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Exam 16: Psychotherapeutic Drugs

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Question 1

Multiple Choice

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The nurse reads in the patient's medication history that the patient is taking buspirone (BuSpar) . The nurse interprets that the patient may have which disorder?

A) Anxiety disorder
B) Depression
C) Schizophrenia
D) Bipolar disorder

E) A) and B)
F) A) and C)

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Question 2

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Which statements are true regarding the selective serotonin reuptake inhibitors (SSRIs) ?

A) Avoid foods and beverages that contain tyramine.
B) Monitor the patient for extrapyramidal symptoms.
C) Therapeutic effects may not be seen for about 4 to 6 weeks after the medication is started.
D) If the patient has been on an MAOI, a 2- to 5-week or longer time span is required before beginning an SSRI medication.
E) These drugs have anticholinergic effects, including constipation, urinary retention, dry mouth, and blurred vision.
F) Cogentin is often also prescribed to reduce the adverse effects that may occur.

G) B) and E)
H) B) and F)

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Question 3

Multiple Choice

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The nurse is reviewing medications used for depression. Which of these statements is a reason that selective serotonin reuptake inhibitors (SSRIs) are more widely prescribed today than tricyclic antidepressants?

A patient has been taking lithium for 1 year, and the most recent lithium level is 0.9 mEq/L. Which statement about the laboratory result is correct?

The nurse is reviewing the food choices of a patient who is taking a monoamine oxidase inhibitor (MAOI) . Which food choice would indicate the need for additional teaching?

A patient who has been taking a selective serotonin reuptake inhibitor (SSRI) states that he "felt awful" when he started taking an over-the-counter St. John's wort herbal product at home. The nurse suspects that he is experiencing serotonin syndrome. Which of these are symptoms of serotonin syndrome?

A patient has been taking the selective serotonin reuptake inhibitor (SSRI) sertraline (Zoloft) for about 6 months. At a recent visit, she tells the nurse that she has been interested in herbal therapies and wants to start taking St. John's wort. Which response by the nurse is appropriate?

A patient with the diagnosis of schizophrenia is hospitalized and is taking a phenothiazine drug. Which statement by this patient indicates that he is experiencing a common adverse effect of phenothiazines?

A patient wants to take a ginseng dietary supplement. The nurse instructs the patient to look for which potential adverse effect?

The wife of a patient who has been diagnosed with depression calls the office and says, "It's been an entire week since he started that new medicine for his depression, and there's no change! The medicine is not working!" What is the nurse's best response?

Clozapine (Clozaril) , an atypical antipsychotic, is prescribed for a patient. The nurse will monitor for which adverse effect during this drug therapy?

A patient has been taking haloperidol (Haldol) for 3 months for a psychotic disorder, and the nurse is concerned about the development of extrapyramidal symptoms. The nurse will monitor the patient closely for which effects?

Before beginning a patient's therapy with selective serotonin reuptake inhibitor (SSRI) antidepressants, the nurse will assess for concurrent use of which medications or medication class?

A patient is to receive an intravenous dose of lorazepam (Ativan). The order reads, "Give lorazepam, 1 mg, IV push, now." Identify how many milliliters the nurse will administer for this dose. The medication vial contains 2 mg/mL. _______

A patient has been admitted to the emergency department with a suspected overdose of a tricyclic antidepressant. The nurse will prepare for what immediate concern?

While monitoring a depressed patient who has just started SSRI antidepressant therapy, the nurse will observe for which problem during the early time frame of this therapy?

A patient has been taking the monoamine oxidase inhibitor (MAOI) phenelzine (Nardil) for 6 months. The patient wants to go to a party and asks the nurse, "Will just one beer be a problem?" Which advice from the nurse is correct?

When a patient is receiving a second-generation antipsychotic drug, such as risperidone (Risperdal) , the nurse will monitor for which therapeutic effect?