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Quiz on Medication Test , created by brittny beauford on 06/10/2016.

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Medication Test

Question 1 of 192

1

SSRIs with MAOIs or multiple SSRIs at once causes this

Select one of the following:

  • serotonin syndrom

  • hyptertensive crisis

Explanation

Question 2 of 192

1

clozapine (Clozaril), olanzapine (Zyprexa) & resperidone (Risperdal) are

Select one of the following:

  • Tricyclics

  • Atypical antipsychotics

  • Typical antipsychotics –
    neuroleptics

  • Barbiturates

Explanation

Question 3 of 192

1

haloperidol (Haldol) can cause

Select one of the following:

  • Hypertensive crisis

  • Serotonin Syndrome

  • coma

  • Extra pyramidal symptoms

Explanation

Question 4 of 192

1

MAOIs with decongestants/ cold medicines can cause

Select one of the following:

  • Hypertensive crisis

  • Extra pyramidal symptoms

  • Serotonin Syndrome

Explanation

Question 5 of 192

1

triazolam (Halcion) & flurazepam (Dalmane)

Select one of the following:

  • Tricyclics

  • Selective serotonin reuptake inhibitors

  • Mood stabilizers

  • Sedative-hypnotics

Explanation

Question 6 of 192

1

fluoxetine (Prozac) & Sertraline (Zoloft) are

Select one of the following:

  • Atypical antipsychotics

  • Selective serotonin reuptake inhibitors

  • Tricyclics

  • Anti-Parkinsonian drugs

Explanation

Question 7 of 192

1

imipramine (Tofranil) & amitryptiline (Elavil) are

Select one of the following:

  • Mood stabilizers

  • Tricyclics

  • Typical antipsychotics –
    neuroleptics

  • Anti-anxiety agents

Explanation

Question 8 of 192

1

Lithium & depakote are

Select one of the following:

  • Mood stabilizers

  • Atypical antipsychotics

  • Tricyclics

  • Anti-anxiety agents

Explanation

Question 9 of 192

1

chlorpromazine (Thorazine) & thiothixine (Navane) are

Select one of the following:

  • Mood stabilizers

  • Typical antipsychotics – neuroleptics

  • Tricyclics

  • Anti-Parkinsonian drugs

Explanation

Question 10 of 192

1

lorazepam (Ativan) & alprazolam (Xanax)

Select one of the following:

  • Mood stabilizers

  • Atypical antipsychotics

  • Tricyclics

  • Anti-anxiety agents

Explanation

Question 11 of 192

1

benztropine (Cogentin) & trihexyphenidyl (Artane) are

Select one of the following:

  • Anti-Parkinsonian drugs

  • Mood stabilizers

  • Sedative-hypnotics

  • Selective serotonin reuptake inhibitors

Explanation

Question 12 of 192

1

secobarbital (Seconal) & Pentobarbital (Nembutal) are

Select one of the following:

  • Atypical antipsychotics

  • Mood stabilizers

  • Barbiturates

  • Anti-anxiety agents

Explanation

Question 13 of 192

1

A decrease in serotonin can result in anxiety.

Select one of the following:

  • True
  • False

Explanation

Question 14 of 192

1

Lithium carbonate can cause extrapyramidal symptoms.

Select one of the following:

  • True
  • False

Explanation

Question 15 of 192

1

Children with ADHD respond atypically to Methylphenidate (Ritalin) than children without the diagnosis – instead of stimulation they calm and can focus.

Select one of the following:

  • True
  • False

Explanation

Question 16 of 192

1

Extrapyramidal symptoms are caused by the blockage of norepinephrine at the synapse.

Select one of the following:

  • True
  • False

Explanation

Question 17 of 192

1

Routine blood levels are taken on a client using haloperidol (Haldol).

Select one of the following:

  • True
  • False

Explanation

Question 18 of 192

1

Eating aged cheese and minimal red wine is acceptable for clients taking Lithium carbonate but not those taking an MAO inhibitor.

Select one of the following:

  • True
  • False

Explanation

Question 19 of 192

1

St. John’s Wort herbal medication has shown qualities of being an antidepressant; however, more clinical trials are needed.

Select one of the following:

  • True
  • False

Explanation

Question 20 of 192

1

Fluoxetine (Prozac) is given at bedtime.

Select one of the following:

  • True
  • False

Explanation

Question 21 of 192

1

Loarazepam is preferred over diazepam for short procedures or situations because the half-life is shorter.

Select one of the following:

  • True
  • False

Explanation

Question 22 of 192

1

You will see more SSRIs used as a front-line drug of choice over the older tricyclics. Why?

Select one or more of the following:

  • Clients can more easily overdose with the tricyclics because of cardiac involvement.

  • Tricyclics have more sedating and anticholinergic effects than the SSRIs.

  • SSRIs work faster to achieve a therapeutic response than the tricyclics (days as opposed to 2 weeks).

Explanation

Question 23 of 192

1

Which of the following is a potential prescribed drug of abuse, often in the elderly?

Select one of the following:

  • Carbamazepine (Tegretol) for sleep

  • Haloperidol (Haldol) for sleep

  • Alprazolam (Xanax) for anxiety

  • Risperadone (Risperdal) for confusion

Explanation

Question 24 of 192

1

You receive a client to your floor from the ER after having received a large dose of Haldol. He is sleepy but begins to complain of being stiff and feels restless inside. What would you do?

Select one of the following:

  • Call “Rapid Response.”

  • Call the MD, report the symptoms as likely EPS, and administer

  • Give more haloperidol (Haldol) PRN

  • Suggest a warm shower to relax (accompanied to prevent a fall)

Explanation

Question 25 of 192

1

Your client has been ordered phenelzine (Nardil). What special patient-family teaching do you need to address?

Select one of the following:

  • diet, use of other medications (over the counter ie cold meds), and blood pressure

  • lab draws for blood levels and diet

  • diet, exercise, and sexual activity

  • diet, exercise and lactation because weight gain is eminent

Explanation

Question 26 of 192

1

Sarah has bipolar illness and begins taking Lithium. In your teaching, what is important to cover?

Select one of the following:

  • the need for periodic blood levels because the therapeutic range is close to the mild toxicity range.

  • signs and symptoms of early toxicity verses side effects (weight gain is common)

  • the importance of taking the medicine and working with the doctor to find a comfortable therapeutic level – instead of self-stopping the medication.

  • all the above

Explanation

Question 27 of 192

1

Which electrolyte are you most concerned with when a client is taking Lithium?

Select one of the following:

  • sodium

  • potassium

Explanation

Question 28 of 192

1

Harry Potter is on the mental health unit because of hallucinations of Hogwarts, flying brooms and witches. He begins to become confused and disoriented, has decreasing loss of consciousness rapidly, holds himself stiff, and is very warm to touch. You take his vitals and he has high BP, and temperature of 103.2 F. What are you most concerned he has?

Select one of the following:

  • Call rapid response because it is likely serotonin syndrome

  • Call rapid response because it is likely neuroleptic malignant syndrome

  • Call rapid response because it is likely an impending stroke

  • Call rapid response because it is likely sepsis

Explanation

Question 29 of 192

1

Nicole, aged 30, is in the intensive outpatient program because of depressive symptoms with mild suicidal ideation. Which is the safest antidepressant for her?

Select one of the following:

  • Risperidone (Risperdal)

  • Diazepam (Valium)

  • Sertaline (Zoloft)

  • Amitriptyline (Elavil)

Explanation

Question 30 of 192

1

Marian, aged 68, has been started on Risperdal for agitation and delusions. What is she at risk for?

Select one of the following:

  • hypertension- QT prolongation is a AE not SE

  • decreasing her dress size- weight gain

  • hypotension and falls- yes, orthostatic hypotension

  • sexually transmitted disease- sexual side effects

Explanation

Question 31 of 192

1

Ativan is an anti anxiety that is give which ways

Select one or more of the following:

  • PO

  • IM

  • IV

  • SC

Explanation

Question 32 of 192

1

Riperdal is an antipsychotic that is given

Select one of the following:

  • SC and IV

  • PO and IM

Explanation

Question 33 of 192

1

Prozac is an antidepressant that is given

Select one of the following:

  • SC

  • PO

Explanation

Question 34 of 192

1

Ritalin is a CNS stimulant that is given

Select one or more of the following:

  • IM

  • PO

  • SC

  • transdermal

Explanation

Question 35 of 192

1

Haldol is an antipsychotic that is given

Select one or more of the following:

  • transdermal

  • PO

  • SC

  • IM

Explanation

Question 36 of 192

1

Xanax is an anti anxiety that is given

Select one or more of the following:

  • PO

  • SC

  • IV

  • IM

Explanation

Question 37 of 192

1

Ativan is a(n)

Select one of the following:

  • antidepressant

  • antianxiety

Explanation

Question 38 of 192

1

risperdal is a(n)

Select one of the following:

  • CNS stimulant

  • antipsychotic

Explanation

Question 39 of 192

1

Prozac is a(n)

Select one of the following:

  • antianxiety

  • antidepressant

Explanation

Question 40 of 192

1

Ritalin is a(n)

Select one of the following:

  • CNS stimulant

  • antianxiety

Explanation

Question 41 of 192

1

Haldol is a(n)

Select one of the following:

  • antidepressant

  • antipsychotic

Explanation

Question 42 of 192

1

Tegretol is a(n)

Select one of the following:

  • antidepressant and MAOI

  • Mood stabilizers, anticonvulsant

Explanation

Question 43 of 192

1

Tegretol can only be given IM

Select one of the following:

  • True
  • False

Explanation

Question 44 of 192

1

Litium in a(n)

Select one of the following:

  • SSRI

  • Mood Stabilizing Drug

Explanation

Question 45 of 192

1

Lithium a drug used for anticonvulsant and bipolar disorder can only be given PO

Select one of the following:

  • True
  • False

Explanation

Question 46 of 192

1

Thorazine is a(n)

Select one or more of the following:

  • antiemetic

  • mood stabilizer

  • antipsychotic

  • SSRI

Explanation

Question 47 of 192

1

Thorazine can be given

Select one or more of the following:

  • PO

  • IM

  • SC

  • IV

Explanation

Question 48 of 192

1

Seroquel is an anti anxiety

Select one of the following:

  • True
  • False

Explanation

Question 49 of 192

1

Seroquel is given IM

Select one of the following:

  • True
  • False

Explanation

Question 50 of 192

1

Marplan is a(n)

Select one of the following:

  • antidepressant and MAOI

  • SSRI

  • Tricylic antidepressant

Explanation

Question 51 of 192

1

Marplan is given for depression and is given PO

Select one of the following:

  • True
  • False

Explanation

Question 52 of 192

1

Buspar is a(n)

Select one of the following:

  • anti-anxiety

  • SSRI

Explanation

Question 53 of 192

1

Buspar is given for the management of anxiety and is administered PO

Select one of the following:

  • True
  • False

Explanation

Question 54 of 192

1

Zoloft is given for major depressive disorder, panic disorder and OCD. It is a(n)

Select one of the following:

  • anti-depressent

  • SSRI

Explanation

Question 55 of 192

1

Zoloft is a SSRI that is given IM

Select one of the following:

  • True
  • False

Explanation

Question 56 of 192

1

Elavil is a(n)

Select one of the following:

  • tricylic antidepressant

  • antipsychotic/mood stabalizer

Explanation

Question 57 of 192

1

The tricyclic antidepressant Elavil is given SC

Select one of the following:

  • True
  • False

Explanation

Question 58 of 192

1

Fluphenazine is a(n)

Select one of the following:

  • antianxiety

  • antipsychotic

Explanation

Question 59 of 192

1

Fluphenazine an antipsychotic is given

Select one or more of the following:

  • PO

  • transdermal

  • IV

  • IM

Explanation

Question 60 of 192

1

An antipsychotic/mood stabilizer given for schizophrenia and acute manic disorder is

Select one of the following:

  • Paxil

  • Zyprexa

Explanation

Question 61 of 192

1

Zyprexa is given for bipolar I and is given

Select one or more of the following:

  • PO

  • SC

  • IV

  • IM

Explanation

Question 62 of 192

1

Paxil is a(n)

Select one of the following:

  • Sedative/hypnotics

  • Antianxiety/antidepressant

Explanation

Question 63 of 192

1

Paxil is administered PO

Select one of the following:

  • True
  • False

Explanation

Question 64 of 192

1

Ambien is a(n)

Select one of the following:

  • Antianxiety/antidepressant

  • Sedative/hypnotics

Explanation

Question 65 of 192

1

Ambien is given for insomnia and is administered

Select one or more of the following:

  • PO

  • IM

  • SL

  • transdermal

Explanation

Question 66 of 192

1

Haloperidol (Haldol) is what drug classification?

Select one of the following:

  • Atypical antipsychotic

  • Typical antipsychotic drug

  • Sedative/hypnotics

Explanation

Question 67 of 192

1

How is Haloperidol (Haldol) administered?

Select one or more of the following:

  • PO

  • IM

  • IV

  • SL

Explanation

Question 68 of 192

1

What is the range of dose for Haloperidol (Haldol)

Select one of the following:

  • 40-50 mg

  • 5-50 mg

  • 2-40 mg

Explanation

Question 69 of 192

1

Side effects to monitor for Haloperidol (Haldol) are

Select one or more of the following:

  • Anticholinergic effects

  • EPS, sedation and weight gain

  • nausea and vomiting

  • orthostatic hypotension

  • sexual side effects

Explanation

Question 70 of 192

1

Side effects of Haloperidol (Haldol) are QT prolongation and increased prolactin

Select one of the following:

  • True
  • False

Explanation

Question 71 of 192

1

Describe how Haloperidol (Haldol) is used for rapid tranquilization in emergencies?

Select one of the following:

  • IV for sedation

  • IM for sedation

Explanation

Question 72 of 192

1

Risperidone (Risperdal) is what drug classification?

Select one of the following:

  • Atypical antipsychotic

  • Mood stabilizing

Explanation

Question 73 of 192

1

Risperidone (Risperdal) is administered

Select one or more of the following:

  • IV

  • PO

  • SC

  • IM

Explanation

Question 74 of 192

1

standard dose for Risperidone (Risperdal) is PO 1 mg twice daily

Select one of the following:

  • True
  • False

Explanation

Question 75 of 192

1

A standard dose for 2 Risperidone (Risperdal) is 45mg IM every 4 weeks

Select one of the following:

  • True
  • False

Explanation

Question 76 of 192

1

Side effects of Risperidone (Risperdal) include

Select one of the following:

  • Less sedation and fewer EPS, weight gain/metabolic syndrome, sexual side effects

  • QT prolongation, increased prolactin

Explanation

Question 77 of 192

1

a patient can breastfeed on Risperidone (Risperdal)

Select one of the following:

  • True
  • False

Explanation

Question 78 of 192

1

Risperidone (Risperdal) is preferred over older antipsychotics because

Select one or more of the following:

  • Targets the negative symptoms of schizophrenia as well as the positive and

  • less expensive to administer

  • have fewer motor side effects

  • They may also improve cognitive function

Explanation

Question 79 of 192

1

Fluoxetine (Prozac) is a SSRI antidepressant

Select one of the following:

  • True
  • False

Explanation

Question 80 of 192

1

Fluoxetine (Prozac) is administered IV at night

Select one of the following:

  • True
  • False

Explanation

Question 81 of 192

1

What is the standard dose of Fluoxetine (Prozac)?

Select one of the following:

  • 60mg

  • 40mg

  • 20mg

Explanation

Question 82 of 192

1

Side effects of Fluoxetine (Prozac) include

Select one or more of the following:

  • anxiety and insomnia

  • agitation and akathisia

  • weight gain and nausea

  • sexual dysfunction

Explanation

Question 83 of 192

1

Fluoxetine (Prozac) is contraindicated in all but which of the following

Select one of the following:

  • adolescents

  • elderly

  • CV disease or seizure disorder

  • MAO’s within 14 days

Explanation

Question 84 of 192

1

Lithium carbonate is a mood stabilizer

Select one of the following:

  • True
  • False

Explanation

Question 85 of 192

1

How is lithium carbonate administered

Select one of the following:

  • PO

  • IM

Explanation

Question 86 of 192

1

What is the standard dose for lithium carbonate

Select one of the following:

  • Initial dose: 300-600 mg 3 times daily
    maintenance dose: 300 mg 3-4 times daily

  • Initial dose: 100-200 mg 2 times daily
    maintenance dose: 150 mg 4-7 times daily

Explanation

Question 87 of 192

1

What would a nurse teach a patient receiving lithium carbonate

Select one or more of the following:

  • take with food

  • have blood levels drawn 12 hours after last dose

  • take before bed

  • maintain therapeutic levels between 0.5-1.5 mEq/L

Explanation

Question 88 of 192

1

EPS symptoms are drug-induced movement disorders

Select one of the following:

  • True
  • False

Explanation

Question 89 of 192

1

EPS symptoms are drug-induced movement disorders that include

Select one or more of the following:

  • Pseudoparkinsonism: difficulty speaking or swallowing, loss of balance control, pill rolling of hands, mask-like face, shuffling gait, rigidity, tremors

  • Akasthisia: restlessness or desire to keep moving

  • Tardive dyskinesia: uncontrolled rhythmic movement of mouth, face and extremities.

  • Dystonia: muscle spasms, twisting motions, twitching, inability to move eyes, weakness of arms and legs

  • tenitus: rigidity of muscles

Explanation

Question 90 of 192

1

What are the 5 rights

Select one or more of the following:

  • right dose amount

  • right route

  • right time

  • right patient

  • right consent form

  • right drug

Explanation

Question 91 of 192

1

The neurotransmitter that is increased in the disease of schizophrenia – hence the antipsychotics block the receptors

Select one of the following:

  • epinephrine

  • norepinephrine

  • dopamine

Explanation

Question 92 of 192

1

The neurotransmitter that helps regulate attention, behavior, and body temperature; decreased in depression

Select one of the following:

  • dopamine

  • serotonin

Explanation

Question 93 of 192

1

Medications that need routine blood levels to monitor for therapeutic range and toxicity

Select one of the following:

  • lithium carbonate and depakote

  • lithium phosphate and haldol

Explanation

Question 94 of 192

1

Most anti-anxiety agents enhance the inhibitory effect of this neurotransmitter

Select one of the following:

  • dopamine

  • GABA

Explanation

Question 95 of 192

1

The antidepressant medications administered in the morning

Select one of the following:

  • SSRIs

  • antidepressants

Explanation

Question 96 of 192

1

The antidepressant medications administered at bedtime

Select one of the following:

  • mood stabilizers

  • tricyclics (TCAx)

Explanation

Question 97 of 192

1

The average time frame for therapeutic results of the antidepressants

Select one of the following:

  • 2-3 months

  • 2-6 weeks

Explanation

Question 98 of 192

1

The 3 most common medications used for bi-polar disorder

Select one or more of the following:

  • lithium carbonate

  • Depakote (divalproex sodium),

  • Lamictal (lamotrigene)?

  • imipramine (Tofranil)

Explanation

Question 99 of 192

1

The types of antidepressant medications that present the highest risk for overdose

Select one of the following:

  • tricyclics (TCAs)

  • SSSRIs

Explanation

Question 100 of 192

1

The most common medication used for rapid tranquilization of a patient with psychotic symptoms

Select one of the following:

  • xanex

  • haloperidol

Explanation

Question 101 of 192

1

The new class of antipsychotics that have fewer motor side effects (EPS) but are more expensive

Select one of the following:

  • typical antipsychotics

  • atypical antipsychotics

Explanation

Question 102 of 192

1

The abnormal motor side effects common with the typical or standard antipsychotics

Select one of the following:

  • extrapyramidal side effects (EPS)

  • serotonin syndrome

Explanation

Question 103 of 192

1

Two medications that can be administered in a long-acting injectable

Select one or more of the following:

  • Haldol Deconoate

  • quetiapine (Seroquel)

  • Risperdal Consta

Explanation

Question 104 of 192

1

The permanent extrapyramidal side effect

Select one of the following:

  • tardive dyskinesia

  • serotonin syndrome

Explanation

Question 105 of 192

1

The nurse suggests low calorie hard candies and sips of water
Intervention for what?

Select one of the following:

  • nursing intervention for the anticholinergic, dry mouth

  • nursing intervention for the anticholinergic, hypoglycemia

Explanation

Question 106 of 192

1

Adequate fluid intake, daily exercise, and high fiber foods
Intervention for what?

Select one of the following:

  • nursing intervention for the anticholinergic side effect of dry mouth

  • nursing intervention for the anticholinergic side effect of constipation

Explanation

Question 107 of 192

1

Instructing the patient to move slowly from lying to sitting to standing, especially in the morning and in the Elderly.
Routinely checking BP for this

Select one of the following:

  • hypertension

  • orthostatic hypotension

Explanation

Question 108 of 192

1

The common medication combination (2 drugs) given to an agitated and psychotic person in the ER

Select one of the following:

  • Haldol and Ativan

  • Xanex and Proxac

Explanation

Question 109 of 192

1

The 2 roles of the nurse when treating a mental health patient with psychotropics

Select one or more of the following:

  • Provider of direct patient care
    (administer meds, assess effectiveness, monitor for side effects)

  • Educator
    (of purpose, maintenance & side effects)

  • notify HCP
    (report all noticeable signs of psychotropics)

Explanation

Question 110 of 192

1

The benzodiazepine that has a shorter half life than valium and is often used in treatment of alcohol withdrawal

Select one of the following:

  • Ativan

  • Haldol

Explanation

Question 111 of 192

1

The type of antidepressant medication that requires the patient to eat a special diet to avoid a hypertensive crisis

Select one of the following:

  • Monoamine Oxidase (MAO) Inhibitors

  • SSRIs

Explanation

Question 112 of 192

1

The illness with signs & symptoms of :
Confusion to coma
Hyperthermia
Hyperreflexia
Labile BP & HR
Myoclonus & tremor

Select one of the following:

  • serotonin syndrome

  • Neuroleptic Malignant Syndrome

Explanation

Question 113 of 192

1

The illness with signs & symptoms of :
Muscle ridgidity
Hyperthermia
Tachycardia
Diaphoresis
Labile BP
Respiratory distress – hypoxia
Renal failure

Select one of the following:

  • Neuroleptic Malignant Syndrome

  • serotonin syndrome

Explanation

Question 114 of 192

1

The condition with signs & symptoms of :
Coarse hand tremor
Mental confusion
Hyperirritability of muscles
Drowsiness
Incoordination to ataxia
ECG changes and arrythmias
Blurred vision
Seizures

Select one of the following:

  • Neuroleptic Malignant Syndrome

  • lithium toxicity

Explanation

Question 115 of 192

1

What is used in ALL nursing departments & settings

Select one of the following:

  • administration of psychotropic medications

  • administration of cardiac mediations

Explanation

Question 116 of 192

1

When neurons are stimulated or depolarized they release neurotransmitters. Each neurotransmitter has site-specific receptors that can receive it. This is called

Select one of the following:

  • process of neurotransmission and synaptic transmission

  • process of transmission and ion transport

Explanation

Question 117 of 192

1

Most psychotropic medication affect neurotransmitters in one of several ways. Mark all that apply.

Select one or more of the following:

  • Block NTs from entering receptor site on postsynaptic neuron

  • Accelerates the synaptic transmission

  • Prevent destruction of NTs at synapse by interfering with enzymes at synapse

  • Inhibit reuptake/recycling NTs by presynaptic neuron

  • Enhance the release or inhibit the release

Explanation

Question 118 of 192

1

There are two types of antipsychotic medication typical and atypical

Select one of the following:

  • True
  • False

Explanation

Question 119 of 192

1

Which of the following 2 medications were the first generation of treatment for psychosis including hallucinations and delusions

Select one or more of the following:

  • Haldol

  • Clozaril

  • Thorazine

  • Abilify

Explanation

Question 120 of 192

1

The Atypical Psychotics or the second generation are medications developed more recently that address similar symptoms. These medications include

Select one or more of the following:

  • Clozaril

  • Olanzapine

  • Risperidone

  • Abilify

  • Thorazine

Explanation

Question 121 of 192

1

Serious medical complications for antipsychotics include

Select one of the following:

  • Tardivea dyskinesia

  • serotonin syndrome

Explanation

Question 122 of 192

1

Antipsychotics have a Black-Box Warning for

Select one of the following:

  • dementia Related Psychosis

  • excessive dopamine transmission

Explanation

Question 123 of 192

1

Schizophrenia (positive symptoms), acute mania, psychotic depression, drug-induced psychosis, other psychotic symptoms (these symptoms are associated with elevated concentrations of

Select one of the following:

  • serotonin

  • epinephrine

  • dopamine

Explanation

Question 124 of 192

1

MOA of Typical antipsychotics

Select one or more of the following:

  • blocks dopamine receptors

  • reduce dopamine transmission

  • decreases concentration of dopamine

Explanation

Question 125 of 192

1

Which antipsychotics have fewer EPS but are no less sedating

Select one of the following:

  • atypical

  • typical

Explanation

Question 126 of 192

1

The weight gain from these drugs can be as much as 40lbs per month in worst case scenario

Select one of the following:

  • atypical

  • typical

Explanation

Question 127 of 192

1

Which atypical antipsychotic has a risk of agranulocytosis or a serious drop in granulated WBCs due to suppression of the bone marrow

Select one of the following:

  • Prozac

  • Haldol

  • Clozaril

  • Lorazepam

Explanation

Question 128 of 192

1

Atypical antipsychotics are use to treat schizophrenia, treatment of acute mania associated with bipolar disorder, some uses for augmentation of antidepressant

Select one of the following:

  • True
  • False

Explanation

Question 129 of 192

1

These drugs target the negative symptoms of schizophrenia as well as the positive and have fewer motor side effects.

Select one of the following:

  • Typical antipsychotics

  • Atypical antipsychotics

Explanation

Question 130 of 192

1

These drugs are known as serotonin-dopamine antagonists because they have more 5-Ht2 effects to D2 receptor blockade. They may also improve cognitive function.

Select one of the following:

  • typical antipsychotic

  • Atypical antipsychotic

Explanation

Question 131 of 192

1

Atypical antipsychotic have which side effects

Select one or more of the following:

  • fatigue and tiredness

  • weight gain/metabolic syndrome (not Ability or Geodon)

  • sexual side effects

  • less sedation and fewer EPS

Explanation

Question 132 of 192

1

What is the psychiatric emergency related to atypical antipsychotics

Select one of the following:

  • serotonin syndrome

  • neuroleptic malignant syndrome

Explanation

Question 133 of 192

1

Serotonin syndrome is poorly understood and is believed to be an abrupt and drastic reduction in dopaminergic activity, high mortality

Select one of the following:

  • True
  • False

Explanation

Question 134 of 192

1

Symptoms of neuroleptic malignant syndrome include

Select one or more of the following:

  • Muscle ridgidity/mutism

  • Respiratory distress – hypoxia

  • Tachycardia and hyperthermia

  • liver failure

Explanation

Question 135 of 192

1

Treatment for Neuroleptic Malignant Syndrome include

Select one or more of the following:

  • Haldol

  • Parlodel

  • dantrium

  • life support

Explanation

Question 136 of 192

1

types of antidepressants include

Select one or more of the following:

  • SSRIs

  • SNRIs

  • TCA

  • Atypical antipsychotics

  • MAOIs

  • typical antipsychotics

Explanation

Question 137 of 192

1

Antidepressants are used to treat major depression, panic disorder and other anxiety disorders including psychotic depression

Select one of the following:

  • True
  • False

Explanation

Question 138 of 192

1

Interact with the monoamine neurotransmitter systems in the brain, particularly the neurotransmitters

Select one of the following:

  • norepinephrine and serotonin

  • Epinephrine and dopamine

Explanation

Question 139 of 192

1

Antidepressants have a Black Box Warning for increased risk of suicide in

Select one of the following:

  • adolescents

  • elderly

  • women

Explanation

Question 140 of 192

1

Contraindications for antidepressants include

Select one or more of the following:

  • adolescents

  • blood pressure medications

  • cardiac disease or seizure disorder

  • MAO's within 14 days

Explanation

Question 141 of 192

1

Psychiatric syndrome of antidepressants include

Select one of the following:

  • Neuroleptic Malignant Syndrome

  • serotonin syndrome

Explanation

Question 142 of 192

1

Serotonin syndrome occurs from excessive serotoninergic activity this can occur because

Select one or more of the following:

  • overdose

  • drug interaction

  • stopping medication abruptly

  • not informing provider of other medication

Explanation

Question 143 of 192

1

manifestations of serotonin syndrome include confusion to coma, hypothermia, labile BP/HR and

Select one of the following:

  • hyper-reflexia

  • dry mouth

Explanation

Question 144 of 192

1

Atypical or novel antidepressants MOA differ structurally and seem to work with less defined mechanisms than the other antidepressants

Select one of the following:

  • True
  • False

Explanation

Question 145 of 192

1

Atypical or novel antidepressants are the oldest drugs for depression but are not used as much because of side effects.

Select one of the following:

  • True
  • False

Explanation

Question 146 of 192

1

MOA of ti-cyclic antidepressants block the presynaptic re-uptake of neurotransmitters (norephinephrine & serotonin). Result is increased norephinephrine in the synapse. TCA’s block the muscarinic receptors that bind______________________ – result is anticholinergic effects.
Could also use for shingles cause blocks neurotransmitter

Select one of the following:

  • acetylcholine

  • dopamine

  • epinephrine

Explanation

Question 147 of 192

1

An important patient teaching for trip-cyclic antidepressants is to use caution when getting up or driving and

Select one of the following:

  • to take in the morning

  • to take in the evening

Explanation

Question 148 of 192

1

Side effects of Tri-cyclic antidepressants are anticholinergic which include

Select one or more of the following:

  • cleared vision

  • urinary retention

  • dry mouth and constipation

  • weight loss

Explanation

Question 149 of 192

1

Nursing interventions for tri-cyclic antidepressants include section, weight gain, tachycardia, sexual dysfunction and

Select one of the following:

  • orthostatic hypotension

  • hypertension

Explanation

Question 150 of 192

1

Contraindications of tri-cyclic antidepressants include suicide due to the overdose risk

Select one of the following:

  • True
  • False

Explanation

Question 151 of 192

1

These are older drugs, along with the TCA’s. They are rarely used and usually a last choice for treatment of major depression. They require high compliance in lifestyle diet from the patient.

Select one of the following:

  • atypical antidepressants

  • mood stabilizers

  • MAO inhibitors

Explanation

Question 152 of 192

1

MAO inhibitors MOA: inhibition of MAO enzyme system result in which neurotransmitters not being broken down so there are higher levels

Select one or more of the following:

  • dopamine

  • norepinephrine

  • epinephrine

  • serotonin

Explanation

Question 153 of 192

1

Side effects of MAO inhibitors include sedation, insomnia, dry mouth, orthostatic hypotension, sexual dysfunction and

Select one of the following:

  • weight loss

  • weight gain

Explanation

Question 154 of 192

1

Psychotic emergency of MAO inhibitors are

Select one of the following:

  • serotonin syndrome

  • hypertensive crisis

Explanation

Question 155 of 192

1

Hypertensive crisis occurs because excessive tyramine or sympathomimetic drugs and example of this is

Select one of the following:

  • OTC allergy medication

  • OTC cold medicine

Explanation

Question 156 of 192

1

Which drug do you need to teach patients to avoid tyramine foods such as (aged cheeses, aged meats, beer and wine, sauerkraut, soy sauce) as well as sympathomimetic drugs

Select one of the following:

  • MAO inhibitors

  • tri-cyclic antidepressents

  • Atypical antipsychotics

Explanation

Question 157 of 192

1

Mood stabilizers drugs include

Select one or more of the following:

  • lithium carbonate

  • anticonvulsant medications

  • Depakote

  • Lamictal

Explanation

Question 158 of 192

1

Mood stabilizing drugs are use to treat anxiety

Select one of the following:

  • True
  • False

Explanation

Question 159 of 192

1

Which drug was the first drug specific Bipolar Disorder (manic depression)Replaced in the 1980’s with usage of the anticonvulsants.

Select one of the following:

  • Depakote

  • Lamictal

  • Lithium carbonate

Explanation

Question 160 of 192

1

Which is true regarding lithium carbonate MOA:

Select one or more of the following:

  • not fully understood

  • A salt; the ions alter sodium ion transport in nerve cells

  • causes an excessive release of dopamine

Explanation

Question 161 of 192

1

Lithium Carbonate has the most narrow therapeutic index of all psychotropic medications

Select one of the following:

  • True
  • False

Explanation

Question 162 of 192

1

Lithium carbonate has a black box warning that can occur even when doses close to a therapeutic range

Select one of the following:

  • True
  • False

Explanation

Question 163 of 192

1

Side effects of lithium carbonate include nausea, diarrhea anorexia and

Select one or more of the following:

  • fine hand tremors

  • blurred vision

  • dry mouth

Explanation

Question 164 of 192

1

Nursing interventions for Lithium Carbonate include fatigue, weight gain, acne, cardiac (non-therapeutic levels) and

Select one of the following:

  • polydipsia and poyuria

  • night sweats and terrors

Explanation

Question 165 of 192

1

Patient teaching for Lithium Carbonate include taking with food, avoid alcohol and NSAIDS, ensuring the HCP of all other meds and having monthly blood levels drawn _______ hours after last dose. (maintain therapeutic levels between 0.5–1.5 mEq/L)

Select one of the following:

  • 8

  • 24

  • 12

Explanation

Question 166 of 192

1

Adverse effects of Lithium Carbonate include long term kidney and thyroid disease, lithium toxicity and

Select one of the following:

  • blurred vision

  • harm to a fetus

Explanation

Question 167 of 192

1

therapeutic level for lithium carbonate are

Select one of the following:

  • 0.5-1.5 mEq/L

  • 1.5-2 mEq/L

  • 2-2.5 mEq/L

Explanation

Question 168 of 192

1

1.5–2 mEq/L are what levels for lithium carbonate and can cause coarse hand tremors, ECG change and persistent GI upsets

Select one of the following:

  • mid to moderate toxic reactions

  • moderate to severe toxic reactions

Explanation

Question 169 of 192

1

2-2.5 mEq/L is what level for lithium carbonate and can cause ataxia, serious ECG changes, large dilute urine output and fatalities secondary to pulmonary complications?

Select one or more of the following:

  • moderate to sever toxic reactions

  • mild to moderate toxic reactions

Explanation

Question 170 of 192

1

____________________are used as mood stabilizers to treat mania in bipolar disorder. Lamictal and Depakote are used to treat bipolar depression. They are prescribed alone, with lithium, or with an antipsychotic drug to control mania.

Select one of the following:

  • MAO inhibitors

  • Tri-cyclic antidepressents

  • Anticonvulsants

Explanation

Question 171 of 192

1

Interventions for anticonvulsants include

Select one of the following:

  • frequent rests

  • therapy animals

  • periodic blood levels

Explanation

Question 172 of 192

1

Anticonvulsant medications carry MANY Black Box warnings. Among them:

Select one or more of the following:

  • fetal risk

  • pancreatitis and hepatotoxicity

  • Rash (Stevens-Johnson)

  • Aplastic Anemia/Agranulocytosis

Explanation

Question 173 of 192

1

Anticonvulsant medications carry MANY Black Box warnings. The one that is a psychiatric emergency is

Select one of the following:

  • Increased Hepatoxicity Risk in Mitochondrial Disease

  • Aplastic Anemia/Agranulocytosis

  • Steven-Johnson Syndrome

Explanation

Question 174 of 192

1

Side effects of anticonvulsants include sedation, dizziness, blurred vision, dry mouth, nausea, heartburn, muscle tremors and

Select one of the following:

  • weight gain

  • weight loss

Explanation

Question 175 of 192

1

Patient teaching for anticonvulsants include impaired operation due to sedation, may require blood levels, notify MD immediately of rash and

Select one of the following:

  • may need to increase in dosage of hormonal birth control methods

  • may need to be taken with an anti anxiety agent

Explanation

Question 176 of 192

1

Adverse effects of anticonvulsants include Stevens-Johnson syndrome, evere stomach pain, bruising, jaundice (pancreatitis, liver involvement, thrombocytopenia) and potential harm to a fetus from

Select one of the following:

  • depakote

  • lamictal

Explanation

Question 177 of 192

1

Which medications are used to treat anxiety disorders, PTSD, alcohol withdrawal

Select one of the following:

  • tri-cyclic antidepressents

  • MAO inhibitors

  • Anxiolytics

Explanation

Question 178 of 192

1

Anxiolytics include

Select one or more of the following:

  • Depakote

  • benzodiazepines

  • buspirone (BuSpar)

Explanation

Question 179 of 192

1

This is the MOA for which drug:
Moderate the actions of GABA, increases the receptor responsiveness to GABA

Select one of the following:

  • anticonvulsants

  • anxiolytics

  • antidepressants

Explanation

Question 180 of 192

1

side effects of anxiolytics include sedation, drowsiness, poor concentration, impaired memory, cloudy sensations and

Select one of the following:

  • tolerance and dependance

  • impaired and blurry vision

Explanation

Question 181 of 192

1

Patient teaching for anxiolytics include use caution while driving due to slower reflexes, avoid alcohol and

Select one of the following:

  • abrupt withdrawal can be fatal

  • overdose can cause serotonin syndrome

Explanation

Question 182 of 192

1

Antianxietys and Anxiolytics have very similar side effects and patient teachings

Select one of the following:

  • True
  • False

Explanation

Question 183 of 192

1

CNS stimulate drugs are used to manage which of the following

Select one or more of the following:

  • ADHD

  • narcolepsy

  • autism

  • diabetes

Explanation

Question 184 of 192

1

The MOA of CNS stimulate drugs is stimulate brain function, increasing release of neurotransmitters (norepinephrine & dopamine)and blocking re-uptake. Reduces action of _______.

Select one of the following:

  • dopamine

  • GABA

  • serotonin

Explanation

Question 185 of 192

1

CNS stimulants are at extreme risk for...

Select one of the following:

  • respiratory depression

  • abuse and dependence

Explanation

Question 186 of 192

1

Side effects for CNS stimulates include anorexia, nausea, irritability and

Select one of the following:

  • weight loss

  • weight gain

Explanation

Question 187 of 192

1

Patient teaching for CNS stimulants include long-term use can cause dependency, tolerance develops and

Select one of the following:

  • taking before meals

  • taking after meals

Explanation

Question 188 of 192

1

For this drug patients learn when they need to take the med.
Example: to focus on school work, cognitive tasks; drug holiday on weekends

Select one of the following:

  • anti-anxiety

  • CNS stimulate

Explanation

Question 189 of 192

1

cognitive enhancers work on neurons are destroyed and this lowers the available ____________ for nervous system transmission. (dementia for example)

Select one of the following:

  • dopamine

  • acetyocholine

  • GABA

Explanation

Question 190 of 192

1

Cognitve enhancers are used for Alzheimers disease, with their MOA lowering acetylcholine. Examples of these drugs include

Select one or more of the following:

  • Donepezil (Aricept),

  • Rivastigmine (Exelon),

  • buspirone (BuSpar)

  • Galantamine HBR (Razadyne)

Explanation

Question 191 of 192

1

cognitive enhancers work by blocking the enzyme acetylcholinesterase and make available more of the neurotransmitter, ___________________

Select one of the following:

  • dopamine

  • acetylcholine

  • GABA

Explanation

Question 192 of 192

1

For cognitive enhancers it is important to note in patient teachings that the medication does not reverse the disease process and

Select one of the following:

  • may take up to 6 weeks to work

  • may take up to 6 months to work

Explanation

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