing to their relative safety and effectiveness?
What is E) TCAs F) MAOIs G) SSRIs. H) Antihistamines
500
The nurse is providing the nursing staff with an in-service about drugs to treat mania. One concept presented is that lithium (Eskalith) is superior to valproic acid in treating bipolar disorder because it has:
What is A. No food or beverage restrictions B. The ability to decrease suicide C. A wider therapeutic margin, so it is safer D. Few, if any, adverse reactions
500
The client, who has been taking benzodiazepines for several years, suddenly decides to stop taking the medication. The nurse will monitor for symptoms of acute withdrawal by noting which of the following?
What is A. Weakness, delirium, seizures B. Blurred vision, orthostatic hypotension C. Sore throat, fever, jaundice D. Sleep disturbances
500
Tina has not had a good night sleep in along time and often finds herself filled with anxiety when asked to make the simplest of decisions. She gets very sad and down after her decisions. Her friend said there is a link between insomnia and anxiety.
What is A) Her friend is right; they should treat with a good night sleep only B) Her friend is right; they should treat both conditions. C) Her friend is wrong, they have no correlation