Question 1

Which statement about tricyclic antidepressant medications is accurate?

Accepted Answer

A) Strong or aged cheese should not be eaten while taking them. 
B) Their full therapeutic potential may not be reached until 4 weeks. 
C) They may cause hypomania or recent memory impairment. 
D) They should not be given with antianxiety agents. 
A) Strong or aged cheese should not be eaten while taking them. 
B) Their full therapeutic potential may not be reached until 4 weeks. 
C) They may cause hypomania or recent memory impairment. 
D) They should not be given with antianxiety agents.

Question 2

As part of discharge teaching,which guideline regarding lithium therapy will the nurse plan to include?

Accepted Answer

A) Avoid excessive use of beverages containing caffeine. 
B) Maintain a consistent sodium intake. 
C) Consume at least 2500 to 3000 mL of fluid per day. 
D) All of the above 
A) Avoid excessive use of beverages containing caffeine. 
B) Maintain a consistent sodium intake. 
C) Consume at least 2500 to 3000 mL of fluid per day. 
D) All of the above

Question 3

A client was admitted with a single episode of major depression that was moderate.During her stay,she was started on Prozac (fluoxetine)at 40 mg PO qd.The nurse's discharge teaching should include all of the following except:

Accepted Answer

A) "Continue taking Prozac as prescribed.You will continue to see improvement over the next few weeks." 
B) "Make sure that you follow up with outpatient psychotherapy as you and the social worker have arranged." 
C) "You may be able to discontinue the medication within 6 months to 1 year,but only under a doctor's supervision.However,there is a chance of recurring episodes." 
D) "You should avoid foods with tyramine,including beer,beans,processed meats,and red wine." 
A) "Continue taking Prozac as prescribed.You will continue to see improvement over the next few weeks." 
B) "Make sure that you follow up with outpatient psychotherapy as you and the social worker have arranged." 
C) "You may be able to discontinue the medication within 6 months to 1 year,but only under a doctor's supervision.However,there is a chance of recurring episodes." 
D) "You should avoid foods with tyramine,including beer,beans,processed meats,and red wine."

Question 4

A psychiatrist prescribes an MAOI for a client.When teaching the client about the effects of tyramine,which foods will the nurse caution the client to avoid?

Accepted Answer

A) Pepperoni pizza and red wine 
B) Bagels with cream cheese and tea 
C) Apple pie and coffee 
D) Potato chips and diet cola 
A) Pepperoni pizza and red wine 
B) Bagels with cream cheese and tea 
C) Apple pie and coffee 
D) Potato chips and diet cola

Question 5

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

A) Ingestion of foods containing tyramine 
B) Noncompliance with lithium therapy 
C) Tolerance to the lithium carbonate 
D) Lithium toxicity 
A) Ingestion of foods containing tyramine 
B) Noncompliance with lithium therapy 
C) Tolerance to the lithium carbonate 
D) Lithium toxicity

Question 6

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

A) WBCs 3 
B) Tremors and a shuffling gait 
C) Dry mouth 
D) Generalized seizures 
A) WBCs 3 
B) Tremors and a shuffling gait 
C) Dry mouth 
D) Generalized seizures

Exam 4: Psychopharmacology

Which statement about tricyclic antidepressant medications is accurate?

As part of discharge teaching,which guideline regarding lithium therapy will the nurse plan to include?

A client was admitted with a single episode of major depression that was moderate.During her stay,she was started on Prozac (fluoxetine)at 40 mg PO qd.The nurse's discharge teaching should include all of the following except:

A psychiatrist prescribes an MAOI for a client.When teaching the client about the effects of tyramine,which foods will the nurse caution the client to avoid?

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 Concept of Stress Adaptation

Mental Health and Mental Illness: Historical and Theoretical Concepts

Concepts of Psychobiology

Ethical and Legal Issues

Cultural and Spiritual Concepts Relevant to Psychiatric-Mental Health Nursing

Relationship Development

Therapeutic Communication

The Nursing Process in Psychiatric-Mental Health Nursing

Therapeutic Groups

Intervention With Families

Milieu Therapythe Therapeutic Community

Crisis Intervention

Assertiveness Training

Promoting Self-Esteem

Anger and Aggression Management

Suicide Prevention

Behavior Therapy

Cognitive Therapy

Electroconvulsive Therapy

The Recovery Model

Neurocognitive Disorders

Substance-Related and Addictive Disorders

Schizophrenia Spectrum and Other Psychotic Disorders

Depressive Disorders

Bipolar and Related Disorders

Anxiety,obsessive-Compulsive,and Related Disorders

Trauma- and Stressor-Related Disorders

Somatic Symptom and Dissociative Disorders

Issues Related to Human Sexuality and Gender Dysphoria

Eating Disorders

Personality Disorders

Children and Adolescents

The Aging Individual

Survivors of Abuse or Neglect

Community Mental Health Nursing

The Bereaved Individual

Military Families

Complementary and Psychosocial Therapies

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Theoretical Models of Personality Development

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