Deck 19: Psychotherapeutic Drugs

Question 1

The nurse anticipates that a client receiving haloperidol (Haldol)has which of the following mental health problems?

A) Depression
B) Posttraumatic stress disorder
C) Bipolar disorder
D) Schizophrenia

Answer 1

Schizophrenia

Question 2

When conducting client teaching about tricyclic antidepressants,the nurse includes information about which adverse effect that is the result of drug action on serotonin receptors?

A) Dry mouth
B) Urinary retention
C) Sedation
D) Tachycardia

Answer 2

Sedation

Question 3

When administering maintenance doses of olanzapine (Zyprexa),the nurse anticipates that the dosing recommendation will be

A) twice-daily dosing.
B) once-a-day dosing.
C) Z-track dosing.
D) suppository dosing.

Answer 3

once-a-day dosing.

Question 4

Which of the following should the client be cautioned against while taking a monoamine oxidase inhibitor?

A) Participating in light activity
B) Sunbathing at the pool
C) Drinking Chianti and eating cheese
D) Smoking a low-nicotine cigarette

Question 5

A nurse working on an inpatient psychiatric unit hears in report that a client taking an antipsychotic drug has begun showing signs of dystonia.The nurse expects the client to exhibit which of the following on assessment?

A) Shuffling gait
B) Muscle quivering
C) Eyes rolled back in the head
D) Lip smacking

Question 6

The nurse explains that a "drug-free holiday" for a client taking a phenothiazine type of antipsychotic drug may be necessary to help prevent which of the following?

A) Noncompliance
B) Higher costs
C) Destructive behaviors
D) Tardive dyskinesia

Question 7

The nurse notes that a client is taking an antipsychotic drug.The nurse understands that neuropsychiatric status is heavily influenced by which of the following neurotransmitters that are of primary importance to this health problem?

A) Acetylcholine
B) Histamine
C) Serotonin
D) $\gamma$ -aminobutyric acid

Question 8

The nurse assesses the client taking olanzapine (Zyprexa)for which of the following anticipated metabolic changes because of adverse drug effects?

A) Hyperglycemia
B) Hypoglycemia
C) Increased thyroxine levels
D) Decreased thyroxine levels

Question 9

A client taking an antipsychotic agent began experiencing extrapyramidal effects of drug therapy.The nurse expects that a new drug order will be written for which of the following drugs to treat this new problem?

A) Thiothixene (Navane)
B) Olanzapine (Zyprexa)
C) Methylphenidate (Ritalin)
D) Benztropine (Cogentin)

Question 10

The nurse questions an order for which of the following medications that,if administered concurrently with lithium (Eskalith),could decrease its excretion?

A) Theophylline (TheoDur)
B) Acetaminophen (Tylenol)
C) Furosemide (Lasix)
D) Fluoxetine (Prozac)

Question 11

A client began taking haloperidol (Haldol)2 weeks ago.At this routine follow-up clinic visit,the nurse notes that the client is restless and does not sit still in the chair.The nurse concludes that the client is most likely experiencing which of the following adverse drug effects?

A) Parkinsonism
B) Akathisia
C) Tardive dyskinesia
D) Dystonia

Question 12

Before beginning drug therapy with an antipsychotic agent,priority assessments done by the nurse would include which of the following?

A) Neurologic and respiratory
B) Neurologic and cardiovascular
C) Cardiovascular and renal
D) Respiratory and renal

Question 13

A client with schizophrenia has recently started drug therapy with clozapine (Clozaril).The nurse makes it a priority to assess for which serious adverse effect unique to this drug?

A) Photosensitivity
B) Seizures
C) Orthostatic hypotension
D) Urinary retention

Question 14

A client has an order for liquid haloperidol (Haldol).The nurse should avoid administering the medication with which of the following beverages?

A) Tea
B) Water
C) Apricot juice
D) Grape juice

Question 15

A client is beginning drug therapy with an antipsychotic agent.The nurse plans to teach the client that which of the following is an adverse effect of all antipsychotics that occurs when drug therapy begins but decreases over the first few weeks of therapy?

A) Tremors
B) Sedation
C) Dry mouth
D) Sexual dysfunction

Question 16

The nurse noting an order for which of the following drugs knows that it belongs to the class of the earlier typical antipsychotic agents?

A) Haloperidol (Haldol)
B) Clozapine (Clozaril)
C) Olanzapine (Zyprexa)
D) Aripiprazole (Abilify)

Question 17

An adult client has an order for imipramine (Tofranil)on the medication administration record.The nurse concludes that this client most likely has which of the following mental health problems?

A) Bipolar disorder
B) Depression
C) Schizophrenia
D) Generalized anxiety disorder

Question 18

A client with schizophrenia is noncompliant with drug therapy despite indicating a willingness to participate in drug therapy.This client could be an optimal candidate for which of the following drugs?

A) Fluphenazine (Prolixin)
B) Thioridazine (Mellaril)
C) Haloperidol decanoate (Haldol)
D) Thiothixene (Navane)

Question 19

The nurse working in a mental health outpatient setting is scheduling a follow-up visit for a client who is just beginning drug therapy with clozapine (Clozaril).The nurse makes an appointment for the client to return to the clinic in

A) 3 days.
B) 1 week.
C) 2 weeks.
D) 1 month.

Question 20

The nurse would assess a client taking a monoamine oxidase inhibitor for which of the following vital signs that could indicate an adverse drug reaction is taking place?

A) Temperature
B) Pulse
C) Respirations
D) Blood pressure

Question 21

Which of the following symptoms may be observed in a client who has suddenly discontinued antipsychotic therapy with haloperidol (Haldol)?

A) Excessive falling
B) Dyskinesia
C) Seizures
D) Hypertension

Question 22

A client taking bupropion (Wellbutrin)denies a history of depression.The nurse then further assesses the client's history,recalling that this drug is also used to help clients who are trying to stop using

A) caffeine.
B) tobacco.
C) opioids.
D) sleeping pills.

Question 23

The nurse explains to a client who is beginning drug therapy with lithium (Eskalith)that the medication is best taken at which of the following times?

A) Before meals
B) With meals
C) After meals
D) At bedtime

Question 24

A client will be starting drug therapy with fluoxetine (Prozac).The nurse cautions the client not to stop taking the drug suddenly because this could result in which of the following symptoms?

A) Dizziness and agitation
B) Tachycardia and fever
C) Insomnia and sexual dysfunction
D) Urinary retention and abdominal cramps

Question 25

The nurse would assess the client taking mirtazapine (Remeron)for which of the following adverse effects,which occurs much more frequently than with many other antidepressants?

A) Seizure activity
B) Sore throat
C) Fever
D) Stomatitis

Question 26

The nurse would assess the client taking lithium (Eskalith)for signs of toxicity whenever the serum lithium level rises above which of the following levels?

A) 0.5 mEq/L
B) 1.0 mEq/L
C) 1.5 mEq/L
D) 2.0 mEq/L

Question 27

The nurse advises the client taking lithium (Eskalith)that maintaining adequate intake of which of the following electrolytes is important to reduce the risk of drug toxicity?

A) Sodium
B) Potassium
C) Calcium
D) Magnesium

Question 28

A client will be starting drug therapy with fluoxetine (Prozac).The nurse determines that the client understands medication teaching when the client states that the most frequent adverse effects to expect include

A) sedation and chills.
B) increased appetite and muscle aches.
C) nausea and sexual dysfunction.
D) weight gain and headaches.