Chapter 17

Question 1

Why are psychotherapeutic drugs used

Answer 1

To treat emotional and mental disorders

Question 2

A patient taking Psychotherapeutic drugs also needs what for treatment to be effective

Answer 2

Psychotherapy

Question 3

How long does it take for psychotherapeutics to work

Answer 3

4-6 weeks

Question 4

What is the mental health assessment used to diagnose mental health disorders

Answer 4

DSM5

Question 5

What are the 3 mental health disorders

Answer 5

Anxiety
Affective disorders
Psychotic disorders

Question 6

What is experienced in depression

Answer 6

Guilt
Worthlessness
Loss of interest

Question 7

Bipolar is a swing between

Answer 7

Depression and mania

Question 8

What is experienced in mania

Answer 8

Grandiose
Poor sleep
Intense speech
Activities with consequences for pain

Question 9

What is psychosis

Answer 9

Loss of contact with reality

Question 10

What is experienced in psychosis

Answer 10

Hallucinations
Delusions

Question 11

With what drug do children experience paradoxical effects

Answer 11

Benzodiazepines

Question 12

What is the antidote for benzodiazepines

Answer 12

Flumazenil

Question 13

Which anxiolytic makes oral birth control not effective

Answer 13

Alprazolam

Question 14

Which benzodiazepine is short acting

Answer 14

Alprazolam

Question 15

Which benzodiazepine is long acting

Answer 15

Diazepam

Question 16

What population does not metabolize diazepam well and requires a lower dose

Answer 16

Asian

Question 17

What is an intermediate acting benzodiazepine

Answer 17

Lorazepam

Question 18

What is a wash out period

Answer 18

Wait for one med to be gone from the body before starting the next one

Question 19

Busiprone hydrochloride cannot be given with

Answer 19

MAOIs

Question 20

Mood stabilizing drugs treat

Answer 20

Bipolar disorder

Question 21

What mood stabilizing drug needs blood monitoring due to its low therapeutic index

Answer 21

Lithium

Question 22

What is the normal sodium serum level

Answer 22

135-145

Question 23

If sodium levels in the body become low, what happens to lithium

Answer 23

It becomes toxic

Question 24

What is the adverse effect of lithium

Answer 24

Cardiac dysrhythmias

Question 25

Long term treatment of lithium can cause

Answer 25

Hypothyroidism

Question 26

What type of antidepressants are used first

Answer 26

Second generation

Question 27

What type of antidepressant cannot be used in pregnancy

Answer 27

Tricyclic

Question 28

How do you treat an overdose on tricyclic antidepressants

Answer 28

Activated charcoal

Question 29

MAOIs can cause a hypertensive crisis when taken with

Answer 29

Tyramine

Question 30

Serotonin syndrome occurs when what two drugs are taken at the same time

Answer 30

MAOIs and SSRIs

Question 31

What foods contain tyramine

Answer 31

Cheese Smoked/Pickled/Aged meats, fish, poultry Yeast Red wine Italian broad beans

Question 32

What antidepressant can also be used for smoking cessation

Answer 32

Bupropion hydrochloride

Question 33

When giving SSRI monitor for

Answer 33

Suicidal ideation

Question 34

Antipsychotic meds have a what effect

Answer 34

Sedating

Question 35

All antipsychotics improve which type of schizophrenia

Answer 35

Positive

Question 36

What type of antipsychotics treat positive and negative schizophrenia

Answer 36

Atypical

Question 37

What are the symptoms of positive schizophrenia

Answer 37

Hallucinations Delusions Disorganization

Question 38

What are the symptoms of negative schizophrenia

Answer 38

Apathy Social withdrawal Blunt Loss of speech

Question 39

What is an adverse effect of antipsychotic drugs

Answer 39

Decrease WBC Breakdown RBC

Question 40

What are the two syndromes caused by antipsychotic drugs

Answer 40

Neuroleptic malignant syndrome Extrapyramidal syndrome

Question 41

How is extrapyramidal syndrome treated

Answer 41

Benztropine Trihexyphenidyl

Question 42

What type of antipsychotics lower risk for RMS and tardive dyskinesia

Answer 42

Clozapine Risperidone

Question 43

Grapefruit juice increases the effects of which antipsychotic

Answer 43

Clozapine

Question 44

Which atypical antipsychotic has less severe effect on WBC production

Question 45

What herbal product is used for anxiety and depression

Answer 45

St Johns Wort

Question 46

St Johns Wort interacts with what

Answer 46

Tyramine

Question 47

Why are only small amounts of meds dispensed at a time

Answer 47

Too minimize possible suicide