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Administering Medications > CH 18 Psychotropic Drugs > Flashcards

CH 18 Psychotropic Drugs Flashcards

1
Q
  1. Alterations in the level of which neurotransmitter are associated with changes in behavior?

Dopamine
Serotonin
Acetylcholine
Tyrosine

A

Serotonin

Alterations in the level of serotonin are associated with changes in behavior.

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2
Q
  1. Which of the following neurotransmitters/neurohormones does NOT play a role in mental health?

Dopamine
Serotonin
Histamine
Epinephrine

A

Epinephrine

Neurotransmitters/neurohormones such as dopamine, serotonin, and histamine play an important role in maintaining mental health.

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3
Q
  1. Which of the following neurotransmitters/neurohormones affect sleep, arousal, and memory?

Dopamine and norepinephrine
Acetylcholine and tyrosine
Serotonin and amino acids
Prostaglandin and histamines

A

Dopamine and norepinephrine

Norepinephrine and dopamine function as transmitters having both an inhibitory and excitatory effect on functions such as sleep, arousal, and memory.

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4
Q
  1. Which of the following terms describes a substantial psychological, social, and occupational disability in which the person experiences considerable suffering and a significant change in usual functioning?

Dysthymia
Major depression
Psychosis
Schizophrenia

A

Major depression

The medical term for a substantial psychological, social, and occupational disability in which the person experiences considerable suffering and a significant change in usual functioning is major depression.

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5
Q
  1. Which of the following terms describes a condition characterized by a minimal psychological, social, and occupational impairment that occurs in early childhood to early adulthood?

Dysthymia
Major depression
Psychosis
Schizophrenia

A

Dysthymia

Dysthymia is characterized by a minimal psychological, social, and occupational impairment that occurs in early childhood to early adulthood.

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6
Q
  1. Which of the following terms describes an impaired ability to recognize reality, a demonstration of bizarre behaviors, and an inability to deal with life’s demands?

Dysthymia
Major depression
Psychosis
Catatonia

A

Psychosis

Psychosis is an impaired ability to recognize reality, a demonstration of bizarre behaviors, and an inability to deal with life’s demands.

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7
Q
  1. Which of the following terms describes impairment of the special senses by which the individual perceives in response to his or her own inner simulation, that can include beliefs, delusions, feelings, unfilled wishes, and needs?

Hallucination
Anxiety
Tardive dyskinesia
Catatonia

A

Hallucination

Hallucination is an impairment of the special senses by which the individual perceives in response to his or her own simulation; that is, beliefs, delusions, feelings, unfilled wishes, and needs.

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8
Q
  1. Which of the following terms describes false beliefs that are resistant to reasoning?

Hallucinations
Delusions
Dogma
Fervor

A

Delusions

Delusions are false beliefs that are resistant to reasoning

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9
Q
  1. A patient experiencing hallucinations, delusions, disorganized speech, and grossly disorganized behavior may be diagnosed with:

dysthymia.
major depression.
alcoholism.
schizophrenia.

A

schizophrenia.

Schizophrenia is a mental illness in which psychosis is the classic feature; it is characterized by hallucinations, delusions, disorganized speech, and grossly disorganized behavior.

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10
Q
  1. Which of the following terms describes a state of psychologically induced immobilization, at times interrupted by episodes of extreme agitation?

Catatonia
Tardive dyskinesia
Dystonia
Akathisia

A

Catatonia

Catatonia is a state of psychologically induced immobilization, at times interrupted by episodes of extreme agitation.

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11
Q
  1. Which of the following is NOT a category of drug prescribed for people with temporary emotional problems or anxiety?

Mild tranquilizers
Sedatives
Antidepressants
CNS stimulants

A

CNS stimulants

Mild tranquilizers, sedatives, and antidepressants are prescribed for people with temporary emotional problems or anxiety.

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12
Q
  1. Antabuse is given to treat which of the following conditions?

Cocaine addiction
Alcohol dependence
Intravenous drug abuse
CNS depressant abuse

A

Alcohol dependence

Antabuse is used to prevent the ingestion of alcohol in chronic alcoholics.

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13
Q
  1. Which of the following terms describes developmentally inappropriate degrees of inattention, impulsiveness, and hyperactivity?

Learning disability
Attention-deficit hyperactivity disorder (ADHD) Dysthymia
Mania

A

Attention-deficit hyperactivity disorder (ADHD)

Attention-deficit hyperactivity disorder (ADHD) refers to developmentally inappropriate degrees of inattention, impulsiveness, and hyperactivity.

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14
Q
  1. Which of the following terms refers to a group of disorders manifested by difficulties in listening, speaking, reading, writing, reasoning, or social skills?

Learning disability
Attention-deficit hyperactivity disorder
Dysthymia
Mania

A

Learning disability

Learning disability refers to a group of disorders manifested by difficulties in listening, speaking, reading, writing, reasoning, or social skills.

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15
Q
  1. Ritalin and Adderall can be prescribed to treat:

Learning disability.
Attention-deficit hyperactivity disorder (ADHD). Dysthymia.
Mania.

A

Attention-deficit hyperactivity disorder (ADHD).

Adderall is equivalent to Ritalin in the treatment of attention-deficit hyperactivity disorder (ADHD).

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16
Q
  1. Adderall has a high potential for ___________; if prescribed for long periods, a drug dependency may occur.

side effects
abuse
idiosyncrasy
tolerance

A

abuse

Adderall has a high potential for abuse; if prescribed for long periods, a drug dependency may occur.

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17
Q
  1. Permanent changes in mood and behavior occur through:

Drug therapy.
Hydrotherapy.
Psychotherapy.
Physical therapy.

A

Psychotherapy.

Permanent changes in mood and behavior occur through psychotherapy.

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18
Q
  1. Which of the following antidepressants has dangerous side effects when mixed with certain drugs and certain foods?

Monoamine oxidase inhibitor (MAOI)
Tricyclic antidepressant
Selective serotonin reuptake inhibitor
Selective norepinephrine reuptake inhibitor

A

Monoamine oxidase inhibitor (MAOI)

Monoamine oxidase inhibitor (MAOI) has dangerous side effects when mixed with certain drugs and certain foods.

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19
Q
  1. Which of the following terms is used to describe a drug that is given to calm anxious or agitated individuals?

Minor tranquilizer
Antimanic
Neuroleptic
MAOI

A

Minor tranquilizer

A minor tranquilizer is a drug that is given to calm anxious or agitated individuals.

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20
Q
  1. Which of the following terms is used to describe a state of feeling apprehensive, uneasy, uncertain, or in fear of an unknown or recognized threat?

Mania
Dysthymia
Anxiety
ADHD

A

Anxiety

Anxiety is a state of feeling apprehensive, uneasy, uncertain, or in fear of an unknown or recognized threat.

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21
Q
  1. Which of the following terms is used to describe a drug that calms without producing sleep?

SSRI
Sedative
Hypnotic
Neuroleptic

A

Sedative

A sedative is a drug that calms without producing sleep.

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22
Q
  1. Which of the following terms is used to describe a drug that does not exert a general central nervous system depressant effect, but acts as a muscle relaxant, anxiolytic, anticonvulsant, and hypnotic?

Antipsychotic
Benzodiazepine
Major tranquilizer
Neuroleptic

A

Benzodiazepine

A benzodiazepine is a drug that does not exert a general central nervous system depressant effect, but acts as a muscle relaxant, anxiolytic, anticonvulsant, and hypnotic.

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23
Q
  1. Which of the following terms describes a group of drugs used to treat serious mental illnesses, such as being out of touch with reality; they produce a state of tranquility and work on abnormally functioning nerves?

Neuroleptics
Antimanics
Benzodiazepines
Barbiturates

A

Neuroleptics

Neuroleptics are a group of drugs used to treat serious mental illnesses, such as being out of touch with reality; they produce a state of tranquility and work on abnormally functioning nerves.

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24
Q
  1. Which of the following is a psychotic disorder in which antipsychotics are beneficial?
Major depression 
Bipolar disorder 
Schizophrenia 
Attention-deficit hyperactivity disorder
Schizophrenia is a psychotic disorder in which antipsychotics are beneficial.
A

Schizophrenia

Schizophrenia is a psychotic disorder in which antipsychotics are beneficial.

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25
Q
  1. Which of the following terms describes muscle spasms of the face, tongue, neck, or back?

Dystonia
Akathisia
Tardive dyskinesia
Anxiety

A

Dystonia

Dystonia is the medical term for muscle spasms of the face, tongue, neck, or back.

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26
Q
  1. Which of the following terms describes a condition characterized by motor restlessness, and an inability to sit or stand still, during which the individual feels the need to pace, rock, or tap a foot?

Dystonia
Akathisia
Tardive dyskinesia
Anxiety

A

Akathisia

Akathisia is characterized by motor restlessness, and an inability to sit or stand still, during which the individual feels the need to pace, rock, or tap a foot.

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27
Q
  1. Which of the following terms describes a potentially irreversible neurological side effect of antipsychotic drugs in which there are involuntary repetitious movements of the face, limbs, and trunk?

Dystonia
Akathisia
Tardive dyskinesia
Anxiety

A

Tardive dyskinesia

Tardive dyskinesia is a potentially irreversible neurological side effect of antipsychotic drugs in which there are involuntary repetitious movements of the face, limbs, and trunk.

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28
Q
  1. Which of the following potentiates the effects of antipsychotics and could lead to a fatal outcome?

Alcohol
Antihypertensives
Antiasthmatics
Cheese

A

Alcohol

Alcohol potentiates the effects of antipsychotics and could lead to a fatal outcome.

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29
Q
  1. Which of the following drugs is used in the treatment of mood disorders or bipolar disorders?

Major tranquilizers
Antimanics
Barbiturates
Anxiolytics

A

Antimanics

Antimanic drugs are used in the treatment of mood disorders or bipolar disorders.

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30
Q
  1. Which of the following is the drug of choice for manic-depressive disorder?

Adderall (dextroamphetamine mixed salts)
Eskalith (lithium carbonate)
Xanax (alprazolam)
Antabuse (disulfiram)

A

Eskalith (lithium carbonate)

The drug of choice for manic-depressive disorder is lithium carbonate.

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31
Q
  1. Fine hand tremors, polyuria, thirst, transient and mild nausea, and general discomfort are side effects of:

Major tranquilizers.
Lithium toxicity.
Adderall.
Benzodiazepines.

A

Lithium toxicity.

Fine hand tremors, polyuria, thirst, transient and mild nausea, and general discomfort are side effects of lithium toxicity.

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32
Q
  1. Drugs such as the narcotics and barbiturates that depress the whole CNS tend to cause __________________ when an overdose is given or taken.

hypotension
bradycardia
respiratory depression
sedation

A

respiratory depression

Drugs such as the narcotics and barbiturates that depress the whole CNS tend to cause respiratory depression when an overdose is given or taken.

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33
Q
  1. Which of the following is NOT a way to make sedatives more effective?

Reduce the noise level in the patient’s room.
Allow patients to leave sedatives at the bedside and take as needed.
Listen to the patient’s concerns and fears.
Relax the patient by giving a warm bath or back rub.

A

Allow patients to leave sedatives at the bedside and take as needed.

Reducing the noise level in the patient’s room, listening to the patient’s concerns and fears, and relaxing the patient by giving a warm bath or back rub make sedatives more effective.

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34
Q
  1. Which of the following drugs are NOT commonly abused?

Hallucinogens
Narcotics
Stimulants
Antimanics

A

Antimanics

Hallucinogens, narcotics, and stimulants are all commonly abused drugs.

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35
Q
  1. Which of the following terms indicates that a medication will be administered by wafer?

Prozac
Elavil
Zyprexa Zydis
Dalmane

A

Zyprexa Zydis

The term Zydis always indicates that the medication will be administered by wafer.

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36
Q
  1. People with schizophrenia may benefit from which of the following types of drugs?

Antipsychotics
Antimanics
Antianxiety
Antidepressants

A

Antipsychotics

Patients with schizophrenia may benefit from antipsychotic drugs.

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37
Q
  1. Alcoholism could be treated with which of the following medications?

Antabuse
Dexedrine
Strattera
Wellbutrin

A

Antabuse

Disulfiram (Antabuse) is used to prevent the ingestion of alcohol in chronic alcoholics.

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38
Q
  1. Which of the following medications is the first injectable drug used to treat alcohol dependence?

Antabuse
Vivitrol
Dexedrine
Prozac

A

Vivitrol

Vivitrol is a version of the drug naltrexone and is the first injectable drug to treat alcohol dependence

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39
Q
  1. Monoamine oxidase inhibitors (MAOIs) are which classification of drugs?

Neuroleptics
Benzodiazepines
Anxiolytics
Antidepressants

A

Antidepressants

Monoamine oxidase inhibitors (MAOIs) are a group of antidepressants.

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40
Q
  1. Lexapro, Celexa, Paxil, and Zoloft are examples of which of the following types of drugs?

Selective serotonin reuptake inhibitors (SSRIs) Monoamine oxidase inhibitors (MAOIs)
Tricyclic antidepressants
Anxiolytics

A

Selective serotonin reuptake inhibitors (SSRIs)

Escitalopram oxalate (Lexapro), citalopram (Celexa), paroxetine (Paxil), and sertraline (Zoloft) are all examples of selective serotonin reuptake inhibitors (SSRIs).

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41
Q
  1. Xanax, Librium, and Valium are examples of which type of medication?

Benzodiazepines
Neuroleptics
Antidepressants
Antipsychotics

A

Benzodiazepines

Alprazolam (Xanax), chlordiazepoxide (Librium), and diazepam (Valium) are examples of benzodiazepines.

42
Q
  1. The healthcare worker should stay with patients until they _________ their medications to prevent them from spitting them out when not being observed.
A

swallow

Explanation: Stay with patients until they swallow their medications to prevent them from spitting them out when not being observed.

43
Q
  1. Norepinephrine and dopamine have both inhibitory and excitatory effects on functions such as __________, ____________, and ____________.
A

sleep; arousal; memory

Explanation: Norepinephrine and dopamine have both inhibitory and excitatory effects on functions such as sleep, arousal, and memory.

44
Q
  1. Alterations in the level of serotonin are associated with changes in ______________.
A

behavior

Explanation: Alterations in the level of serotonin are associated with changes in behavior.

45
Q
  1. There is strong evidence that dopamine, serotonin, and histamines play an important role in maintaining __________________.
A

mental health

Explanation: There is strong evidence that dopamine, serotonin, and histamines play an important role in maintaining mental health.

46
Q
  1. ________ __________ is a substantial psychological, social, and occupational disability in which the patient experiences considerable suffering and a significant change in usual functioning.
A

Major depression

Explanation: Major depression is a substantial psychological, social, and occupational disability in which the patient experiences considerable suffering and a significant change in usual functioning.

47
Q
  1. Patients with major depression may have recurrent thoughts of ___________.
A

suicide

Explanation: Recurrent thoughts of suicide are seen in patients with major depression.

48
Q
  1. _________ is characterized by a minimal psychological, social, and occupational impairment.
A

Dysthymia

Explanation: Dysthymia is characterized by a minimal psychological, social, and occupational impairment.

49
Q
  1. _____________ is an impaired ability to recognize reality, a demonstration of bizarre behaviors, and an inability to deal with life’s demands.
A

Psychosis

Explanation: An impaired ability to recognize reality, a demonstration of bizarre behaviors, and an inability to deal with life’s demands is called psychosis.

50
Q
  1. A disorder of perception involving one of the five senses is a(n) _________________.
A

hallucination

Explanation: A disorder of perception involving one of the five senses is called a hallucination.

51
Q
  1. False beliefs that are resistant to reasoning are ______________.
A

delusions

Explanation: Delusions are false beliefs that are resistant to reasoning.

52
Q
  1. A state of psychologically induced immobilization, at times interrupted by episodes of extreme agitation, is referred to as ________________ behavior.
A

catatonic

Explanation: Catatonic behavior is a state of psychologically induced immobilization, at times interrupted by episodes agitation.

53
Q
  1. ____________________ is a mental illness in which psychosis is the classic feature. In addition to hallucinations and delusions, disorganized speech and grossly disorganized catatonic behavior may be present.
A

Schizophrenia

Explanation: Schizophrenia is a mental illness in which psychosis is the classic feature. In addition to hallucinations and delusions, disorganized speech and grossly disorganized catatonic behavior may be present

54
Q
  1. Mild tranquilizers, sedatives, and antidepressants are prescribed for people with temporary ______________ problems or _____________.
A

emotional; anxiety

Explanation: Mild tranquilizers, sedatives, and antidepressants are prescribed for people with temporary emotional problems or anxiety.

55
Q
  1. Antabuse is used to prevent ingestion of alcohol in chronic alcoholics and produces a severe ______________________ to alcohol.
A

hypersensitivity

Explanation: Antabuse is used to prevent ingestion of alcohol in chronic alcoholics and produces a severe hypersensitivity to alcohol.

56
Q
  1. Developmentally inappropriate degrees of inattention, impulsiveness, and hyperactivity are referred to as ______________________________.
A

attention-deficit hyperactivity disorder (ADH

Explanation: Developmentally inappropriate degrees of inattention, impulsiveness, and hyperactivity is called attention-deficit hyperactivity disorder (ADHD).

57
Q
  1. Adderall and Ritalin are prescribed for the treatment of _________________________.
A

attention-deficit hyperactivity disorder (ADH

Explanation: Adderall and Ritalin are prescribed for the treatment of attention-deficit hyperactivity disorder (ADHD).

58
Q
  1. Although drugs exert changes in mood and behavior, the changes are only temporary; it is through _________________ that permanent changes in mood and behavior occur.
A

psychotherapy

Explanation: Although drugs exert changes in mood and behavior, the changes are only temporary; it is through psychotherapy that permanent changes in mood and behavior occur.

59
Q
  1. Monoamine oxidase inhibitors may have dangerous side effects when mixed with certain ____________ and certain ____________.
A

drugs; foods

Explanation: Monoamine oxidase inhibitors may have dangerous side effects when mixed with certain drugs and certain foods.

60
Q
  1. A dangerous side effect of monoamine oxidase inhibitors that can occur when they are mixed with certain drugs and certain foods is ___________________.
A

hypertensive crisis

Explanation: Hypertensive crisis is a dangerous side effect of monoamine oxidase inhibitors that can occur when they are mixed with certain drugs and certain foods.

61
Q
  1. Prozac, Zoloft, Paxil, and Celexa are examples of __________________________.
A

serotonin selective reuptake inhibitors (SSRIs)

Explanation: Fluoxetine (Prozac), sertraline (Zoloft), paroxetine (Paxil), and citalopram (Celexa) are examples of serotonin selective reuptake inhibitors (SSRIs).

62
Q
  1. Patients should be educated to avoid alcohol, OTC drugs, and restricted foods while on _______________.
A

antidepressants

Explanation: Patients should be educated to avoid alcohol, OTC drugs, and restricted foods while on antidepressants.

63
Q
  1. Patients on antidepressants should be watched for serious side effects, especially changes in ________________.
A

blood pressure

Explanation: Patients on antidepressants should be watched for serious side effects, especially changes in blood pressure.

64
Q
  1. Antianxiety drugs, also called ________________, are minor tranquilizers.
A

anxiolytics

Explanation: Antianxiety drugs, also called anxiolytics, are minor tranquilizers.

65
Q
  1. Zyprexa Zydis is a freeze-dried _______________ that dissolves almost instantly on contact with saliva.
A

wafer

Explanation: Zyprexa Zydis is a freeze-dried wafer that dissolves almost instantly on contact with saliva.

66
Q
  1. A state of feeling apprehensive, uneasy, uncertain, or in fear of an unknown or recognized threat is called _____________.
A

anxiety

Explanation: Anxiety is a state of feeling apprehensive, uneasy, uncertain, or in fear of an unknown or recognized threat.

67
Q
  1. Sedatives and hypnotics are central nervous system __________________.
A

depressants

Explanation: Sedatives and hypnotics are central nervous system depressants.

68
Q
  1. The major difference between a sedative and a hypnotic is the __________ of central nervous system depression.
A

degree

Explanation: The major difference between a sedative and a hypnotic is the degree of central nervous system depression.

69
Q
  1. ______________ produce a calming effect and decrease nervousness and excitability.
A

Sedatives

Explanation: Sedatives produce a calming effect and decrease nervousness and excitability.

70
Q
  1. Hypnotics are used to produce _____________.
A

sleep

Explanation: Hypnotics are used to produce sleep.

71
Q
  1. Antipsychotics are also known as _____________, or major tranquilizers.
A

neuroleptics

Explanation: Antipsychotics are also known as neuroleptics, or major tranquilizers.

72
Q
  1. Schizophrenia is a psychotic disorder in which ___________________ are beneficial.
A

antipsychotics

Explanation: Schizophrenia is a psychotic disorder in which antipsychotics are beneficial.

73
Q
  1. Muscle spasms of the face, tongue, neck, or back that are associated with large doses of antipsychotic drugs are termed ________________.
A

dystonia

Explanation: Dystonia is muscle spasms of the face, tongue, neck, or back that are associated with large doses of antipsychotic drugs.

74
Q
  1. __________________ is characterized by motor restlessness, and an inability to sit or stand still, during which the individual feels the need to pace, rock, or tap a foot.
A

Akathisia

Explanation: Akathisia is characterized by motor restlessness, an inability to sit or stand still, during which the individual feels the need to pace, rock, or tap a foot.

75
Q
  1. A potentially irreversible neurological side effect of antipsychotic drugs in which there are involuntary repetitious movements of the face, limbs, and trunk is termed ________________________.
A

tardive dyskinesia

Explanation: Tardive dyskinesia is a potentially irreversible neurological side effect of antipsychotic drugs in which there are involuntary repetitious movements of the face, limbs, and trunk.

76
Q
  1. Prevention of tardive dyskinesia is essential because this is a(n) _______________ side effect.
A

permanent

Explanation: Prevention of tardive dyskinesia is essential because this is a permanent side effect.

77
Q
  1. Patients who take tranquilizers must not drink alcoholic beverages because alcohol potentiates these drugs, and the results could be ____________.
A

fatal

Explanation: Patients who take tranquilizers must not drink alcoholic beverages because alcohol potentates these drugs, and the results could be fatal.

78
Q
  1. Antimanic drugs are used in the treatment of mood disorders or bipolar disorders such as __________.
A

mania

Explanation: Antimanic drugs are used in the treatment of mood disorders or bipolar disorders such as mania

79
Q
  1. The most common bipolar disorder is ____________________.
A

manic-depressive disorder

Explanation: The most common bipolar disorder is manic-depressive disorder.

80
Q
  1. Because lithium is a(n) ____________ drug, lithium blood levels are monitored one or two times a week during initial therapy and monthly, thereafter.
A

toxic

Explanation: Because lithium is a toxic drug, lithium blood levels are monitored one or two times a week during initial therapy, and monthly thereafter.

81
Q
  1. Diarrhea, vomiting, lack of coordination, drowsiness, tinnitus, and urinary frequency are signs of lithium _____________.
A

toxicity

Explanation: Signs of lithium toxicity are diarrhea, vomiting, lack of coordination, drowsiness, tinnitus, and urinary frequency.

82
Q
  1. When prescribing sedatives and hypnotics, the physician’s concern is to order the right amount so that the patient is quiet and comfortable, but not so much that he or she is in a ___________ and unable to function normally.
A

daze

Explanation: When prescribing sedatives and hypnotics, the physician’s concern is to order the right amount so that the patient is quiet and comfortable, but not so much that he or she is in a daze and unable to function normally.

83
Q
  1. You can make sedatives more effective if you reduce the _________ level in the patient’s room. It is also a good idea to avoid loud talking and turn down the television or radio.
A

noise

Explanation: You can make sedatives more effective if you reduce the noise level in the patient’s room. It is also a good idea to avoid talking and turn down the television or radio.

84
Q
  1. You can make sedatives more effective if you ______________ the patient by giving a warm bath or a back rub.
A

relax

Explanation: You can make sedatives more effective is you relax the patient by giving a warm bath or a back rub.

85
Q
  1. You can make sedatives more effective if you ____________ to the patient’s concerns and fears with sympathetic understanding.
A

listen

Explanation: You can make sedatives more effective if you listen to the patient’s concerns and fears with sympathetic understanding.

86
Q
  1. You can make sedatives more effective if you make sure the patient gets enough ____________.
A

exercise

Explanation: You can make sedatives more effective if you make sure the patient gets enough exercise. Napping and lack of physical or mental exercise during the day can cause sleep problems at night.

87
Q
  1. When sedatives are ordered prn, be sure to ask the patient for the ___________ when he or she requests a sedative.
A

reason

Explanation: When sedatives are ordered prn, be sure to ask the patient for the reason when he or she requests a sedative. If the reason is pain, sedatives will not help. The patient will need an analgesic to relieve the pain that is interfering with sleep.

88
Q
  1. Do not leave sedatives at the bedside to take as needed. If the patient takes the drugs too often or all at one time, a(n) ________________ is possible.
A

overdose

Explanation: Do not leave sedatives at the bedside to take as needed. If the patient takes the drugs too often or all at one time, an overdose is possible.

89
Q
  1. Do not give sedatives just to avoid ____________ to the patient’s complaints and worries. Sedatives are no substitute for good care.
A

listening

Explanation: Do not give sedatives just to avoid listening to the patient’s complaints and worries. Sedatives are no substitute for good care.

90
Q
  1. Be observant of patients who are taking CNS depressants. Check their _______________ often, and report any notable changes. The dosage must be changed if the medication depresses the nervous system too much.
A

vital signs

Explanation: Be observant of patients who are taking CNS depressants. Check their vital signs (pulse, blood pressure, respirations, etc.) often, and report any notable changes. The dosage must be changed if the medication depresses the nervous system too much.

91
Q
  1. Drugs such as narcotics and barbiturates that depress the whole CNS tend to cause ______________ depression when an overdose is taken or given.
A

respiratory

Explanation: Drugs such as narcotics and barbiturates that depress the whole CNS tend to cause respiratory depression when an overdose is taken or given.

92
Q
  1. Allow the proper time for drugs to show their effects. Long-acting sedatives/hypnotics, such as phenobarbital, may take ____ to _____ minutes to give the desired results.
A

30, 60

Explanation: Allow the proper time for drugs to show their effects. Long-acting sedatives/hypnotics such as phenobarbital may take 30 to 60 minutes to give the desired results.

93
Q
  1. Nervous system drugs are prone to __________. Help educate patients about the dangers of drug overdose.
A

abuse

Explanation: Nervous system drugs are prone to abuse. Help educate patients about the dangers of drug overdose.

94
Q
  1. It is important that you understand that the term Zydis always indicates the medication will be delivered by __________, and nothing else; it does not designate an active ingredient.
A

wafer

Explanation: It is important that you understand that the term Zydis always indicates the medication will be delivered by wafer, and nothing else; it does not designate an active ingredient.

95
Q
  1. Noctec, BuSpar, Lunesta, and Ambien fall in the __________________________ category.
A

sedative/hypnotic

Explanation: Chloral hydrate (Noctec), buspirone (BuSpar), eszopiclone (Lunesta), and zolpidem (Ambien) all belong in the sedative/hypnotic category.

96
Q
  1. Ramelteon (Rozerem) is the first ______________________ drug that acts on a mechanism other than central nervous system depression.
A

insomnia

Explanation: Ramelteon (Rozerem) is the first insomnia drug that acts on a mechanism other than central nervous system depression.

97
Q
  1. Risperdal is a(n) _________________________.
A

antipsychotic

Explanation: Risperidone (Risperdal) is an antipsychotic.

98
Q
  1. When being treated for manic depression, patients should be educated to report for all appointments to check blood ________________ levels for toxicity.
A

lithium

Explanation: Because lithium is a toxic drug, blood lithium levels are monitored one or two times per week during initiation of therapy and monthly thereafter. Patient education is essential for compliance and effective lithium therapy.

99
Q
  1. Some facilities crush a patient’s medications and mix them in food, and administer them without the patient’s knowledge or consent. This method is a(n) __________________ practice that violates the patient’s right to know.
A

unethical

Explanation: Some facilities crush a patient’s medications and mix them in food, and administer them without the patient’s knowledge or consent. This method is an unethical practice that violates the patient’s right to know.

100
Q

100.Allergy and cold medications may cause a dangerous side effect, mainly a(n) ___________________ in patients taking monoamine oxidase inhibitors (MAOIs).

A

hypertensive crisis

Explanation: Monoamine oxidase inhibitors (MAOIs) have dangerous side effects, mainly hypertensive crisis, when mixed with certain drugs such as antiasthmatics, antihypertensives, an allergy and cold medications.

101
Q

101.Wellbutrin has received FDA approval to be used in the treatment of __________________.

A

seasonal affective disorder

Explanation: Bupropion (Wellbutrin) has received FDA approval to be used in the treatment of seasonal affective disorder.

Administering Medications (18 decks)

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