Drugs

Question 1

Atypical Antipsychotics

Answer 1

Clozapine (clozaril)
Quetiapine (Seroquel)
Olanzapine (Syprexa)

Question 2

Atypical Antidepressants

Answer 2

Bupropion (wellbutrin)
Venlafaxine (effexor)
Mirtazapine (Remeron)
Trazodone (Desyrel)
Reboxetine (Edronax)

Question 3

increases risk for toxicity if taken with bupropion (wellbutrin)

Answer 3

MAOIs

Question 4

Manifestations of serotonin syndrome

Answer 4

• Mental confusion, difficulty concentrating
• Abdominal pain
• Diarrhea
• Agitation
• Fever
• Anxiety
• Hallucinations
• Hyperreflexia, incoordination
• Diaphoresis
• Tremors

Question 5

drug that interacts with grapefruit juice (grapefruit juice increases effects of this drug by stimulating metabolism)

Answer 5

Carbemazepine (tegretol)

Question 6

meds that control early EPS

Answer 6

anticholinergics, beta-blockers, and benzos

Question 7

drug class that interacts with tyramine – must avoid foods with tyramine

Answer 7

MAOIs (phenelzine, isocarboxazid, tranylcypromine, selegiline)

Question 8

severe spasm of the tongue, neck, face, and back; crisis situation that requires immediate treatment

Answer 8

acute dystonia

Question 9

anticonvulsants

Answer 9

carbamazepine (Tegretol)
lamotrigine (Lamictal)
Valproic acid (depakote)

Question 10

what tool do you use to screen for EPS?

Answer 10

AIMS (Abnormal Involuntary Movement Scale)

Question 11

tyramine-rich foods

Answer 11

aged cheese, pepperoni, salami, avocados, figs, bananas, smoked fish, protein, some dietary supplements, some beers, red wine

Question 12

relates to the quality of doing good and can be described as charity
EX. nurse helps a newly admitted client feel safe in environment of mental health facility

Answer 12

Beneficence

Question 13

refers to clients right to make own decisions; client must accept consequences of the decisions and respect decisions of others

Answer 13

autonomy

Question 14

relates to loyalty and faithfulness to client and one’s duty

Answer 14

fidelity

Question 15

refers to being honest when dealing with client

Answer 15

veracity

Question 16

seclusion and/or restraints must never be used for:

Answer 16

• convenience of staff
• punishment of client
• clients who are extremely physically or mentally unstable
• clients who cannot tolerate decreased stimulation of a seclusion room

Question 17

organization with the goals of improving the quality of life for persons with mental illness and providing research to better treat or eradicate mental illness

Answer 17

NAMI (National Alliance on Mental Illness)

Question 18

meds that can be used to control aggressive and impulsive behavior

Answer 18

Olanzapine (Zyprexa)
Ziprasidone (geodon)
Haloperidol (Haldol)

Question 19

inability to sit or stand still; continual pacing and agitation

Answer 19

Akathisia

Question 20

Late EPS, involuntary movements of the tongue and face, such as lip smacking and tongue fasciculations; involuntary movements of the arms, legs, and trunk

Answer 20

Tardive dyskinesia

Question 21

bradykinesia, rigidity, shuffling gait, drooling, tremors

Answer 21

Parkinsonism