Deck 30: Drugs for Mental Health and Behavioral Disorders

Question 1

Prolonged use of antipsychotics may lead to ______ in adults.

A) extrapyramidal effects and tardive dyskinesia
B) parkinsonism-like symptoms
C) neither a or b
D) both a and b

Answer 1

both a and b

Question 2

Antipsychotics are also called

A) major tranquilizers
B) minor tranquilizers
C) neuroleptics
D) all of the above
E) a and c

Answer 2

a and c

Question 3

Mood disorders, also called affective disorders, include depression. The Monoamine Theory of Depression theorizes that a depressed person is lacking which chemicals?

A) serotonin
B) epinephrine
C) norepinephrine
D) a and c
E) all of the above

Answer 3

a and c

Question 4

Forms of psychosis include

A) schizophrenia
B) severe depression
C) Alzheimer's disease
D) a, b, and c
E) all of the above

Question 5

The most commonly prescribed medications for neurosis are benzodiazepines. Side effects include

A) drowsiness, confusion, nausea, dry mouth, constipation, and extrapyramidal reactions
B) sensitivity to sunlight
C) interactions with alcohol
D) a and c
E) a, b, and c

Question 6

Antipsychotic medications are used for

A) relief of the symptoms of psychosis or severe neurosis
B) therapeutic treatment of nausea and vomiting
C) potentiation of analgesics
D) a and b
E) a, b, and c

Question 7

Side effects of antipsychotics include

A) postural hypotension, changes in heart rate, and vertigo
B) insomnia, agitation, restlessness, and headaches
C) confusion, drowsiness, weakness, and photosensitivity
D) a and c
E) a, b, and c

Question 8

Antianxiety medications are also called

A) major tranquilizers
B) minor tranquilizers
C) anxiolytics
D) b and c
E) a, b, and c

Question 9

The major difference in the benzodiazepines is

A) some may be given only by injection, while others are given by mouth
B) all the benzodiazepines have short half-lives
C) most benzodiazepines cannot be absorbed by the gastrointestinal tract
D) the duration of action

Question 10

Selective serotonin reuptake inhibitors

A) have fewer side effects than MAOIs
B) should be administered in the mornings
C) cause sexual dysfunction
D) do not cause dizziness and fatigue and are the drugs of choice for those doing hazardous activities
E) all except d

Question 11

Psychotherapeutic agents were first introduced in the ______. Before that time, psychotic patients were institutionalized.

A) 1920s
B) 1930s
C) 1950s
D) 1970s

Question 12

A person who is in contact with reality but is fearful and has difficulty adjusting to surroundings is considered to have

A) psychosis
B) neurosis
C) schizophrenia
D) parkinsonism

Question 13

The drug of choice for bipolar disorder that is effective in the manic stage is

A) fluoxetine (Prozac)
B) lithium carbonate
C) amitriptyline (Elavil)
D) amoxapine (Asendin)

Question 14

Tranquilizers have which of the following actions in patients?

A) reduce, prevent, or inhibit seizures
B) relieve anxiety
C) induce hypnosis in large doses
D) relieve skeletal muscle tension
E) all of the above

Question 15

Antidepressant medications include

A) tricyclic antidepressants
B) monoamine oxidase inhibitors
C) selective serotonin reuptake inhibitors
D) a and c only
E) a, b, and c

Question 16

Antianxiety drugs cause

A) habituation
B) physical dependence
C) long-term withdrawal symptoms for any use
D) drug abuse

Question 17

Antipsychotics include

A) phenothiazines, such as chlorpromazine
B) butyrophenone derivatives, such as haloperidol
C) atypical medications, such as clozapine
D) a and b
E) a, b, and c

Question 18

The dangers with monoamine oxidase inhibitors are

A) interactions with tyramine-containing foods
B) interactions with Pyribenzamine drugs
C) elevation of blood pressure
D) stimulation of the nervous system

Question 19

Antipsychotics are contraindicated in

A) glaucoma
B) seizure disorders and parkinsonism
C) children and the elderly
D) a and b
E) all of the above

Question 20

Antipsychotics are classified by

A) potency
B) effectiveness
C) typical antipsychotics
D) atypical antipsychotics
E) all except c

Question 21

Which of the following is NOT a side effect of antipsychotic agents?

A) dystonia
B) akathisia
C) parkinsonian symptoms
D) fever, sweating, and cardiac dysrhythmias
E) all are side effects

Question 22

Medications are used to reduce or alleviate mental symptoms as a temporary means of behavior modification.

Question 23

OTC antihistamine and cough preparations may cause excessive sedation with minor tranquilizers.

Question 24

Common side effects of drugs for Alzheimer's disease are related to

A) the gastrointestinal system
B) muscle pain and ataxia
C) agitation
D) liver disease
E) all except c

Question 25

Common signs and symptoms of mental disorders include all of the following EXCEPT

A) withdrawal from society
B) stress, anxiety, depression, and forgetfulness
C) disorganized thinking and inappropriate behavior
D) proper work ethics and work skills
E) inability to place self in environment, person, or place

Question 26

Medications for ADHD may be given year-round without a need to stop the medications for any amount of time.

Question 27

Older adult patients generally require lower doses of psychotherapeutic agents and may experience excessive sedation when given a usual adult dose.

Question 28

Most drugs that are used to treat ADHD are

A) not scheduled by the FDA
B) related to central nervous system stimulants used to increase the attention span
C) Schedule II medications
D) a and b
E) b and c

Question 29

Reasons for using medications in psychotherapy include

A) modification of behavior
B) to reduce and modify symptoms of mental conditions
C) as sedatives for older adults
D) to calm a patient without causing sedation
E) all of the above

Question 30

Depot medications for psychosis are given by injection for those patients who stay in compliance and do not miss medication doses.

Question 31

The medication(s) approved by the FDA for Alzheimer's disease is/are

A) ergoloid mesylates (Hydergine)
B) tacrine (Cognex)
C) donepezil (Aricept)
D) b and c
E) a, b, and c

Question 32

Anxiolytics are among the most frequently prescribed medications.

Question 33

Psychotherapy is a means of permanently changing behavior.

Question 34

Which of the following is NOT important patient education for compliance with benzodiazepines?

A) Women using oral contraceptives need to consider alternative methods of birth control when using benzodiazepines.
B) Drowsiness is a common side effect of benzodiazepines, and care should be taken when operating machinery.
C) Benzodiazepines should be taken only when the patient is anxious.
D) The dosage of benzodiazepines should not be increased or decreased without permission of the physician.
E) Benzodiazepines should not be used during pregnancy.

Question 35

Benzodiazepines are safer than barbiturates because of their lower potential for abuse and decreased tolerance and dependence.

Question 36

Which of the following is NOT important in patient education with antipsychotic medications?

A) No medications, such as alcohol, muscle relaxants, analgesics, antihistamines, cardiac medications, and antihypertensives, should be taken with antipsychotics without the knowledge and permission of the physician.
B) Assure the patient that antipsychotics are not addictive.
C) Be sure the patient knows and reports early extrapyramidal symptoms.
D) The patient should avoid exposure to the sun while taking antipsychotic medications.
E) All of the above statements are important in patient education.

Question 37

Common side effects of medications for mental disorders include all of the following EXCEPT

A) hypotension, alterations in sleep patterns, and impotence
B) hypertension and bradycardia
C) tachycardia and dry mouth
D) increased or decreased libido
E) extrapyramidal symptoms and tardive dyskinesia

Question 38

Benzodiazepines may be given at the same dose for all adults, from young adults through the elderly, without concern for sedation, central nervous system depression, or suicidal tendencies.

Question 39

Women taking benzodiazepines and oral contraceptives will experience no drug interactions.

Question 40

Drugs that are used to treat Alzheimer's disease ultimately cure the disease.

Question 41

Mental health is a lifelong process to form a sense of harmony and balance for the individual.

Question 42

Antihistamines and OTC sleeping aids are safe with antipsychotic medications.

Question 43

Exogenous depression requires drug treatment.

Question 44

Psychotherapeutic medications are chosen by diagnosis, on behavioral actions, pharmaceutical effects, potential adverse reactions, and environmental factors.

Question 45

Diet for patients taking antipsychotic medications does not need modification.

Question 46

Children taking medications for ADHD may take three doses of medicine per day: in the morning, about 2 PM, and at bedtime.

Question 47

OTC medications and alcohol should not be taken with psychotropic drugs.

Question 48

Most mental disorders are related to stress and pressures of society.

Question 49

Mental disorders affect almost everyone during their lifetime.

Question 50

Benzodiazepines, including diazepam (Valium), are safe during pregnancy.

Question 51

Tranquilization is a state of reduced mental tension characterized by calmness but without significant sedation or mental confusion.

Question 52

Endogenous depression may require treatment with drugs.

Question 53

Many of the drugs that are used to treat depression are among the most frequently prescribed medications.

Question 54

Depot parenteral medications are used for all patients needing antipsychotics to ensure compliance.

Question 55

Drug holiday means that a drug is given only on holidays.

Question 56

Mental health is based only on physical, cognitive, affective, behavioral, and social realms.

Question 57

Central nervous system depressants should not be taken with psychotropic medications.

Question 58

Patients taking psychotropic medications, especially older adults, must be careful changing positions because of the dangers of orthostatic hypotension.

Question 59

Normal or abnormal mental health can always be identified by the same symptoms.

Question 60

Extrapyramidal symptoms may be relieved if treated early but may become permanent effects of antipsychotic medications if the drugs are continued.

Question 61

The exact mechanism of action for phenothiazines, butyrophenones, and thioxanthines is known as these medications are used to suppress symptoms of schizophrenia and severe depression.

Question 62

Extrapyramidal effects of neuroleptics are caused by blocking dopamine.

Question 63

Tricyclic antidepressants are generally not recommended for children under 12 years of age.

Question 64

Excessive use of anxiolytics may lead to interference of memory and to psychotic behavior.

Question 65

SSRIs are not effective for obsessive compulsive disorders.

Question 66

Older adult patients are more prone to extrapyramidal effects of anxiolytics.

Question 67

Duration of action is the major difference in benzodiazepines.

Question 68

Hypnotics are never the same medications as those used for anxiety.

Question 69

Tricylcic antidepressants in geriatric patients are safe and are the drugs of choice for depression in this age group.

Question 70

SSRIs block serotonin to act as an atypical antipsychotic agent.

Question 71

Antipsychotics are classified by both potency and effectiveness, which is the same thing.

Question 72

Using alcohol with anxiolytics will have no adverse reaction.

Question 73

Anxiolytics may also be used as muscle relaxants for chronic muscle pain.

Question 74

Sudden withdrawal of anxiolytics has no adverse reactions.

Question 75

The drugs of choice for social anxiety disorders are SSRIs.

Question 76

Benzodiazepines are safe for use with suicidal patients, making them the drug of choice for these persons.

Question 77

Reye syndrome is a possible adverse reaction with psychotherapeutic agents used in pediatric patients with viral infections.

Question 78

Many OTC medications interact with antipsychotic medications.

Question 79

Dosage of antipsychotics is based on the ability to modify disturbed behavior and to relieve symptoms of severe anxiety without profound impairment of consciousness.

Question 80

Newer drugs for mental disorders tend to provide tranquilization and sedation.