6578149
Descripción
Test por brittny beauford, actualizado hace más de 1 año
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Creado por brittny beauford
hace casi 8 años
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Pregunta 1
Pregunta
SSRIs with MAOIs or multiple SSRIs at once causes this
Respuesta
-
serotonin syndrom
-
hyptertensive crisis
Pregunta 2
Pregunta
clozapine (Clozaril), olanzapine (Zyprexa) & resperidone (Risperdal) are
Respuesta
-
Tricyclics
-
Atypical antipsychotics
-
Typical antipsychotics – neuroleptics
-
Barbiturates
Pregunta 3
Pregunta
haloperidol (Haldol) can cause
Respuesta
-
Hypertensive crisis
-
Serotonin Syndrome
-
coma
-
Extra pyramidal symptoms
Pregunta 4
Pregunta
MAOIs with decongestants/ cold medicines can cause
Respuesta
-
Hypertensive crisis
-
Extra pyramidal symptoms
-
Serotonin Syndrome
Pregunta 5
Pregunta
triazolam (Halcion) & flurazepam (Dalmane)
Respuesta
-
Tricyclics
-
Selective serotonin reuptake inhibitors
-
Mood stabilizers
-
Sedative-hypnotics
Pregunta 6
Pregunta
fluoxetine (Prozac) & Sertraline (Zoloft) are
Respuesta
-
Atypical antipsychotics
-
Selective serotonin reuptake inhibitors
-
Tricyclics
-
Anti-Parkinsonian drugs
Pregunta 7
Pregunta
imipramine (Tofranil) & amitryptiline (Elavil) are
Respuesta
-
Mood stabilizers
-
Tricyclics
-
Typical antipsychotics – neuroleptics
-
Anti-anxiety agents
Pregunta 8
Pregunta
Lithium & depakote are
Respuesta
-
Mood stabilizers
-
Atypical antipsychotics
-
Tricyclics
-
Anti-anxiety agents
Pregunta 9
Pregunta
chlorpromazine (Thorazine) & thiothixine (Navane) are
Respuesta
-
Mood stabilizers
-
Typical antipsychotics – neuroleptics
-
Tricyclics
-
Anti-Parkinsonian drugs
Pregunta 10
Pregunta
lorazepam (Ativan) & alprazolam (Xanax)
Respuesta
-
Mood stabilizers
-
Atypical antipsychotics
-
Tricyclics
-
Anti-anxiety agents
Pregunta 11
Pregunta
benztropine (Cogentin) & trihexyphenidyl (Artane) are
Respuesta
-
Anti-Parkinsonian drugs
-
Mood stabilizers
-
Sedative-hypnotics
-
Selective serotonin reuptake inhibitors
Pregunta 12
Pregunta
secobarbital (Seconal) & Pentobarbital (Nembutal) are
Respuesta
-
Atypical antipsychotics
-
Mood stabilizers
-
Barbiturates
-
Anti-anxiety agents
Pregunta 13
Pregunta
A decrease in serotonin can result in anxiety.
Respuesta
- True
- False
Pregunta 14
Pregunta
Lithium carbonate can cause extrapyramidal symptoms.
Respuesta
- True
- False
Pregunta 15
Pregunta
Children with ADHD respond atypically to Methylphenidate (Ritalin) than children without the diagnosis – instead of stimulation they calm and can focus.
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- True
- False
Pregunta 16
Pregunta
Extrapyramidal symptoms are caused by the blockage of norepinephrine at the synapse.
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- True
- False
Pregunta 17
Pregunta
Routine blood levels are taken on a client using haloperidol (Haldol).
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- True
- False
Pregunta 18
Pregunta
Eating aged cheese and minimal red wine is acceptable for clients taking Lithium carbonate but not those taking an MAO inhibitor.
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- True
- False
Pregunta 19
Pregunta
St. John’s Wort herbal medication has shown qualities of being an antidepressant; however, more clinical trials are needed.
Respuesta
- True
- False
Pregunta 20
Pregunta
Fluoxetine (Prozac) is given at bedtime.
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- True
- False
Pregunta 21
Pregunta
Loarazepam is preferred over diazepam for short procedures or situations because the half-life is shorter.
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- True
- False
Pregunta 22
Pregunta
You will see more SSRIs used as a front-line drug of choice over the older tricyclics. Why?
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-
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).
Pregunta 23
Pregunta
Which of the following is a potential prescribed drug of abuse, often in the elderly?
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Carbamazepine (Tegretol) for sleep
-
Haloperidol (Haldol) for sleep
-
Alprazolam (Xanax) for anxiety
-
Risperadone (Risperdal) for confusion
Pregunta 24
Pregunta
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?
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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)
Pregunta 25
Pregunta
Your client has been ordered phenelzine (Nardil). What special patient-family teaching do you need to address?
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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
Pregunta 26
Pregunta
Sarah has bipolar illness and begins taking Lithium. In your teaching, what is important to cover?
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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
Pregunta 27
Pregunta
Which electrolyte are you most concerned with when a client is taking Lithium?
Respuesta
-
sodium
-
potassium
Pregunta 28
Pregunta
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?
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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
Pregunta 29
Pregunta
Nicole, aged 30, is in the intensive outpatient program because of depressive symptoms with mild suicidal ideation. Which is the safest antidepressant for her?
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Risperidone (Risperdal)
-
Diazepam (Valium)
-
Sertaline (Zoloft)
-
Amitriptyline (Elavil)
Pregunta 30
Pregunta
Marian, aged 68, has been started on Risperdal for agitation and delusions. What is she at risk for?
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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
Pregunta 31
Pregunta
Ativan is an anti anxiety that is give which ways
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-
PO
-
IM
-
IV
-
SC
Pregunta 32
Pregunta
Riperdal is an antipsychotic that is given
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-
SC and IV
-
PO and IM
Pregunta 33
Pregunta
Prozac is an antidepressant that is given
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-
SC
-
PO
Pregunta 34
Pregunta
Ritalin is a CNS stimulant that is given
Respuesta
-
IM
-
PO
-
SC
-
transdermal
Pregunta 35
Pregunta
Haldol is an antipsychotic that is given
Respuesta
-
transdermal
-
PO
-
SC
-
IM
Pregunta 36
Pregunta
Xanax is an anti anxiety that is given
Respuesta
-
PO
-
SC
-
IV
-
IM
Pregunta 37
Pregunta
Ativan is a(n)
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-
antidepressant
-
antianxiety
Pregunta 38
Pregunta
risperdal is a(n)
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-
CNS stimulant
-
antipsychotic
Pregunta 39
Pregunta
Prozac is a(n)
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-
antianxiety
-
antidepressant
Pregunta 40
Pregunta
Ritalin is a(n)
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-
CNS stimulant
-
antianxiety
Pregunta 41
Pregunta
Haldol is a(n)
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-
antidepressant
-
antipsychotic
Pregunta 42
Pregunta
Tegretol is a(n)
Respuesta
-
antidepressant and MAOI
-
Mood stabilizers, anticonvulsant
Pregunta 43
Pregunta
Tegretol can only be given IM
Respuesta
- True
- False
Pregunta 44
Pregunta
Litium in a(n)
Respuesta
-
SSRI
-
Mood Stabilizing Drug
Pregunta 45
Pregunta
Lithium a drug used for anticonvulsant and bipolar disorder can only be given PO
Respuesta
- True
- False
Pregunta 46
Pregunta
Thorazine is a(n)
Respuesta
-
antiemetic
-
mood stabilizer
-
antipsychotic
-
SSRI
Pregunta 47
Pregunta
Thorazine can be given
Respuesta
-
PO
-
IM
-
SC
-
IV
Pregunta 48
Pregunta
Seroquel is an anti anxiety
Respuesta
- True
- False
Pregunta 49
Pregunta
Seroquel is given IM
Respuesta
- True
- False
Pregunta 50
Pregunta
Marplan is a(n)
Respuesta
-
antidepressant and MAOI
-
SSRI
-
Tricylic antidepressant
Pregunta 51
Pregunta
Marplan is given for depression and is given PO
Respuesta
- True
- False
Pregunta 52
Pregunta
Buspar is a(n)
Respuesta
-
anti-anxiety
-
SSRI
Pregunta 53
Pregunta
Buspar is given for the management of anxiety and is administered PO
Respuesta
- True
- False
Pregunta 54
Pregunta
Zoloft is given for major depressive disorder, panic disorder and OCD. It is a(n)
Respuesta
-
anti-depressent
-
SSRI
Pregunta 55
Pregunta
Zoloft is a SSRI that is given IM
Respuesta
- True
- False
Pregunta 56
Pregunta
Elavil is a(n)
Respuesta
-
tricylic antidepressant
-
antipsychotic/mood stabalizer
Pregunta 57
Pregunta
The tricyclic antidepressant Elavil is given SC
Respuesta
- True
- False
Pregunta 58
Pregunta
Fluphenazine is a(n)
Respuesta
-
antianxiety
-
antipsychotic
Pregunta 59
Pregunta
Fluphenazine an antipsychotic is given
Respuesta
-
PO
-
transdermal
-
IV
-
IM
Pregunta 60
Pregunta
An antipsychotic/mood stabilizer given for schizophrenia and acute manic disorder is
Respuesta
-
Paxil
-
Zyprexa
Pregunta 61
Pregunta
Zyprexa is given for bipolar I and is given
Respuesta
-
PO
-
SC
-
IV
-
IM
Pregunta 62
Pregunta
Paxil is a(n)
Respuesta
-
Sedative/hypnotics
-
Antianxiety/antidepressant
Pregunta 63
Pregunta
Paxil is administered PO
Respuesta
- True
- False
Pregunta 64
Pregunta
Ambien is a(n)
Respuesta
-
Antianxiety/antidepressant
-
Sedative/hypnotics
Pregunta 65
Pregunta
Ambien is given for insomnia and is administered
Respuesta
-
PO
-
IM
-
SL
-
transdermal
Pregunta 66
Pregunta
Haloperidol (Haldol) is what drug classification?
Respuesta
-
Atypical antipsychotic
-
Typical antipsychotic drug
-
Sedative/hypnotics
Pregunta 67
Pregunta
How is Haloperidol (Haldol) administered?
Respuesta
-
PO
-
IM
-
IV
-
SL
Pregunta 68
Pregunta
What is the range of dose for Haloperidol (Haldol)
Respuesta
-
40-50 mg
-
5-50 mg
-
2-40 mg
Pregunta 69
Pregunta
Side effects to monitor for Haloperidol (Haldol) are
Respuesta
-
Anticholinergic effects
-
EPS, sedation and weight gain
-
nausea and vomiting
-
orthostatic hypotension
-
sexual side effects
Pregunta 70
Pregunta
Side effects of Haloperidol (Haldol) are QT prolongation and increased prolactin
Respuesta
- True
- False
Pregunta 71
Pregunta
Describe how Haloperidol (Haldol) is used for rapid tranquilization in emergencies?
Respuesta
-
IV for sedation
-
IM for sedation
Pregunta 72
Pregunta
Risperidone (Risperdal) is what drug classification?
Respuesta
-
Atypical antipsychotic
-
Mood stabilizing
Pregunta 73
Pregunta
Risperidone (Risperdal) is administered
Respuesta
-
IV
-
PO
-
SC
-
IM
Pregunta 74
Pregunta
standard dose for Risperidone (Risperdal) is PO 1 mg twice daily
Respuesta
- True
- False
Pregunta 75
Pregunta
A standard dose for 2 Risperidone (Risperdal) is 45mg IM every 4 weeks
Respuesta
- True
- False
Pregunta 76
Pregunta
Side effects of Risperidone (Risperdal) include
Respuesta
-
Less sedation and fewer EPS, weight gain/metabolic syndrome, sexual side effects
-
QT prolongation, increased prolactin
Pregunta 77
Pregunta
a patient can breastfeed on Risperidone (Risperdal)
Respuesta
- True
- False
Pregunta 78
Pregunta
Risperidone (Risperdal) is preferred over older antipsychotics because
Respuesta
-
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
Pregunta 79
Pregunta
Fluoxetine (Prozac) is a SSRI antidepressant
Respuesta
- True
- False
Pregunta 80
Pregunta
Fluoxetine (Prozac) is administered IV at night
Respuesta
- True
- False
Pregunta 81
Pregunta
What is the standard dose of Fluoxetine (Prozac)?
Respuesta
-
60mg
-
40mg
-
20mg
Pregunta 82
Pregunta
Side effects of Fluoxetine (Prozac) include
Respuesta
-
anxiety and insomnia
-
agitation and akathisia
-
weight gain and nausea
-
sexual dysfunction
Pregunta 83
Pregunta
Fluoxetine (Prozac) is contraindicated in all but which of the following
Respuesta
-
adolescents
-
elderly
-
CV disease or seizure disorder
-
MAO’s within 14 days
Pregunta 84
Pregunta
Lithium carbonate is a mood stabilizer
Respuesta
- True
- False
Pregunta 85
Pregunta
How is lithium carbonate administered
Respuesta
-
PO
-
IM
Pregunta 86
Pregunta
What is the standard dose for lithium carbonate
Respuesta
-
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
Pregunta 87
Pregunta
What would a nurse teach a patient receiving lithium carbonate
Respuesta
-
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
Pregunta 88
Pregunta
EPS symptoms are drug-induced movement disorders
Respuesta
- True
- False
Pregunta 89
Pregunta
EPS symptoms are drug-induced movement disorders that include
Respuesta
-
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
Pregunta 90
Pregunta
What are the 5 rights
Respuesta
-
right dose amount
-
right route
-
right time
-
right patient
-
right consent form
-
right drug
Pregunta 91
Pregunta
The neurotransmitter that is increased in the disease of schizophrenia – hence the antipsychotics block the receptors
Respuesta
-
epinephrine
-
norepinephrine
-
dopamine
Pregunta 92
Pregunta
The neurotransmitter that helps regulate attention, behavior, and body temperature; decreased in depression
Respuesta
-
dopamine
-
serotonin
Pregunta 93
Pregunta
Medications that need routine blood levels to monitor for therapeutic range and toxicity
Respuesta
-
lithium carbonate and depakote
-
lithium phosphate and haldol
Pregunta 94
Pregunta
Most anti-anxiety agents enhance the inhibitory effect of this neurotransmitter
Respuesta
-
dopamine
-
GABA
Pregunta 95
Pregunta
The antidepressant medications administered in the morning
Respuesta
-
SSRIs
-
antidepressants
Pregunta 96
Pregunta
The antidepressant medications administered at bedtime
Respuesta
-
mood stabilizers
-
tricyclics (TCAx)
Pregunta 97
Pregunta
The average time frame for therapeutic results of the antidepressants
Respuesta
-
2-3 months
-
2-6 weeks
Pregunta 98
Pregunta
The 3 most common medications used for bi-polar disorder
Respuesta
-
lithium carbonate
-
Depakote (divalproex sodium),
-
Lamictal (lamotrigene)?
-
imipramine (Tofranil)
Pregunta 99
Pregunta
The types of antidepressant medications that present the highest risk for overdose
Respuesta
-
tricyclics (TCAs)
-
SSSRIs
Pregunta 100
Pregunta
The most common medication used for rapid tranquilization of a patient with psychotic symptoms
Respuesta
-
xanex
-
haloperidol
Pregunta 101
Pregunta
The new class of antipsychotics that have fewer motor side effects (EPS) but are more expensive
Respuesta
-
typical antipsychotics
-
atypical antipsychotics
Pregunta 102
Pregunta
The abnormal motor side effects common with the typical or standard antipsychotics
Respuesta
-
extrapyramidal side effects (EPS)
-
serotonin syndrome
Pregunta 103
Pregunta
Two medications that can be administered in a long-acting injectable
Respuesta
-
Haldol Deconoate
-
quetiapine (Seroquel)
-
Risperdal Consta
Pregunta 104
Pregunta
The permanent extrapyramidal side effect
Respuesta
-
tardive dyskinesia
-
serotonin syndrome
Pregunta 105
Pregunta
The nurse suggests low calorie hard candies and sips of water
Intervention for what?
Respuesta
-
nursing intervention for the anticholinergic, dry mouth
-
nursing intervention for the anticholinergic, hypoglycemia
Pregunta 106
Pregunta
Adequate fluid intake, daily exercise, and high fiber foods
Intervention for what?
Respuesta
-
nursing intervention for the anticholinergic side effect of dry mouth
-
nursing intervention for the anticholinergic side effect of constipation
Pregunta 107
Pregunta
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
Respuesta
-
hypertension
-
orthostatic hypotension
Pregunta 108
Pregunta
The common medication combination (2 drugs) given to an agitated and psychotic person in the ER
Respuesta
-
Haldol and Ativan
-
Xanex and Proxac
Pregunta 109
Pregunta
The 2 roles of the nurse when treating a mental health patient with psychotropics
Respuesta
-
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)
Pregunta 110
Pregunta
The benzodiazepine that has a shorter half life than valium and is often used in treatment of alcohol withdrawal
Respuesta
-
Ativan
-
Haldol
Pregunta 111
Pregunta
The type of antidepressant medication that requires the patient to eat a special diet to avoid a hypertensive crisis
Respuesta
-
Monoamine Oxidase (MAO) Inhibitors
-
SSRIs
Pregunta 112
Pregunta
The illness with signs & symptoms of :
Confusion to coma
Hyperthermia
Hyperreflexia
Labile BP & HR
Myoclonus & tremor
Respuesta
-
serotonin syndrome
-
Neuroleptic Malignant Syndrome
Pregunta 113
Pregunta
The illness with signs & symptoms of :
Muscle ridgidity
Hyperthermia
Tachycardia
Diaphoresis
Labile BP
Respiratory distress – hypoxia
Renal failure
Respuesta
-
Neuroleptic Malignant Syndrome
-
serotonin syndrome
Pregunta 114
Pregunta
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
Respuesta
-
Neuroleptic Malignant Syndrome
-
lithium toxicity
Pregunta 115
Pregunta
What is used in ALL nursing departments & settings
Respuesta
-
administration of psychotropic medications
-
administration of cardiac mediations
Pregunta 116
Pregunta
When neurons are stimulated or depolarized they release neurotransmitters. Each neurotransmitter has site-specific receptors that can receive it. This is called
Respuesta
-
process of neurotransmission and synaptic transmission
-
process of transmission and ion transport
Pregunta 117
Pregunta
Most psychotropic medication affect neurotransmitters in one of several ways. Mark all that apply.
Respuesta
-
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
Pregunta 118
Pregunta
There are two types of antipsychotic medication typical and atypical
Respuesta
- True
- False
Pregunta 119
Pregunta
Which of the following 2 medications were the first generation of treatment for psychosis including hallucinations and delusions
Respuesta
-
Haldol
-
Clozaril
-
Thorazine
-
Abilify
Pregunta 120
Pregunta
The Atypical Psychotics or the second generation are medications developed more recently that address similar symptoms. These medications include
Respuesta
-
Clozaril
-
Olanzapine
-
Risperidone
-
Abilify
-
Thorazine
Pregunta 121
Pregunta
Serious medical complications for antipsychotics include
Respuesta
-
Tardivea dyskinesia
-
serotonin syndrome
Pregunta 122
Pregunta
Antipsychotics have a Black-Box Warning for
Respuesta
-
dementia Related Psychosis
-
excessive dopamine transmission
Pregunta 123
Pregunta
Schizophrenia (positive symptoms), acute mania, psychotic depression, drug-induced psychosis, other psychotic symptoms (these symptoms are associated with elevated concentrations of
Respuesta
-
serotonin
-
epinephrine
-
dopamine
Pregunta 124
Pregunta
MOA of Typical antipsychotics
Respuesta
-
blocks dopamine receptors
-
reduce dopamine transmission
-
decreases concentration of dopamine
Pregunta 125
Pregunta
Which antipsychotics have fewer EPS but are no less sedating
Respuesta
-
atypical
-
typical
Pregunta 126
Pregunta
The weight gain from these drugs can be as much as 40lbs per month in worst case scenario
Respuesta
-
atypical
-
typical
Pregunta 127
Pregunta
Which atypical antipsychotic has a risk of agranulocytosis or a serious drop in granulated WBCs due to suppression of the bone marrow
Respuesta
-
Prozac
-
Haldol
-
Clozaril
-
Lorazepam
Pregunta 128
Pregunta
Atypical antipsychotics are use to treat schizophrenia, treatment of acute mania associated with bipolar disorder, some uses for augmentation of antidepressant
Respuesta
- True
- False
Pregunta 129
Pregunta
These drugs target the negative symptoms of schizophrenia as well as the positive and have fewer motor side effects.
Respuesta
-
Typical antipsychotics
-
Atypical antipsychotics
Pregunta 130
Pregunta
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.
Respuesta
-
typical antipsychotic
-
Atypical antipsychotic
Pregunta 131
Pregunta
Atypical antipsychotic have which side effects
Respuesta
-
fatigue and tiredness
-
weight gain/metabolic syndrome (not Ability or Geodon)
-
sexual side effects
-
less sedation and fewer EPS
Pregunta 132
Pregunta
What is the psychiatric emergency related to atypical antipsychotics
Respuesta
-
serotonin syndrome
-
neuroleptic malignant syndrome
Pregunta 133
Pregunta
Serotonin syndrome is poorly understood and is believed to be an abrupt and drastic reduction in dopaminergic activity, high mortality
Respuesta
- True
- False
Pregunta 134
Pregunta
Symptoms of neuroleptic malignant syndrome include
Respuesta
-
Muscle ridgidity/mutism
-
Respiratory distress – hypoxia
-
Tachycardia and hyperthermia
-
liver failure
Pregunta 135
Pregunta
Treatment for Neuroleptic Malignant Syndrome include
Respuesta
-
Haldol
-
Parlodel
-
dantrium
-
life support
Pregunta 136
Pregunta
types of antidepressants include
Respuesta
-
SSRIs
-
SNRIs
-
TCA
-
Atypical antipsychotics
-
MAOIs
-
typical antipsychotics
Pregunta 137
Pregunta
Antidepressants are used to treat major depression, panic disorder and other anxiety disorders including psychotic depression
Respuesta
- True
- False
Pregunta 138
Pregunta
Interact with the monoamine neurotransmitter systems in the brain, particularly the neurotransmitters
Respuesta
-
norepinephrine and serotonin
-
Epinephrine and dopamine
Pregunta 139
Pregunta
Antidepressants have a Black Box Warning for increased risk of suicide in
Respuesta
-
adolescents
-
elderly
-
women
Pregunta 140
Pregunta
Contraindications for antidepressants include
Respuesta
-
adolescents
-
blood pressure medications
-
cardiac disease or seizure disorder
-
MAO's within 14 days
Pregunta 141
Pregunta
Psychiatric syndrome of antidepressants include
Respuesta
-
Neuroleptic Malignant Syndrome
-
serotonin syndrome
Pregunta 142
Pregunta
Serotonin syndrome occurs from excessive serotoninergic activity this can occur because
Respuesta
-
overdose
-
drug interaction
-
stopping medication abruptly
-
not informing provider of other medication
Pregunta 143
Pregunta
manifestations of serotonin syndrome include confusion to coma, hypothermia, labile BP/HR and
Respuesta
-
hyper-reflexia
-
dry mouth
Pregunta 144
Pregunta
Atypical or novel antidepressants MOA differ structurally and seem to work with less defined mechanisms than the other antidepressants
Respuesta
- True
- False
Pregunta 145
Pregunta
Atypical or novel antidepressants are the oldest drugs for depression but are not used as much because of side effects.
Respuesta
- True
- False
Pregunta 146
Pregunta
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
Respuesta
-
acetylcholine
-
dopamine
-
epinephrine
Pregunta 147
Pregunta
An important patient teaching for trip-cyclic antidepressants is to use caution when getting up or driving and
Respuesta
-
to take in the morning
-
to take in the evening
Pregunta 148
Pregunta
Side effects of Tri-cyclic antidepressants are anticholinergic which include
Respuesta
-
cleared vision
-
urinary retention
-
dry mouth and constipation
-
weight loss
Pregunta 149
Pregunta
Nursing interventions for tri-cyclic antidepressants include section, weight gain, tachycardia, sexual dysfunction and
Respuesta
-
orthostatic hypotension
-
hypertension
Pregunta 150
Pregunta
Contraindications of tri-cyclic antidepressants include suicide due to the overdose risk
Respuesta
- True
- False
Pregunta 151
Pregunta
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.
Respuesta
-
atypical antidepressants
-
mood stabilizers
-
MAO inhibitors
Pregunta 152
Pregunta
MAO inhibitors MOA: inhibition of MAO enzyme system result in which neurotransmitters not being broken down so there are higher levels
Respuesta
-
dopamine
-
norepinephrine
-
epinephrine
-
serotonin
Pregunta 153
Pregunta
Side effects of MAO inhibitors include sedation, insomnia, dry mouth, orthostatic hypotension, sexual dysfunction and
Respuesta
-
weight loss
-
weight gain
Pregunta 154
Pregunta
Psychotic emergency of MAO inhibitors are
Respuesta
-
serotonin syndrome
-
hypertensive crisis
Pregunta 155
Pregunta
Hypertensive crisis occurs because excessive tyramine or sympathomimetic drugs and example of this is
Respuesta
-
OTC allergy medication
-
OTC cold medicine
Pregunta 156
Pregunta
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
Respuesta
-
MAO inhibitors
-
tri-cyclic antidepressents
-
Atypical antipsychotics
Pregunta 157
Pregunta
Mood stabilizers drugs include
Respuesta
-
lithium carbonate
-
anticonvulsant medications
-
Depakote
-
Lamictal
Pregunta 158
Pregunta
Mood stabilizing drugs are use to treat anxiety
Respuesta
- True
- False
Pregunta 159
Pregunta
Which drug was the first drug specific Bipolar Disorder (manic depression)Replaced in the 1980’s with usage of the anticonvulsants.
Respuesta
-
Depakote
-
Lamictal
-
Lithium carbonate
Pregunta 160
Pregunta
Which is true regarding lithium carbonate MOA:
Respuesta
-
not fully understood
-
A salt; the ions alter sodium ion transport in nerve cells
-
causes an excessive release of dopamine
Pregunta 161
Pregunta
Lithium Carbonate has the most narrow therapeutic index of all psychotropic medications
Respuesta
- True
- False
Pregunta 162
Pregunta
Lithium carbonate has a black box warning that can occur even when doses close to a therapeutic range
Respuesta
- True
- False
Pregunta 163
Pregunta
Side effects of lithium carbonate include nausea, diarrhea anorexia and
Respuesta
-
fine hand tremors
-
blurred vision
-
dry mouth
Pregunta 164
Pregunta
Nursing interventions for Lithium Carbonate include fatigue, weight gain, acne, cardiac (non-therapeutic levels) and
Respuesta
-
polydipsia and poyuria
-
night sweats and terrors
Pregunta 165
Pregunta
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)
Respuesta
-
8
-
24
-
12
Pregunta 166
Pregunta
Adverse effects of Lithium Carbonate include long term kidney and thyroid disease, lithium toxicity and
Respuesta
-
blurred vision
-
harm to a fetus
Pregunta 167
Pregunta
therapeutic level for lithium carbonate are
Respuesta
-
0.5-1.5 mEq/L
-
1.5-2 mEq/L
-
2-2.5 mEq/L
Pregunta 168
Pregunta
1.5–2 mEq/L are what levels for lithium carbonate and can cause coarse hand tremors, ECG change and persistent GI upsets
Respuesta
-
mid to moderate toxic reactions
-
moderate to severe toxic reactions
Pregunta 169
Pregunta
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?
Respuesta
-
moderate to sever toxic reactions
-
mild to moderate toxic reactions
Pregunta 170
Pregunta
____________________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.
Respuesta
-
MAO inhibitors
-
Tri-cyclic antidepressents
-
Anticonvulsants
Pregunta 171
Pregunta
Interventions for anticonvulsants include
Respuesta
-
frequent rests
-
therapy animals
-
periodic blood levels
Pregunta 172
Pregunta
Anticonvulsant medications carry MANY Black Box warnings. Among them:
Respuesta
-
fetal risk
-
pancreatitis and hepatotoxicity
-
Rash (Stevens-Johnson)
-
Aplastic Anemia/Agranulocytosis
Pregunta 173
Pregunta
Anticonvulsant medications carry MANY Black Box warnings. The one that is a psychiatric emergency is
Respuesta
-
Increased Hepatoxicity Risk in Mitochondrial Disease
-
Aplastic Anemia/Agranulocytosis
-
Steven-Johnson Syndrome
Pregunta 174
Pregunta
Side effects of anticonvulsants include sedation, dizziness, blurred vision, dry mouth, nausea, heartburn, muscle tremors and
Respuesta
-
weight gain
-
weight loss
Pregunta 175
Pregunta
Patient teaching for anticonvulsants include impaired operation due to sedation, may require blood levels, notify MD immediately of rash and
Respuesta
-
may need to increase in dosage of hormonal birth control methods
-
may need to be taken with an anti anxiety agent
Pregunta 176
Pregunta
Adverse effects of anticonvulsants include Stevens-Johnson syndrome, evere stomach pain, bruising, jaundice (pancreatitis, liver involvement, thrombocytopenia) and potential harm to a fetus from
Respuesta
-
depakote
-
lamictal
Pregunta 177
Pregunta
Which medications are used to treat anxiety disorders, PTSD, alcohol withdrawal
Respuesta
-
tri-cyclic antidepressents
-
MAO inhibitors
-
Anxiolytics
Pregunta 178
Pregunta
Anxiolytics include
Respuesta
-
Depakote
-
benzodiazepines
-
buspirone (BuSpar)
Pregunta 179
Pregunta
This is the MOA for which drug:
Moderate the actions of GABA, increases the receptor responsiveness to GABA
Respuesta
-
anticonvulsants
-
anxiolytics
-
antidepressants
Pregunta 180
Pregunta
side effects of anxiolytics include sedation, drowsiness, poor concentration, impaired memory, cloudy sensations and
Respuesta
-
tolerance and dependance
-
impaired and blurry vision
Pregunta 181
Pregunta
Patient teaching for anxiolytics include use caution while driving due to slower reflexes, avoid alcohol and
Respuesta
-
abrupt withdrawal can be fatal
-
overdose can cause serotonin syndrome
Pregunta 182
Pregunta
Antianxietys and Anxiolytics have very similar side effects and patient teachings
Respuesta
- True
- False
Pregunta 183
Pregunta
CNS stimulate drugs are used to manage which of the following
Respuesta
-
ADHD
-
narcolepsy
-
autism
-
diabetes
Pregunta 184
Pregunta
The MOA of CNS stimulate drugs is stimulate brain function, increasing release of neurotransmitters (norepinephrine & dopamine)and blocking re-uptake. Reduces action of _______.
Respuesta
-
dopamine
-
GABA
-
serotonin
Pregunta 185
Pregunta
CNS stimulants are at extreme risk for...
Respuesta
-
respiratory depression
-
abuse and dependence
Pregunta 186
Pregunta
Side effects for CNS stimulates include anorexia, nausea, irritability and
Respuesta
-
weight loss
-
weight gain
Pregunta 187
Pregunta
Patient teaching for CNS stimulants include long-term use can cause dependency, tolerance develops and
Respuesta
-
taking before meals
-
taking after meals
Pregunta 188
Pregunta
For this drug patients learn when they need to take the med.
Example: to focus on school work, cognitive tasks; drug holiday on weekends
Respuesta
-
anti-anxiety
-
CNS stimulate
Pregunta 189
Pregunta
cognitive enhancers work on neurons are destroyed and this lowers the available ____________ for nervous system transmission. (dementia for example)
Respuesta
-
dopamine
-
acetyocholine
-
GABA
Pregunta 190
Pregunta
Cognitve enhancers are used for Alzheimers disease, with their MOA lowering acetylcholine. Examples of these drugs include
Respuesta
-
Donepezil (Aricept),
-
Rivastigmine (Exelon),
-
buspirone (BuSpar)
-
Galantamine HBR (Razadyne)
Pregunta 191
Pregunta
cognitive enhancers work by blocking the enzyme acetylcholinesterase and make available more of the neurotransmitter, ___________________
Respuesta
-
dopamine
-
acetylcholine
-
GABA
Pregunta 192
Pregunta
For cognitive enhancers it is important to note in patient teachings that the medication does not reverse the disease process and
Respuesta
-
may take up to 6 weeks to work
-
may take up to 6 months to work
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