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