Exam 25: Psychopharmacology

Which statement made by a patient who will be maintained on lithium following discharge will require further instruction by the nurse?

Which patient outcomes would be most applicable for the patient who has been taking benzodiazepines? Patient will state:

When following up on SSRI medication side effects,the nurse will need to make specific inquiries about:

An individual with poststroke depression is receiving an SSRI.What is the rationale for giving the medication at breakfast and again at midday?

What intervention will the nurse request for a patient reporting gastrointestinal side effects related to valproate therapy?

When reviewing the medications being taken by an elderly patient diagnosed with Alzheimer's disease,the nurse should consult with the patient's physician when noting a prescription for:

The nurse would assess for neuroleptic malignant syndrome (NMS)if a patient on haloperidol (Haldol)develops a:

A patient taking fluphenazine (Prolixin)complains of dry mouth and blurred vision.What would the nurse assess as the likely cause of these symptoms?

A patient who has received lithium for 3 weeks to control acute mania has the following symptoms: coarse hand tremor,diarrhea,vomiting,lethargy,and mild confusion.The priority nursing action should be to:

During a psychiatric emergency,IM ziprasidone (Geodon)is administered to an assaultive patient.During the next 2 hours,it is of primary importance that the nurse assess for:

To educate a patient regarding what to expect following the administration of a benzodiazepine,the nurse must understand that benzodiazepines:

A patient has been taking chlorpromazine (Thorazine)for the past 2 weeks.He drools,has hand tremors,and walks with a shuffling gait.The nurse would correctly attribute these behaviors to:

A patient's serum lithium level is reported as 1.9 mEq/L.The nurse should immediately:

When a patient for whom haloperidol has been prescribed tells the nurse,"I'm burning up and my muscles are stiff and sore," the nurse suspects neuromuscular malignant syndrome and recognizes the possibility that the physician may order:

The nurse manager on the psychiatric unit was explaining to the new staff the differences between typical and atypical antipsychotics.The nurse correctly states that atypical antipsychotics:

The nurse notes that a patient who has been receiving paroxetine (Paxil)for symptoms of major depression begins to behave in a confused and elated manner with the presence of restlessness,muscle jerking,and diaphoresis.The nurse should assess these symptoms as probable:

A patient whose schizophrenia has been refractory to treatment with other medications has been placed on clozapine (Clozaril).The priority discharge teaching should include:

A patient with schizophrenia is seen in the ED in an acutely agitated state resulting from threatening auditory hallucinations.The patient's medical record indicates he has had severe dystonic reactions to parenteral administration of typical antipsychotic medication.The nurse can anticipate that the physician will order:

Which person with mania is the least likely candidate to receive lithium? The patient who is:

Which statement by a patient with generalized anxiety disorder for whom lorazepam (Ativan)is prescribed as needed (prn)suggests the patient understands the purpose of the medication?