Question 1

Which instruction has priority when teaching a patient about clozapine (Clozaril)?

Accepted Answer

A)  "Avoid unprotected sex." 
B)  "Report sore throat and fever immediately." 
C)  "Reduce foods high in polyunsaturated fats." 
D)  "Use over-the-counter preparations for rashes." 
A)  "Avoid unprotected sex." 
B)  "Report sore throat and fever immediately." 
C)  "Reduce foods high in polyunsaturated fats." 
D)  "Use over-the-counter preparations for rashes."

Question 2

The nurse prepares to assess a patient diagnosed with major depression for disturbances in circadian rhythms. Which question should the nurse ask this patient?

Accepted Answer

A)  "Have you ever seen or heard things that others do not?" 
B)  "What are your worst and best times of the day?" 
C)  "How would you describe your thinking?" 
D)  "Do you think your memory is failing?" 
A)  "Have you ever seen or heard things that others do not?" 
B)  "What are your worst and best times of the day?" 
C)  "How would you describe your thinking?" 
D)  "Do you think your memory is failing?"

Question 3

A patient taking medication for mental illness develops restlessness and an uncontrollable need to be in motion. Which drug action causes these symptoms to develop?

Accepted Answer

A)  Anticholinergic effects 
B)  Dopamine-blocking effects 
C)  Endocrine-stimulating effects 
D)  Ability to stimulate spinal nerves 
A)  Anticholinergic effects 
B)  Dopamine-blocking effects 
C)  Endocrine-stimulating effects 
D)  Ability to stimulate spinal nerves

Question 4

A patient diagnosed with bipolar disorder has an unstable mood, aggressiveness, agitation, talkativeness, and irritability. The nurse expects the health care provider to prescribe a medication from which group?

Accepted Answer

A)  Psychostimulants 
B)  Mood stabilizers 
C)  Anticholinergics 
D)  Antidepressants 
A)  Psychostimulants 
B)  Mood stabilizers 
C)  Anticholinergics 
D)  Antidepressants

Question 5

An individual is experiencing problems with memory. Which of these structures are most likely to be involved in this deficit? Select all that apply.

Accepted Answer

A)  Amygdala 
B)  Hippocampus 
C)  Occipital lobe 
D)  Reticular activating system (RAS) 
E)  Basal ganglia 
A)  Amygdala 
B)  Hippocampus 
C)  Occipital lobe 
D)  Reticular activating system (RAS) 
E)  Basal ganglia

Question 6

A drug blocks the attachment of norepinephrine to a1 receptors. The patient may experience which of the following?

Accepted Answer

A)  Hypertensive crisis 
B)  Orthostatic hypotension 
C)  Severe appetite disturbance 
D)  An increase in psychotic symptoms 
A)  Hypertensive crisis 
B)  Orthostatic hypotension 
C)  Severe appetite disturbance 
D)  An increase in psychotic symptoms

Question 7

A patient asks, "What are neurotransmitters? The doctor said mine are imbalanced." Select the nurse's best response.

Accepted Answer

A)  "How do you feel about having imbalanced neurotransmitters?" 
B)  "Neurotransmitters protect us from harmful effects of free radicals." 
C)  "Neurotransmitters are substances we consume that influence memory and mood." 
D)  "Neurotransmitters are natural chemicals that pass messages between brain cells." 
A)  "How do you feel about having imbalanced neurotransmitters?" 
B)  "Neurotransmitters protect us from harmful effects of free radicals." 
C)  "Neurotransmitters are substances we consume that influence memory and mood." 
D)  "Neurotransmitters are natural chemicals that pass messages between brain cells."

Question 8

A patient has acute anxiety related to an automobile accident 2 hours ago. The nurse should teach the patient about medication from which group?

Accepted Answer

A)  Tricyclic antidepressants 
B)  Antipsychotic drugs 
C)  Antimanic drugs 
D)  Benzodiazepines 
A)  Tricyclic antidepressants 
B)  Antipsychotic drugs 
C)  Antimanic drugs 
D)  Benzodiazepines

Question 9

By which mechanism do selective serotonin reuptake inhibitors (SSRI) improve depression?

Accepted Answer

A)  Destroying increased amounts of serotonin 
B)  Making more serotonin available at the synaptic gap 
C)  Increasing production of acetylcholine and dopamine 
D)  Blocking muscarinic and ?1 norepinephrine receptors 
A)  Destroying increased amounts of serotonin 
B)  Making more serotonin available at the synaptic gap 
C)  Increasing production of acetylcholine and dopamine 
D)  Blocking muscarinic and ?1 norepinephrine receptors

Question 10

A drug causes muscarinic receptor blockade. The nurse will assess the patient for which of the following?

Accepted Answer

A)  Dry mouth 
B)  Gynecomastia 
C)  Pseudoparkinsonism 
D)  Orthostatic hypotension 
A)  Dry mouth 
B)  Gynecomastia 
C)  Pseudoparkinsonism 
D)  Orthostatic hypotension

Question 11

A nurse cares for a group of patients receiving various medications, including haloperidol (Haldol), carbamazepine (Tegretol), trazodone (Oleptro), and phenelzine (Nardil). The nurse will order a special diet for the patient who takes which of the following?

Accepted Answer

A)  Carbamazepine 
B)  Haloperidol 
C)  Phenelzine 
D)  Trazodone 
A)  Carbamazepine 
B)  Haloperidol 
C)  Phenelzine 
D)  Trazodone

Question 12

A patient is hospitalized for severe depression. Of the medications listed below, the nurse can expect to provide the patient with teaching about which of the following?

Accepted Answer

A)  Chlordiazepoxide (Librium) 
B)  Clozapine (Clozaril) 
C)  Sertraline (Zoloft) 
D)  Tacrine (Cognex) 
A)  Chlordiazepoxide (Librium) 
B)  Clozapine (Clozaril) 
C)  Sertraline (Zoloft) 
D)  Tacrine (Cognex)

Question 13

A patient tells the nurse, "My doctor prescribed Paxil (paroxetine) for my depression. I assume I'll have side effects like I had when I was taking Tofranil (imipramine)." The nurse's reply should be based on what information about the drug?

Accepted Answer

A)  Paroxetine is a selective norepinephrine reuptake inhibitor. 
B)  Paroxetine is a tricyclic antidepressant. 
C)  Paroxetine is an MAO inhibitor. 
D)  Paroxetine is an SSRI. 
A)  Paroxetine is a selective norepinephrine reuptake inhibitor. 
B)  Paroxetine is a tricyclic antidepressant. 
C)  Paroxetine is an MAO inhibitor. 
D)  Paroxetine is an SSRI.

Question 14

Questions the nurse could ask that would be nonjudgemental when obtaining information about patient use of herbal remedies include which of the following? (select all that apply)

Accepted Answer

A)  "You don't regularly take herbal remedies, do you?" 
B)  "What herbal medicines have you used to relieve your symptoms?" 
C)  "What over-the-counter medicines and nutritional supplements do you use?" 
D)  "What differences in your symptoms do you notice when you take herbal supplements?" 
E)  "Have you experienced problems from using herbal and prescription drugs at the same time?" 
A)  "You don't regularly take herbal remedies, do you?" 
B)  "What herbal medicines have you used to relieve your symptoms?" 
C)  "What over-the-counter medicines and nutritional supplements do you use?" 
D)  "What differences in your symptoms do you notice when you take herbal supplements?" 
E)  "Have you experienced problems from using herbal and prescription drugs at the same time?"

Question 15

A nurse caring for a patient taking a selective serotonin reuptake inhibitor (SSRI) will develop outcome criteria related to which of the following?

Accepted Answer

A)  Coherent thought processes 
B)  Improvement in depression 
C)  Reduced levels of motor activity 
D)  Decreased extrapyramidal symptoms 
A)  Coherent thought processes 
B)  Improvement in depression 
C)  Reduced levels of motor activity 
D)  Decreased extrapyramidal symptoms

Exam 4: Psychotropic Drugs

Which instruction has priority when teaching a patient about clozapine (Clozaril)?

The nurse prepares to assess a patient diagnosed with major depression for disturbances in circadian rhythms. Which question should the nurse ask this patient?

A patient taking medication for mental illness develops restlessness and an uncontrollable need to be in motion. Which drug action causes these symptoms to develop?

A patient diagnosed with bipolar disorder has an unstable mood, aggressiveness, agitation, talkativeness, and irritability. The nurse expects the health care provider to prescribe a medication from which group?

An individual is experiencing problems with memory. Which of these structures are most likely to be involved in this deficit? Select all that apply.

A drug blocks the attachment of norepinephrine to a1 receptors. The patient may experience which of the following?

A patient asks, "What are neurotransmitters? The doctor said mine are imbalanced." Select the nurse's best response.

A patient has acute anxiety related to an automobile accident 2 hours ago. The nurse should teach the patient about medication from which group?

By which mechanism do selective serotonin reuptake inhibitors (SSRI) improve depression?

A drug causes muscarinic receptor blockade. The nurse will assess the patient for which of the following?

A nurse cares for a group of patients receiving various medications, including haloperidol (Haldol), carbamazepine (Tegretol), trazodone (Oleptro), and phenelzine (Nardil). The nurse will order a special diet for the patient who takes which of the following?

A patient is hospitalized for severe depression. Of the medications listed below, the nurse can expect to provide the patient with teaching about which of the following?

A patient tells the nurse, "My doctor prescribed Paxil (paroxetine) for my depression. I assume I'll have side effects like I had when I was taking Tofranil (imipramine)." The nurse's reply should be based on what information about the drug?

Questions the nurse could ask that would be nonjudgemental when obtaining information about patient use of herbal remedies include which of the following? (select all that apply)

A nurse caring for a patient taking a selective serotonin reuptake inhibitor (SSRI) will develop outcome criteria related to which of the following?

Mental Health and Mental Illness

Historical Overview of Psychiatric Mental Health Nursing

Relevant Theories and Therapies for Nursing Practice

Psychiatric Mental Health Nursing in Acute Care Settings

Psychiatric Mental Health Nursing in Community Settings

Cultural Implications for Psychiatric Mental Health Nursing

Ethical Responsibilities and Legal Obligations for Psychiatric Mental Health Nursing Practice

The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing

Therapeutic Relationships

Communication and the Clinical Interview

Understanding Responses to Stress

Anxiety, Obsessive-Compulsive, and Related Disorders

Depressive Disorders

Bipolar Disorders

Schizophrenia Spectrum and Other Psychotic Disorders

Eating Disorders

Cognitive Disorders

Substance Use and Addictive Disorders

Personality Disorders

Sleep–Wake Disorders

Sexual Dysfunction, Gender Dysphoria, and Paraphilias

Somatic Symptom Disorders and Dissociative Disorders

Crisis and Disaster

Suicide

Anger, Aggression, and Violence

Interpersonal Violence: Child, Older Adult, and Intimate Partner Abuse

Sexual Assault

Disorders of Children and Adolescents

Psychosocial Needs of the Older Adult

Living With Recurrent and Persistent Mental Illness

Psychological Needs of Patients With Medical Conditions

Care for the Dying and for Those Who Grieve

Forensic Psychiatric Nursing

Therapeutic Groups

Family Interventions

Integrative Care

Filters

A drug blocks the attachment of norepinephrine to a₁ receptors. The patient may experience which of the following?