Exam 25: Psychopharmacology

A patient who began haloperidol (Haldol)therapy 24 hours ago tells the nurse that he feels jittery and unable to sit or stand still.The nurse can hypothesize that this report is related to:

A patient taking SSRIs mentions to the nurse that his current medication causes fewer side effects than the tricyclic antidepressant he took several years earlier.The nurse understands that SSRIs advantage is due to:

A patient prescribed alprazolam (Xanax)for symptoms of anxiety shares with the nurse that,"I'm concerned about getting off this medication." Upon which fact will the nurse base the response to the patient's concern?

When asked how tricyclic antidepressants affect neurotransmitter activity,the nurse should respond that they:

Which of these statements made by a patient taking the MAOI phenelzine (Nardil)would warrant further instruction?

To evaluate outcomes for a patient with schizophrenia receiving typical antipsychotic drug therapy,the nurse would look for improvement in:

A patient with rapid cycling bipolar disorder is not responding well to lithium.The patient tells the nurse,"It feels as though I'll never get well.I get better,and then I get worse." The reply that is based on knowledge of current therapy would be:

Sertraline (Zoloft)has been prescribed for a patient with symptoms of a major depression.Which factor was probably most important in the physician's decision to use an SSRI?

An atypical antipsychotic has been prescribed for an elderly patient.The nurse developing the patient's care plan includes:

When the nurse realizes that a patient diagnosed with schizophrenia is not taking the prescribed oral haloperidol (Haldol),which intervention would promote medication compliance?

An appropriate outcome for trihexyphenidyl (Artane)therapy used in conjunction with high potency typical antipsychotic medication therapy is that the patient will:

A severely depressed patient has been prescribed clomipramine (Anafranil).For which medication side effects should the patient be monitored?

Which patient complaint should receive priority from a patient who is taking the MAOI tranylcypromine (Parnate)?

The nurse must notify the physician of the need to suspend treatment for a patient receiving clozapine (Clozaril)when the weekly WBC monitoring shows:

Which behavior displayed by a patient receiving a typical antipsychotic medication would be assessed as displaying behaviors characteristic of tardive dyskinesia (TD)?

A patient receiving haloperidol urgently calls to the nurse and reports that his eyes have rolled upward and he cannot redirect his gaze.The nurse contacts the physician to seek an order for: