Question 1

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

Accepted Answer

A)   Drowsiness
B)   Palpitations and anxiety
C)   Dry mouth
D)   Constipation

Question 2

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?

Accepted Answer

A)   Orange juice
B)   Fried eggs over-easy
C)   Salami and Swiss cheese sandwich
D)   Biscuits and honey

Question 3

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?

Accepted Answer

A)   Hypertension
B)   Renal failure
C)   Cardiac dysrhythmias
D)   Gastrointestinal bleeding

Question 4

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?

Accepted Answer

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

Question 5

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?

Accepted Answer

A)   Hypertensive crisis
B)   Self-injury or suicidal tendencies
C)   Extrapyramidal symptoms
D)   Loss of appetite

Question 6

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?

Accepted Answer

A)   Aspirin
B)   Anticoagulants
C)   Diuretics
D)   Nonsteroidal antiinflammatory drugs

Question 7

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! What's wrong with him?" What is the nurse's best response?

Accepted Answer

A)   "The medication may not be effective for him. He may need to try another type."
B)   "It may take up to 4 weeks to notice any therapeutic effects. Let's wait a little longer to see how he does."
C)   "It sounds like the dose is not high enough. I'll check about increasing the dosage."
D)   "Some patients never recover from depression. He may not respond to this therapy." B

Question 8

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?

Accepted Answer

A)   SSRIs have fewer sexual side effects.
B)   Unlike tricyclic antidepressants, SSRIs do not have drug-food interactions.
C)   Tricyclic antidepressants cause serious cardiac dysrhythmias if an overdose occurs.
D)   SSRIs cause a therapeutic response faster than tricyclic antidepressants.

Question 9

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?

Accepted Answer

A)   "You can drink beer as long as you have a designated driver."
B)   "Now that you've had the last dose of that medication, there will be no further dietary restrictions."
C)   "If you begin to experience a throbbing headache, rapid pulse, or nausea, you'll need to stop drinking."
D)   "You need to avoid all foods that contain tyramine, including beer, while taking this medication."

Question 10

An agitated patient is to receive an intravenous dose of diazepam (Valium). The order reads, "Give diazepam, 2 mg, IV push, now. Repeat in 15 minutes if needed." How many milliliters will the nurse administer for this dose? The medication vial contains 5 mg/mL.

Accepted Answer

0.4 mL
5 mg : 1 mL :...

Question 11

Chlorpromazine (Thorazine)  is prescribed for a patient, and the nurse provides instructions to the patient about the medication. The nurse includes which information?

Accepted Answer

A)   The patient needs to avoid caffeine while on this drug.
B)   The patient needs to wear sunscreen while outside because of photosensitivity.
C)   Long-term therapy may result in nervousness and excitability.
D)   The medication may be taken with an antacid to reduce gastrointestinal upset.

Question 12

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?

Accepted Answer

A)   "I can't sleep at night."
B)   "I feel hungry all the time."
C)   "Look at how red my hands are."
D)   "My mouth has been so dry lately."

Question 13

A patient who has been taking a selective serotonin reuptake inhibitor (SSRI)  is complaining of "feeling so badly" 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? (Select all that apply.)

Accepted Answer

A)   Agitation
B)   Drowsiness
C)   Tremors
D)   Bradycardia
E)   SweatingF)  Constipation A, C, E

Question 14

Which statements are true regarding the selective serotonin reuptake inhibitors (SSRIs) ? (Select all that apply.)

Accepted Answer

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. C, D

Question 15

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?

Accepted Answer

A)   Increased paranoia
B)   Drowsiness and dizziness
C)   Tremors and muscle twitching
D)   Dry mouth and constipation

Question 16

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

Accepted Answer

A)   Fewer panic attacks
B)   Decreased paranoia and delusions
C)   Decreased feeling of hopelessness
D)   Improved tardive dyskinesia

Question 17

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?

Accepted Answer

A)   "That should be no problem."
B)   "Good idea! Hopefully you'll be able to stop taking the Zoloft."
C)   "Be sure to stop taking the herb if you notice a change in side effects."
D)   "Taking St. John's wort with Zoloft may cause severe interactions and is not recommended."

Question 18

A 22-year-old 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?

Accepted Answer

A)   The lithium level is therapeutic.
B)   The lithium level is too low.
C)   This lithium level is too high.
D)   Lithium is not usually monitored with blood levels.

Exam 16: Psychotherapeutic Drugs

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

Correct Answer
verified

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?

Correct Answer
verified

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?

Correct Answer
verified

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?

Correct Answer
verified

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?

Correct Answer
verified

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?

Correct Answer
verified

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! What's wrong with him?" What is the nurse's best response?

Correct Answer
verified
B

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?

Correct Answer
verified

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?

Correct Answer
verified

An agitated patient is to receive an intravenous dose of diazepam (Valium). The order reads, "Give diazepam, 2 mg, IV push, now. Repeat in 15 minutes if needed." How many milliliters will the nurse administer for this dose? The medication vial contains 5 mg/mL.

Correct Answer
verified
0.4 mL
5 mg : 1 mL :...
View Answer

Chlorpromazine (Thorazine) is prescribed for a patient, and the nurse provides instructions to the patient about the medication. The nurse includes which information?

Correct Answer
verified

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?

Correct Answer
verified

Correct Answer
verified
A, C, E

Which statements are true regarding the selective serotonin reuptake inhibitors (SSRIs) ? (Select all that apply.)

Correct Answer
verified
C, D

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?

Correct Answer
verified

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

Correct Answer
verified

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?

Correct Answer
verified

A 22-year-old 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?

Correct Answer
verified

Exam 16: Psychotherapeutic Drugs

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

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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! What's wrong with him?" What is the nurse's best response?

Correct AnswerverifiedB

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?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

An agitated patient is to receive an intravenous dose of diazepam (Valium). The order reads, "Give diazepam, 2 mg, IV push, now. Repeat in 15 minutes if needed." How many milliliters will the nurse administer for this dose? The medication vial contains 5 mg/mL.

Correct Answerverified0.4 mL5 mg : 1 mL :...View AnswerShow Answer

Chlorpromazine (Thorazine) is prescribed for a patient, and the nurse provides instructions to the patient about the medication. The nurse includes which information?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedA, C, E

Which statements are true regarding the selective serotonin reuptake inhibitors (SSRIs) ? (Select all that apply.)

Correct AnswerverifiedC, D

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?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

A 22-year-old 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?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
B

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
0.4 mL
5 mg : 1 mL :...
View Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
A, C, E

Correct Answer
verified
C, D

Correct Answer
verified

Correct Answer
verified

Correct Answer
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Correct Answer
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