Question 1

A client is diagnosed with Anxiety Disorder.Which medication is prescribed for anxiety?

Accepted Answer

Diazepam (Valium) is a benzodiazepine medication commonly prescribed for anxiety disorders due to its anti-anxiety and calming effects. Chlorpromazine (Thorazine) is an antipsychotic medication used to treat psychosis, while clozapine (Clozaril) is used for the treatment of schizophrenia. Methylphenidate (Ritalin) is a stimulant medication typically used for ADHD, not anxiety.

Question 2

A client is experiencing a psychotic episode.The client has allergies to penicillin,prochlorperazine (Compazine),and bee stings.Which antipsychotic medication is contraindicated for this client?

Accepted Answer

Thioridazine (Mellaril) can cause an allergic reaction in clients with a history of allergies to bee stings, penicillin, or prochlorperazine (Compazine). Therefore, it is contraindicated for this client. Haloperidol (Haldol), clozapine (Clozaril), and risperidone (Risperdal) do not have the same contraindication and may be considered as treatment options.

Question 3

A physician prescribes an additional medication for a client taking an antipsychotic agent.The medication is to be administered "prn for EPS." Which is the most appropriate nursing assessment to determine when to give this medication?

Accepted Answer

EPS stands for extrapyramidal symptoms, which include tremors and a shuffling gait. Administering the medication prn for EPS would be appropriate when these symptoms are present. WBC count, dry mouth, and generalized seizures are not specific indicators for administering a medication for EPS.

Question 4

A client takes a maintenance dosage of lithium carbonate for a bipolar disorder.She has come to the community health clinic,stating that she "has had the flu for over a week." She describes her symptoms as coughing,runny nose,chest congestion,fever,and gastrointestinal upset.Her temperature is 100.9°F.She is complaining of blurred vision and "ringing in the ears." Which situation does the nurse anticipate?

Accepted Answer

The symptoms described by the client, such as gastrointestinal upset, blurred vision, and ringing in the ears, are indications of possible lithium toxicity. The fact that the client is currently on maintenance dosage of lithium carbonate for bipolar disorder increases the likelihood of lithium toxicity. The flu-like symptoms could also be a contributing factor, as they could reduce the client's kidney function, thus leading to higher levels of lithium in the bloodstream. It is important for the nurse to assess the client's lithium levels and intervene as necessary to prevent further complications.

Question 5

The nurse is preparing to assess a client before the physician prescribes a regimen of psychopharmacological therapy.Which components will the nurse assess? Select all that apply.

Accepted Answer

Before prescribing psychopharmacological therapy, the nurse must assess the client's medical history, physical examination findings, ethnocultural characteristics, and current medications. This comprehensive assessment will provide the healthcare team with the necessary information to determine the most appropriate medication and dosage for the client's individual needs.

Question 6

Joey,age 8 years,takes methylphenidate (Ritalin)for attention-deficit/hyperactivity disorder (ADHD).His mother complains to the nurse that Joey has a very poor appetite,and she struggles to help him gain weight.Which teaching will the nurse provide?

Accepted Answer

Administering Joey's medication immediately after meals can help increase his appetite as the medication's effect wears off during the day. Skipping a dose of the medication may negatively impact Joey's ability to focus and behave appropriately. Assuring Joey's mother that Joey will eat when he is hungry may not be helpful in addressing his poor appetite. Administering his medication at bedtime may interfere with his sleep.

Quiz 4: Psychopharmacology

A client is diagnosed with Anxiety Disorder.Which medication is prescribed for anxiety?

A client is experiencing a psychotic episode.The client has allergies to penicillin,prochlorperazine (Compazine) ,and bee stings.Which antipsychotic medication is contraindicated for this client?

A physician prescribes an additional medication for a client taking an antipsychotic agent.The medication is to be administered "prn for EPS." Which is the most appropriate nursing assessment to determine when to give this medication?

The nurse is preparing to assess a client before the physician prescribes a regimen of psychopharmacological therapy.Which components will the nurse assess? Select all that apply.

Joey,age 8 years,takes methylphenidate (Ritalin) for attention-deficit/hyperactivity disorder (ADHD) .His mother complains to the nurse that Joey has a very poor appetite,and she struggles to help him gain weight.Which teaching will the nurse provide?