Deck 7: Psychotherapeutic Drug Therapy

Question 1

The nurse is administering medications to a client with a diagnosis of paranoid schizophrenia.The nurse would expect to see which medication ordered for this client?

A)Lithium
B)Depakene
C)Neurontin
D)Risperdal

Answer 1

Risperdal

Question 2

Psychotropic medications can cause a parasympathetic and/or sympathetic response from the autonomic nervous system.Which of the following is considered a sympathetic response?

A)Pupil dilation
B)Increased saliva production
C)Decreased heart rate
D)Constricted airway

Answer 2

Pupil dilation

Question 3

A female client calls the clinic for advice after forgetting to take her morning dose of twice-daily lithium 5 hours ago.Which instructions should the nurse give the client?

A)Take the dose immediately,and then take the second dose 3 hours late.
B)Take half of a dose now,and then take the second dose at the normal time.
C)Eliminate the dose missed,and take the second dose at the normal time.
D)Immediately take the missed dose,and take the second dose at the normal time.

Answer 3

Eliminate the dose missed,and take the second dose at the normal time.

Question 4

A male client with the diagnosis of depression is taking a monoamine oxidase inhibitor (MAOI).Which is the most important teaching point the nurse must include in his care plan?

A)Avoid foods high in sodium content
B)Avoid alcoholic beverages
C)Ensure that protein intake is 60 grams per day
D)Take a potassium supplement

Question 5

A male client with schizophrenia lives in an assisted-living complex for individuals with mental health disorders.He is tired of the Parkinson-like symptoms he experiences with his antipsychotic medication and therefore stops taking his medication after much discussion with his treatment team.He is progressively withdrawing from reality but is not a safety risk at this point to himself or others.What is the best response of the nurse and treatment team?

A)Try to coerce him into taking his medication.
B)Ensure that the client and those around him are safe,and monitor for additional symptoms of his schizophrenia while maintaining trust with the client.
C)Crush his antipsychotic medications and put them in his food to stop the process of his withdrawal from reality.
D)Speak to his family about seeking an involuntary emergency hold in a mental health facility to get him back on his medications.

Question 6

Which of the following are basic responsibilities of nurses who administer psychotherapeutic drugs? (Select all that apply. )

A)Monitoring and evaluating the client's response to the medication
B)Continually assessing the client's condition
C)Adjusting medication dosages according to therapeutic levels
D)Assisting in the coordination of the client's care
E)Teaching clients about their medications
F)Administering prescribed medications

Question 7

Careful assessment for changes in attitude and suicidal gestures should
Be monitored in a client taking which medication?

A)Lithium
B)Ativan (lorazepam)
C)Librium (chlordiazepoxide)
D)Paxil (paroxetine)

Question 8

__________ is a side effect that can occur while a client is taking an antipsychotic medication,causing muscle rigidity,high fever,unstable vital signs,confusion,and agitation.

A)Drug-induced parkinsonism
B)Neuroleptic malignant syndrome (NMS)
C)Tardive dyskinesia
D)Dystonia

Question 9

A female client is 3-days postoperative and has been receiving meperidine (Demerol)for pain control.The family mentions to the nurse that the client has been taking phenelzine (Nardil)for years for her depression.The client did not list this medication on admission.What signs and symptoms should the nurse look for in case of reaction between these two medications?

A)Increased pulse and respirations
B)Hyperactivity and difficulty concentrating
C)Increased tearing and increased urinary output
D)Sedation,disorientation,and hallucinations

Question 10

A female client who has had bipolar disorder for several years decides to stop all of her medications because she is tired of the side effects.She also cancels all appointments with her therapist,stating that it is just too difficult to plan the visits in her hectic schedule.This client is considered:

A)Depressed
B)Noncompliant
C)Suffering from an anxiety disorder
D)Possessing obsessive-compulsive tendencies

Question 11

While completing the history portion of an admission assessment of a client with schizophrenia,the nurse notices that the client is continually moving in the chair and frequently stands and then sits back down.The nurse knows that this client most likely is experiencing the side effect of:

A)Drug-induced parkinsonism
B)Dystonia
C)Akathisia
D)Akinesia

Question 12

The CMA is administering an antianxiety medication to a client.Monitoring side effects is the responsibility of which member of the health care team?

A)Nurse
B)CMA
C)Physician
D)Therapist

Question 13

Selective serotonin reuptake inhibitors (SSRIs)are most health care providers' drug of choice for the treatment of depression because:

A)The side effects are more manageable than with other antidepressants.
B)They are the only class safe for long-term therapy.
C)This is the oldest class of antidepressants.
D)They are fast-acting medications.

Question 14

Valium is administered to a client anxious about impending surgery.Which of the following side effects is the client at risk for?

A)Seizures
B)Falls
C)Hypertensive crisis
D)Tachycardia

Question 15

When educating a client being treated with lithium,which item(s)in his or her diet should be monitored or avoided?

A)Fresh fruit
B)Whole milk
C)Hot dogs and ham
D)Fresh vegetables

Question 16

During client teaching,the nurse must inform the client prescribed a tricyclic antidepressant (TCA)to not expect to see a difference in mood or anxiety level for up to:

A)5 days
B)2 to 3 weeks
C)4 to 5 weeks
D)6 weeks

Question 17

An adult female client has been diagnosed recently with mild depression but opts not to take the medication prescribed by her physician after talking with the physician about the benefits,risks,possible outcomes,and side effects.She decides to investigate alternative treatments.This client is making this decision based on the premise of:

A)Informed consent
B)Noncompliance
C)Client education
D)Right to privacy

Question 18

The __________ constitute a class of drugs that are commonly prescribed for cardiac arrhythmias but also have been found to be effective treatment for social phobias.

A)Benzodiazepines
B)Tricyclics
C)Azaspirones
D)Beta-blockers

Question 19

In preparing discharge planning for a client who has been prescribed lithium for the treatment of bipolar disorder,the nurse must be sure that the client demonstrates an understanding of the need to monitor his or her diet for intake of:

A)Potassium
B)Carbohydrates
C)Protein
D)Sodium

Question 20

The nurse is aware that he or she may be administering the new antianxiety medication pregabalin (Lyrica)to clients without an anxiety disorder for the purpose of treating:

A)Depression
B)Psychotic episodes
C)Neuropathic pain
D)Bipolar disorder

Question 21

The four classes of psychotherapeutic medications include antianxiety agents,antidepressants,antimanics,and __________.

Question 22

__________ side effects can occur when antipsychotic medications are taken that manifest as abnormal movements such as akathisia and pseudo-Parkinson symptoms.

Question 23

Clients diagnosed with Type I-Positive Schizophreniasymptoms respond better to antipsychotic medications.Manifestations of Type I Schizophrenia include which of the following? (Select all that apply. )

A)Delusions
B)Hallucinations
C)Apathy
D)Anhedonia
E)Illusions

Question 24

Lithium levels are considered toxic when they become higher than __________ mEq/L.

Question 25

The nurse is developing a teaching plan for a client who has been diagnosed recently with a mental health disorder and has been prescribed a psychotropic medication.Which interventions regarding the medication should the nurse include in the teaching plan? (Select all that apply. )

A)Teach signs and symptoms of side effects and what to do if these occur
B)Provide written information regarding the purpose,dosage,route,and dosing schedule
C)Ask the client and significant other to verbally explain when it is necessary to contact the physician should side effects occur
D)Provide written information regarding how the client should decrease dosages in response to side effects or improvement in symptoms