Med self exam

Question 1

Joseph presents in the Emergency Room actively hallucinating, paranoid and makes aggressive threats to staff. What medications will likely be ordered for rapid tranquilization?

Answer 1

haloperidol (Haldol) and lorazepam (Ativan)

Question 2

QT Prolongation, a measure of delayed ventricular repolarization, is a rare adverse event associated with many drugs, including antipsychotics and antidepressants. Excessive QT prolongation can predispose the myocardium to the development of early after-depolarization, which in turn can trigger re-entrant tachycardias such as:

Answer 2

Torsades de pointes (TdP)

Question 3

A nurse teaching a patient about a tyramine-restricted diet would include which of the following foods as ones to avoid:

Answer 3

aged cheese, wine, pickled foods, avocados

Question 4

Which of the following are names of selective serotonin reuptake inhibitors (SSRIs)?

Answer 4

citalopram (Celexa), fluoxetine (Prozac), sertraline (Zoloft)

Question 5

Tardive dyskinesia:

Answer 5

is a syndrome of involuntary movements (often permanent), can occur in patients receiving typical (first-generation) antipsychotic medicines (neuroleptics), can be disabling to a client’s body image and self esteem

Question 6

Which of the following statements is true about the consequences of using atypical (second generation) antipsychotic medication versus typical (first generation) antipsychotic medication?

Answer 6

Atypical (second-generation) antipsychotics target the negative symptoms of schizophrenia as well as the positive symptoms and have fewer motor side effects

Question 7

Which of the following medications is most likely to cause extrapyramidal side effects?

Answer 7

chlorpromazine (Thorazine)

Question 8

Which of the following medications are classified as atypical (second generation) antipsychotics?

Answer 8

clozapine (Clozaril), olanzapine (Zyprexa), risperidone (Risperdal)

Question 9

what is not a risk of using antipsychotics?

Answer 9

addiction

Question 10

The nurse is teaching an elderly patient about their newly prescribed medication risperidone (Risperdal). Which of the following statements by the patient would best indicate a correct understanding of the teaching?

Answer 10

“I will move slowly from lying to standing to prevent a fall”

Question 11

Tricyclic antidepressants work by:

Answer 11

Blocking reuptake of norepinephrine and serotonin at the nerve synapse

Question 12

nursing interventions that can help increase compliance with psychotropic medication

Answer 12

Arranging for as few doses per day as possible, Providing written information about the medication(s), Coordinating services so patient is better able to fill their prescriptions.

Question 13

A nurse is caring for a client who is experiencing extreme mania due to bipolar disorder. Prior to administration of lithium carbonate, the client’s lithium blood level is 1.2 mEq/L. Which of the following actions should the nurse take?

Answer 13

Administer the next dose of lithium carbonate as scheduled.

Question 14

Which medication is a tricyclic antidepressant (TCA)?

Answer 14

amitriptyline (Elavil)

Question 15

Which of the following brief statements is true about benzodiazepines used as anti-anxiety medications?

Answer 15

Risk of dependence, Caution when driving, Do not use with alcohol, Do not stop abruptly

Question 16

Samantha is taking Nardil (phenelzine) and decides to eat aged cheese with red wine. You are her home health nurse and have a teaching opportunity, so the most important thing to tell her is that:

Answer 16

a hypertensive crisis could occur

Question 17

The period of time between taking the first dose of a medication and experiencing the therapeutic effect is called the:

Answer 17

lag period

Question 18

Extrapyramidal side effects can be manifested by all of the following except:

Answer 18

polydispsia

Question 19

Signs of lithium toxicity include which of the following?

Answer 19

coarse hand tremor, mental confusion, hyperirritability of muscles, drowsiness, incoordination

Question 20

David, age 24, is currently being treated for schizophrenia. He presents to the ER with symptoms of muscle rigidity, temperature of 105.2, pulse rate of 126, pulse oximetry of 89%, and a labile BP. What are you most concerned may be occurring?

Answer 20

neuroleptic malignant syndrome

Question 21

Emma is admitted to the medical unit for observation after being diagnosed with Serotonin Syndrome by her psychiatrist. Of the following combinations of medications, which was she most likely taking?

Answer 21

fluoxetine (Prozac) and sertraline (Zoloft)

Question 22

true or false: Tricyclic antidepressants have more sedating and anticholinergic effects than the SSRIs.

Answer 22

true

Question 23

true or false: Hallucinations, delusions and disorganized thought are examples of the negative symptoms of schizophrenia (remember positive vs. negative symptoms of schizophrenia).

Answer 23

false

Question 24

true or false: Routine blood levels are taken on a client using lithium carbonate.

Answer 24

true

Question 25

true or false: Fluoxetine (Prozac) is given at bedtime.

Answer 25

false

Question 26

true or false: Divalproex (Depakote) is an anticonvulsant drug that may be used in treating bipolar disorder.

Answer 26

true

Question 27

Tricyclic Antidepressants

Answer 27

block reuptake of serotonin and norepinephrine

Question 28

MAOIs

Answer 28

inhibit the MAOI enzyme

Question 29

antipsychotics

Answer 29

block dopamine receptors

Question 30

SSRI antidepressants

Answer 30

block the reuptake of serotonin