Exam 4: Psychopharmacology

Which medication does not require periodic blood-level monitoring?

A client has been diagnosed with major depression and is prescribed imipramine (Tofranil).Which information specifically related to this class of antidepressants will the nurse plan to include in client and family education?

An aging client with chronic schizophrenia takes an antipsychotic and propranolol,a beta-adrenergic blocking agent,for hypertension.Given the combined side effects of these drugs,which client teaching should the nurse provide?

A client with schizophrenia has recently begun a new medication,clozapine (Clozaril).Which blood cell counts should reveal a potentially fatal side effect of this medication?

A client began taking lithium for the treatment of bipolar disorder approximately 1 month ago and asks why he has gained 12 pounds since then.Which is the most appropriate nursing response?

A client with schizophrenia has recently begun a new medication,clozapine (Clozaril).About which potentially fatal side effect will the nurse teach the client?

When used in combination with anxiolytic medication,alcohol leads to ____ effects and caffeine leads to ____ effects.

A client with depression and substance abuse has an interrupted sleep pattern.She demands that her psychiatrist prescribe her a sedative.Which teaching should the nurse provide about the rationale for the use of nonpharmacological interventions instead?

Which medication is most likely to be prescribed for the extrapyramidal side effects of antipsychotic medications?

A client was recently admitted to the inpatient unit after a suicide attempt and is prescribed a selective serotonin reuptake inhibitor (SSRI).The nurse teaches the client about serotonin syndrome,which includes all of the following symptoms except:

A client was recently admitted to the inpatient unit after a suicide attempt.He has been placed on a tricyclic antidepressant.Which action should the nurse implement to maintain the client's safety when he is discharged?

In the treatment of anxiety disorders,benzodiazepines (e.g. ,Ativan,Xanax)are indicated for____ use and have____ abuse potential.

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

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?

Which information suggests caution is necessary in prescribing a benzodiazepine to an anxious client?

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.

A client was recently admitted to the inpatient unit after a suicide attempt and has not responded to SSRIs or tricyclic antidepressants.The client asks the nurse,"I heard about MAOIs (monoamine oxidase inhibitors).Why can't they be added to what I am on now? Wouldn't adding one help?" Which is the most appropriate nursing response?

The nurse is assessing a client who has a diagnosis of Schizophrenia and takes an antipsychotic agent daily.Which finding requires further nursing assessment?

A client with schizophrenia has recently begun a new medication,clozapine (Clozaril).About which signs and symptoms of a potentially fatal side effect will the nurse teach the client?