Question 1

Which statement represents the most appropriate instructions for a patient with a past suicide attempt who is prescribed amitriptyline (Elavil),150 mg PO at bedtime?

Accepted Answer

A)  "You will need to pick up your 7-day supply of medication at the pharmacy each week." 
B)  "Your prescription will provide you with a 6-month supply to save you money and time." 
C)  "I'm going to strongly suggest that your spouse dispense this medication to you each evening." 
D)  "Stop by the clinic each evening for your medication so your emotional state of mind can be assessed." 
A)  "You will need to pick up your 7-day supply of medication at the pharmacy each week." 
B)  "Your prescription will provide you with a 6-month supply to save you money and time." 
C)  "I'm going to strongly suggest that your spouse dispense this medication to you each evening." 
D)  "Stop by the clinic each evening for your medication so your emotional state of mind can be assessed."

Question 2

Which medication would the nurse expect to administer when observing that a patient being treated for schizophrenia is fidgety,demonstrates motor restlessness,and jiggles both legs when asked to sit down?

Accepted Answer

A)  Olanzapine (Zyprexa) 
B)  Molindone (Moban) 
C)  Biperiden (Akineton) 
D)  Thioridazine (Mellaril) 
A)  Olanzapine (Zyprexa) 
B)  Molindone (Moban) 
C)  Biperiden (Akineton) 
D)  Thioridazine (Mellaril)

Question 3

Which set of instructions is most appropriate when preparing the patient for collection of a 24-hour creatinine clearance for a prelithium workup?

Accepted Answer

A)  "Collect all urine when you wake up and for 12 hours thereafter, and then discard all collected urine, noting the time. Begin again to collect all urine, and refrigerate it for the next 12 hours after your blood is drawn." 
B)  "Discard your first morning urine on awakening, and then begin to time and collect your urine. Keep it refrigerated in a clean 3-L plastic container. Your blood may be drawn at any time during the collection." 
C)  "Sign this consent form; then collect your urine for the next 24 hours after discarding the first urine of the morning and then refrigerate the clean 3-L container between voidings." 
D)  "Sign this consent form, and then begin to collect your urine in a clean 3-L plastic container for 24 hours. You may refrigerate the urine collection if you wish." 
A)  "Collect all urine when you wake up and for 12 hours thereafter, and then discard all collected urine, noting the time. Begin again to collect all urine, and refrigerate it for the next 12 hours after your blood is drawn." 
B)  "Discard your first morning urine on awakening, and then begin to time and collect your urine. Keep it refrigerated in a clean 3-L plastic container. Your blood may be drawn at any time during the collection." 
C)  "Sign this consent form; then collect your urine for the next 24 hours after discarding the first urine of the morning and then refrigerate the clean 3-L container between voidings." 
D)  "Sign this consent form, and then begin to collect your urine in a clean 3-L plastic container for 24 hours. You may refrigerate the urine collection if you wish."

Question 4

A nurse observes a patient diagnosed with schizophrenia tapping both feet,smacking both lips,and making contorted faces while speaking to another patient.These behaviors prompt the nurse to suspect the patient is experiencing:

Accepted Answer

A)  neuroleptic malignant syndrome. 
B)  Parkinson syndrome. 
C)  tardive dyskinesia. 
D)  torticollis. 
A)  neuroleptic malignant syndrome. 
B)  Parkinson syndrome. 
C)  tardive dyskinesia. 
D)  torticollis.

Exam 26: Psychopharmacology

Which statement represents the most appropriate instructions for a patient with a past suicide attempt who is prescribed amitriptyline (Elavil),150 mg PO at bedtime?

Which medication would the nurse expect to administer when observing that a patient being treated for schizophrenia is fidgety,demonstrates motor restlessness,and jiggles both legs when asked to sit down?

Which set of instructions is most appropriate when preparing the patient for collection of a 24-hour creatinine clearance for a prelithium workup?

A nurse observes a patient diagnosed with schizophrenia tapping both feet,smacking both lips,and making contorted faces while speaking to another patient.These behaviors prompt the nurse to suspect the patient is experiencing:

Roles and Functions of Psychiatric-Mental Health Nurses: Competent Caring

Therapeutic Nurse-Patient Relationship

The Stuart Stress Adaptation Model of Psychiatric Nursing Care

Evidence-Based Psychiatric Nursing Practice

Biological Context of Psychiatric Nursing Care

Psychological Context of Psychiatric Nursing Care

Social, Cultural, and Spiritual Context of Psychiatric Nursing Care

Legal and Ethical Context of Psychiatric Nursing Care

Policy and Advocacy in Mental Health Care

Families as Resources, Caregivers, and Collaborators

Implementing the Nursing Process: Standards of Practice and Professional Performance

Prevention and Mental Health Promotion

Crisis Intervention

Recovery and Psychiatric Rehabilitation

Anxiety Responses and Anxiety Disorders

Psychophysiological Responses and Somatoform and Sleep Disorders

Self-Concept Responses and Dissociative Disorders

Emotional Responses and Mood Disorders

Self-Protective Responses and Suicidal Behavior

Neurobiological Responses and Schizophrenia and Psychotic Disorders

Social Responses and Personality Disorders

Cognitive Responses and Organic Mental Disorders

Chemically Mediated Responses and Substance-Related Disorders

Eating Regulation Responses and Eating Disorders

Sexual Responses and Sexual Disorders

Behavior Change and Cognitive Interventions

Preventing and Managing Aggressive Behavior

Somatic Therapies

Complementary and Alternative Therapies

Therapeutic Groups

Family Interventions

Hospital-Based Psychiatric Nursing Care

Community-Based Psychiatric Nursing Care

Child Psychiatric Nursing

Adolescent Psychiatric Nursing

Geropsychiatric Nursing

Care of Survivors of Abuse and Violence

The Military and Their Families

Psychological Care of Patients with Life-Threatening Illness

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