Quiz-Ch. 16 Psychotherapeutic Drugs Flashcards
- What is another approved and indicated use for bupropion (Zyban), A second-generation antidepressant?
A) orthostatic hypotension
B) smoking cessation
C) anorexia in patients undergoing chemotherapy
D) nocturnal enuresis and children
B) smoking cessation
– Zyban is a sustained-release form of bupropion that is useful in helping patients quit smoking
- Selective serotonin reuptake inhibitors (SSRIs) and try cyclic antidepressants (TCAs) both function by which mechanism?
A) blocking the retake of neurotransmitters at nerve endings
B) increasing alertness levels in the brain
C) decreasing levels of epinephrine and serotonin at nerve endings
D) increasing the placebo effect
A) blocking the group take of neurotransmitters at nerve endings
– SSRIs blocks the reuptake of serotonin. TCAs block the reuptake of norepinephrine and serotonin.
- The nurse monitors a patient taking an antipsychotic medication for extrapyrimidal side effects. What is the nurse assessing for in the patient?
A) dystonia
B) orthostatic hypotension
C) dry mouth and constipation
D) neuroleptic malignant syndrome
A) dystonia
– Dystonia, and impairment of muscle tone, is the only extrapyramidal side effects listed. The other side effects also occur but are not extrapyramidal effects.
- Which laboratory test should be monitored frequently to assess for a potential life-threatening address reaction to closet peen (Clozaril)?
A) renal panel
B) complete blood count (CBC)
C) liver function tests
D) immunoglobulin levels
B) complete blood count (CBC)
– Patients taking closet peen must be monitored for the life-threatening side effect of agranulocytosis, evidenced by severe reduction in the number of white blood cells
- The patient diagnosed with depression is started on a TCA after failure to improve symptoms on an SSRI. The nurse should include which teaching point when educating the patient about the new medication?
A) there are no conscience occasions to this medication
B) the medication is safe; it is been used longer than the many others
C) this class of medications has no other use and is only for depression
D) there is a risk of toxicity when this medication is taken without alcohol
D) there is a risk of toxicity when this medication is taken with alcohol
– There’s an increased risk of toxicity with TCAs when taken with alcohol and a high rate of morbidity
- Which statement made by a patient demonstrates a lack of understanding of patient teaching regarding phenothiazine drug therapy?
A) “I need to change position slowly to prevent dizziness.”
B) “I will need to wear sunscreen and protective clothing when outdoors.”
C) “it is okay to take this drug with a small glass of wine to help relax me.”
D) “I should call my doctor if I notice any uncontrollable movements of my tongue.”
C) “it is okay to take this drug with a small glass of wine to help relax me.”
– Drinking alcohol with phenothiazines puts the patient at risk for increased CNS depression
- The patient currently prescribed duloxetine (Cymbalta) comes to the health clinic complaining of restlessness, restlessness, agitation, diaphoresis, and tremors. The nurse suspects serotonin syndrome and questions the patient regarding concurrent use of which substance?
A) ibuprofen
B) St. John’s wort
C) vitamin E
D) glucosamine/chondroitin
B) St. John’s wort
– Serotonin syndrome may occur with SSRIs when they’re combined with herbal products such as ginseng and St. John’s wort
- The patient is being switched from amitriptyline (Elavil) to citalopram (Celexa). Which statement made by the patient reflects understanding of patient education?
A) I can just stop taking my Elavil and start taking the Celexa as ordered
B) I will not get his dizzy when I change positions after I switch medications
C) the doctor switching me to this medication because it is less expensive but just as effective
D) I will need to limit my intake of cheese been taking Celexa to prevent arise and my blood pressure
B) I will not get his dizzy when I change positions after switch medications
– Citalopram, and SSRI, produces minimal anticholinergic and cardiovascular side effects.
- The patient diagnosed with an anxiety disorder has been using lorazepam (Ativan) but finds a side effect of drowsiness to be interfering with life. Which anxiolytic medications might be a better option for this patient?
A) alprazolam (Xanax)
B) buspiron (BusSpar)
C) chlordiazepoxide (Librium)
D) hydroxyzine hydrochloride salt (Vistaril)
B) buspirone (BuSpar)
– Buspirone (Busbar) is a third-generation anxiolytic that has the advantage of being both nonsedating and non-habit-forming. All the other options are sedatives as well as anxiolytics.
- The nurse notes lithium on a patient’s drug history upon admission. Which condition with the nurse suspect that this patient has been diagnosed with?
A) obsessive-compulsive disorder
B) absence seizures
C) bipolar disorder
D) paranoid schizophrenia
C) bipolar disorder
– Lithium is an antimanic drug used to treat manic episodes associated with bipolar disorders
- What atypical antipsychotic medication would the nurse anticipate a provider prescribing for treatment refractory schizophrenia?
A) trazodone (Desyrel)
B) Phenelzine (Nardil)
C) amoxapine (Asendin)
D) risperidone (Risperdal)
D risperidone (Risperdal)
- Which activity should the patient be cautioned to avoid about taking an MAO inhibitor?
A) participating in a bowling league
B) sunbathing at the pool
C) eating aged cheese
D) smoking a low-nicotine cigarette
C) eating aged cheese
– Eating foods high in tyramine, including aged cheese, can cause hypertensive crisis in patients taking MAO inhibitors
