Chapter 27 Book Qs Flashcards
- How do tricyclic antidepressants (TCAs) work in the treatment of depression?
A. TCA drugs inhibit the reuptake of neurotransmitters.
B. TCA drugs decrease the amount of serotonin in the brain.
C. TCA drugs lower the levels of neurotransmitters.
D. TCA drugs work very slowly to correct chemical imbalances in the brain.
A
- Why are SSRI drugs prescribed more often than TCA drugs for the treatment of depression?
A. TCA drugs are more likely to lead to dependence.
B. SSRI drugs have fewer side effects than TCA drugs.
C. TCA drugs lead to more adverse effects.
D. SSRI drugs work more rapidly than TCA drugs.
B
- Which class of drugs is most likely to lead to dependence when prescribed?
A. TCAs B. SSRIs C. Benzodiazepines D. Antipsychotic drugs
C
- A patient is prescribed olanzapine (Zyprexa) for treatment of psychosis. What information from the patient must you report to the prescriber?
A. The patient tells you that he uses St. John’s wort.
B. The patient tells you that he exercises every day.
C. The patient tells you that he eats a lot of fast foods.
D. The patient tells you that he smokes cigarettes.
D
- The patient prescribed a benzodiazepine drug tells you that he is considering suicide. What must you do? (Select all that apply.)
A. Notify the prescriber.
B. Hold the benzodiazepine drug.
C. Ask for an order for leather restraints.
D. Initiate suicide precautions.
E. Ask the patient if he or she has a suicide plan.
A D E
- How do selective serotonin reuptake inhibitors (SSRIs) work to treat depression?
A. By inhibiting the reuptake of the neurotransmitters norepinephrine, dopamine, or serotonin by nerve cells
B. By inhibiting the actions of gamma-aminobutyric acid (GABA) in the brain
C. By increasing the amount of the neurotransmitter serotonin in the brain
D. By inhibiting the activity of monoamine oxidase preventing the breakdown of monoamine neurotransmitters
C
- A patient who has been taking amitriptyline (Elavil) to treat depression has developed dizziness with a blood pressure of 94/60. The patient tells the unlicensed assistive personnel (UAP) that he needs to get up to use the bathroom. What are your best instructions for the UAP?
A. Keep the patient on bedrest and offer him a bedpan.
B. Have the patient take slow deep breaths and keep the head of his bed in a supine position.
C. Have the patient get up slowly and sit on the side of the bed before standing.
D. Keep the patient in bed until we can get an order for a bedside commode.
C
- A patient prescribed the SSRI paroxetine (Paxil) 4 weeks ago tells you that it is not working and asks if she can have diazepam (Valium) instead? What is your best response?
A. “Paroxetine has fewer side effects than diazepam.”
B. “Paroxetine is less likely to cause dependence than diazepam.”
C. “Paroxetine can take from 1 to 8 weeks for symptoms of depression to improve.”
D. “Diazepam interacts with other drugs and food, whereas paroxetine can be taken without regard to other drugs or food.”
C
- Which antidepressant drug may cause unusual excitement, irritability, and trouble sleeping when prescribed for children?
A. fluoxetine (Prozac)
B. sertraline (Zoloft)
C. venlafaxine (Effexor)
D. duloxetine (Cymbalta)
A
- The patient prescribed chlorpromazine (Thorazine) is at risk for constipation. What is your best action?
A. Call the prescriber and ask for an order for stool softeners.
B. Instruct the patient to drink extra fluids every day.
C. Teach the patient about foods that are low in fiber.
D. Tell the patient about the importance of exercise in preventing constipation.
B
- After giving a patient risperidone (Risperdal) she tells you that she feels nauseated. What is your best action?
A. Notify the prescriber immediately.
B. Check the patient of signs of an allergic reaction.
C. Give the drug on an empty stomach.
D. Provide the patient with food when giving this drug.
D
- The patient prescribed chlorpromazine (Thorazine) tells you that that he is very active and spends a lot of time outdoors. What best advice do you teach this patient?
A. “Be sure to wear protective clothing when you are outside.”
B. “There is no need to change the amount of time you spend outside.”
C. “You may need to get a membership to a gym and stay indoors.”
D. “Be sure to drink more fluids whenever you spend time outdoors.”
A
- What precautions will you teach an older adult who is prescribed chlorpromazine (Thorazine)?
A. Chlorpromazine can cause an increase in thirst, so the older adult should drink more fluids.
B. Chlorpromazine can cause excessive urination, which can lead to dehydration, so drink more fluids.
C. Chlorpromazine can cause dizziness, so be sure to change positions slowly.
D. Chlorpromazine can cause kidney function to decrease, so a diuretic drug may also be prescribed.
C
