Get Up and Go:
Stimulant Medications
Counting Sheep:
Sedatives and Hypnotics
Mood Boosters & Happy Pills
Chill Pills & Calm Elixirs
Memory Lane Maintenance
100

A client on methylphenidate shows improved focus and reduced hyperactivity. What does this indicate?

What is a therapeutic response to the medication?

100

A client is prescribed zolpidem for sleep. The nurse emphasizes planning for how many hours of rest?

What is at least 7 to 8 hours of uninterrupted sleep?

100

A client on amitriptyline asks how the medication works. The nurse explains it affects which neurotransmitters?

What are serotonin and norepinephrine?

100

A client experiences dizziness and lightheadedness after taking a benzodiazepine. Which nursing diagnosis is appropriate?

What is the risk for injury related to orthostatic hypotension and dizziness?

100

When educating about galantamine for Alzheimer’s, the nurse explains it works by influencing which neurotransmitter?

What is acetylcholine, by inhibiting its breakdown?

200

When preparing to administer an amphetamine to an obese client, which assessment is most important?

What is evaluating cardiovascular health, including blood pressure and heart rate?

200

After learning about hypnotics, students correctly identify which factors as potential causes of insomnia?

What are stress, anxiety, chronic pain, or environmental factors?

200

When assessing a client for depression, which symptom is most concerning?

What are suicidal thoughts or expressions of hopelessness?

200

A patient in the ER with benzodiazepine overdose may receive which antidote?

What is flumazenil?

200

A caregiver asks how rivastigmine helps with Alzheimer’s symptoms. What is the correct explanation?

What is by enhancing communication between nerve cells in the brain?

300

Which common side effect should the nurse monitor for in a client taking methylphenidate?

What are insomnia and decreased appetite?

300

Which group of medications can cause CNS depression, hypnosis, coma, and respiratory depression, and are used infrequently?

What are barbiturates?

300

A client on amoxapine shows muscle rigidity and sweating. Which action is a priority?

What is contacting the healthcare provider immediately due to the risk of neuroleptic malignant syndrome?

300

A client reports dry mouth while on a benzodiazepine. What advice should the nurse provide?

What is to sip water, chew sugar-free gum, or use saliva substitutes?

300

A client on donepezil is also taking celecoxib. What should the nurse closely monitor for?

What are gastrointestinal bleeding or other gastrointestinal side effects?

400

A client receiving caffeine shows improved alertness and wakefulness. This demonstrates what type of response?

What is a therapeutic effect of CNS stimulation?

400

The nurse should expect to see which symptom improve if a hypnotic is effective?

What is the ability to fall asleep and stay asleep without waking frequently?

400

A client asks how long it will take for an antipsychotic drug to show improvement in symptoms. The nurse’s best response is?

What is several weeks, typically 2 to 6 weeks, for full therapeutic effects?

400

When caring for an older adult receiving a parenteral antianxiety medication, the nurse should prioritize what?

What is close monitoring for excessive sedation or respiratory depression?

400

The Drug Memantine is used to treat Alzheimers disease and falls into which category of medication

What is an NMDA receptor antagonist. Although it has a name similar to cholinesterase inhibitors it is a different category of medication. 

500

Before starting an older client on a stimulant medication, which history should be reviewed carefully?

What is a history of cardiovascular disease or hypertension?

500

What nursing action is a priority when administering a sedative to an older adult?

What is monitoring for increased sedation or risk of falls?

500

When educating about tricyclic antidepressants, which side effects should the nurse highlight?

What are dry mouth, blurred vision, constipation, and urinary retention?

500

Which safety instruction is critical for a client starting benzodiazepine therapy?

What is avoiding alcohol and other CNS depressants due to increased sedation risk?

500

Which assessment finding would indicate a positive therapeutic response to donepezil?

What is improved cognitive function or slowed progression of memory decline?