The Nervous System Drugs for Mood and Behavioral Disorders Flashcards
The parent of a child with attention-deficit/hyperactivity disorder (ADHD) is concerned about using stimulants that are controlled substances to manage the disorder.
Which information should the nurse provide?
a) “There are nonstimulant drugs available to manage the disease.”
b) “Stimulants have been found to be the most successful in treatment.”
c) “The additive effects of stimulants provide all-day management of ADHD.”
d) “Stimulants have very few adverse effects, which can be managed with other medications.”
a) “There are nonstimulant drugs available to manage the disease.”
A patient reports continued depression as well as insomnia, dizziness, and headache ever since beginning aripiprazole (Abilify) 10 days ago.
Which response should the nurse make to the patient?
a) “It seems this medication may not be working for you; please contact your healthcare provider for a different medication.”
b) “You may need inpatient therapy, because the medication isn’t working; let’s discuss it with the clinic counselor.”
c) “Many medications do not take effect immediately; you should continue to take the medication as prescribed.”
d) “Stop the medication for now, but make an appointment to see your healthcare provider as soon as possible.”
c) “Many medications do not take effect immediately; you should continue to take the medication as prescribed.”
A patient is prescribed phenelzine (Nardil) for major depression.
Which food should the nurse instruct a patient to avoid?
a) Peanuts and foods containing peanuts
b) Foods containing tyramine
c) Foods containing Triticum
d) Potatoes and foods containing potatoes
b) Foods containing tyramine
A patient is prescribed a tricyclic antidepressant (TCA).
Which information should the nurse emphasize with the patient about this medication?
a) The dosage must be adjusted frequently to avoid tolerance.
b) The efficacy of TCA therapy is unpredictable.
c) Patients should be monitored closely for hypertension.
d) Therapy with TCAs cannot be stopped abruptly.
d) Therapy with TCAs cannot be stopped abruptly.
A child with attention-deficit/hyperactivity disorder (ADHD) is prescribed a non-CNS stimulant medication.
Which information should the nurse provide to the parents to minimize adverse effects of this medication?
a) “Provide water or hard candy.”
b) “Change positions slowly.”
c) “Monitor pulse daily.”
d) “Measure weight weekly.”
a) “Provide water or hard candy.”
The parent of a child with attention-deficit/hyperactivity disorder (ADHD) is concerned about the school administering the midday dose of methylphenidate 10 mg to be taken by mouth 3 times a day.
Which response should the nurse make?
a) “You should feel comfortable with the school nurse administering the daytime dose.”
b) “Just include the midday dose in your child’s lunch box with a note to self-administer at noon.”
c) “Methylphenidate is available in a sustained-release form that can be prescribed.”
d) “You can bring the midday dose to school every day and give it to your child yourself.”
c) “Methylphenidate is available in a sustained-release form that can be prescribed.”
A child with attention-deficit/hyperactivity disorder (ADHD) is prescribed methylphenidate
Which information should the nurse emphasize with the parents?
a) “A sustained-release dose lasts for 2 hours.”
b) “Plan for periodic drug-free holidays.”
c) “This medication takes effect immediately.”
d) “Give another dose if behavior does not improve.”
b) “Plan for periodic drug-free holidays.”
The parent of a 7-year-old patient asks how to determine if the child has attention-deficit/hyperactivity disorder (ADHD).
Which response should the nurse make?
a) “A child is not diagnosed until they are older, due to possible immaturity.”
b) “You seem concerned about your child. Which symptoms are you noticing?”
c) “Do you have any family members with a history of ADHD?”
d) “Symptoms of both inattention and hyperactivity must be present to be diagnosed with ADHD.”
d) “Symptoms of both inattention and hyperactivity must be present to be diagnosed with ADHD.”
A patient being treated after a suicide attempt is reported as going on spending sprees, skipping meals, and not sleeping for days.
Which health problem should the nurse suspect this patient is experiencing?
a) Bipolar disorder
b) Manic disorder
c) Major depressive disorder
d) Attention-deficit/hyperactivity disorder
a) Bipolar disorder
A patient receiving lithium (Lithobid) for maintenance has a blood level of 1.6 mEq/L.
Which action should the nurse take?
a) Administer the next dose of lithium.
b) Repeat the lithium level.
c) Hold the next dose of lithium.
d) Administer a reduced dose of lithium.
c) Hold the next dose of lithium.
The nurse prepares to administer a maintenance dose of lithium (Eskalith).
For which serum level should the nurse withhold giving the next dose of medication?
a) 0.8 mEq/L
b) 1.6 mEq/L
c) 0.4 mEq/L
d) 1.0 mEq/L
b) 1.6 mEq/L
A patient taking venlafaxine (Effexor) for major depression reports continued nausea after several weeks of therapy.
Which response by the nurse is appropriate?
a) “Let’s see how your nausea is at your next visit. Tolerance to this adverse effect often develops over time.”
b) “Skipping a few doses will help relieve the nausea.”
c) “Let’s switch your medication and see if that improves your nausea.”
d) “It sounds like you are having an adverse effect. I will let your healthcare provider know you are experiencing nausea.”
d) “It sounds like you are having an adverse effect. I will let your healthcare provider know you are experiencing nausea.”
The nurse notes that an 8-year-old patient is taking a CNS stimulant.
Which health problem should the nurse expect to see documented in this patient’s medical record?
a) Attention-deficit/hyperactivity disorder (ADHD)
b) Depression
c) Pediatric hypertension
d) Asthma
a) Attention-deficit/hyperactivity disorder (ADHD)
A child who plays soccer is starting methylphenidate for treatment of attention-deficit/hyperactivity disorder (ADHD).
Which information should the nurse include when teaching the parents about this medication?
a) Use of drug holidays with activities
b) Prescription renewal instructions
c) Monitor heart rate
d) Importance of 6–7 hours sleep per night
c) Monitor heart rate
The nurse is teaching a group of parents of preschool-age children about the signs and symptoms of attention-deficit/hyperactivity disorder (ADHD).
Which information about children with ADHD should the nurse include in the presentation?
a) “They are very organized with activities.”
b) “They have impulsive behavior and distractibility.”
c) “They have patience and are able to take turns.”
d) “They are at increased risk for head injuries.”
b) “They have impulsive behavior and distractibility.”
