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Medication Test

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Quiz on Medication Test , created by brittny beauford on 06/10/2016.
brittny beauford
Quiz by brittny beauford, updated more than 1 year ago
brittny beauford
Created by brittny beauford about 8 years ago
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Resource summary

Question 1

Question
SSRIs with MAOIs or multiple SSRIs at once causes this
Answer
  • serotonin syndrom
  • hyptertensive crisis

Question 2

Question
clozapine (Clozaril), olanzapine (Zyprexa) & resperidone (Risperdal) are
Answer
  • Tricyclics
  • Atypical antipsychotics
  • Typical antipsychotics – neuroleptics
  • Barbiturates

Question 3

Question
haloperidol (Haldol) can cause
Answer
  • Hypertensive crisis
  • Serotonin Syndrome
  • coma
  • Extra pyramidal symptoms

Question 4

Question
MAOIs with decongestants/ cold medicines can cause
Answer
  • Hypertensive crisis
  • Extra pyramidal symptoms
  • Serotonin Syndrome

Question 5

Question
triazolam (Halcion) & flurazepam (Dalmane)
Answer
  • Tricyclics
  • Selective serotonin reuptake inhibitors
  • Mood stabilizers
  • Sedative-hypnotics

Question 6

Question
fluoxetine (Prozac) & Sertraline (Zoloft) are
Answer
  • Atypical antipsychotics
  • Selective serotonin reuptake inhibitors
  • Tricyclics
  • Anti-Parkinsonian drugs

Question 7

Question
imipramine (Tofranil) & amitryptiline (Elavil) are
Answer
  • Mood stabilizers
  • Tricyclics
  • Typical antipsychotics – neuroleptics
  • Anti-anxiety agents

Question 8

Question
Lithium & depakote are
Answer
  • Mood stabilizers
  • Atypical antipsychotics
  • Tricyclics
  • Anti-anxiety agents

Question 9

Question
chlorpromazine (Thorazine) & thiothixine (Navane) are
Answer
  • Mood stabilizers
  • Typical antipsychotics – neuroleptics
  • Tricyclics
  • Anti-Parkinsonian drugs

Question 10

Question
lorazepam (Ativan) & alprazolam (Xanax)
Answer
  • Mood stabilizers
  • Atypical antipsychotics
  • Tricyclics
  • Anti-anxiety agents

Question 11

Question
benztropine (Cogentin) & trihexyphenidyl (Artane) are
Answer
  • Anti-Parkinsonian drugs
  • Mood stabilizers
  • Sedative-hypnotics
  • Selective serotonin reuptake inhibitors

Question 12

Question
secobarbital (Seconal) & Pentobarbital (Nembutal) are
Answer
  • Atypical antipsychotics
  • Mood stabilizers
  • Barbiturates
  • Anti-anxiety agents

Question 13

Question
A decrease in serotonin can result in anxiety.
Answer
  • True
  • False

Question 14

Question
Lithium carbonate can cause extrapyramidal symptoms.
Answer
  • True
  • False

Question 15

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

Question 16

Question
Extrapyramidal symptoms are caused by the blockage of norepinephrine at the synapse.
Answer
  • True
  • False

Question 17

Question
Routine blood levels are taken on a client using haloperidol (Haldol).
Answer
  • True
  • False

Question 18

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

Question 19

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

Question 20

Question
Fluoxetine (Prozac) is given at bedtime.
Answer
  • True
  • False

Question 21

Question
Loarazepam is preferred over diazepam for short procedures or situations because the half-life is shorter.
Answer
  • True
  • False

Question 22

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

Question 23

Question
Which of the following is a potential prescribed drug of abuse, often in the elderly?
Answer
  • Carbamazepine (Tegretol) for sleep
  • Haloperidol (Haldol) for sleep
  • Alprazolam (Xanax) for anxiety
  • Risperadone (Risperdal) for confusion

Question 24

Question
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?
Answer
  • 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)

Question 25

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

Question 26

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

Question 27

Question
Which electrolyte are you most concerned with when a client is taking Lithium?
Answer
  • sodium
  • potassium

Question 28

Question
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?
Answer
  • 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

Question 29

Question
Nicole, aged 30, is in the intensive outpatient program because of depressive symptoms with mild suicidal ideation. Which is the safest antidepressant for her?
Answer
  • Risperidone (Risperdal)
  • Diazepam (Valium)
  • Sertaline (Zoloft)
  • Amitriptyline (Elavil)

Question 30

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

Question 31

Question
Ativan is an anti anxiety that is give which ways
Answer
  • PO
  • IM
  • IV
  • SC

Question 32

Question
Riperdal is an antipsychotic that is given
Answer
  • SC and IV
  • PO and IM

Question 33

Question
Prozac is an antidepressant that is given
Answer
  • SC
  • PO

Question 34

Question
Ritalin is a CNS stimulant that is given
Answer
  • IM
  • PO
  • SC
  • transdermal

Question 35

Question
Haldol is an antipsychotic that is given
Answer
  • transdermal
  • PO
  • SC
  • IM

Question 36

Question
Xanax is an anti anxiety that is given
Answer
  • PO
  • SC
  • IV
  • IM

Question 37

Question
Ativan is a(n)
Answer
  • antidepressant
  • antianxiety

Question 38

Question
risperdal is a(n)
Answer
  • CNS stimulant
  • antipsychotic

Question 39

Question
Prozac is a(n)
Answer
  • antianxiety
  • antidepressant

Question 40

Question
Ritalin is a(n)
Answer
  • CNS stimulant
  • antianxiety

Question 41

Question
Haldol is a(n)
Answer
  • antidepressant
  • antipsychotic

Question 42

Question
Tegretol is a(n)
Answer
  • antidepressant and MAOI
  • Mood stabilizers, anticonvulsant

Question 43

Question
Tegretol can only be given IM
Answer
  • True
  • False

Question 44

Question
Litium in a(n)
Answer
  • SSRI
  • Mood Stabilizing Drug

Question 45

Question
Lithium a drug used for anticonvulsant and bipolar disorder can only be given PO
Answer
  • True
  • False

Question 46

Question
Thorazine is a(n)
Answer
  • antiemetic
  • mood stabilizer
  • antipsychotic
  • SSRI

Question 47

Question
Thorazine can be given
Answer
  • PO
  • IM
  • SC
  • IV

Question 48

Question
Seroquel is an anti anxiety
Answer
  • True
  • False

Question 49

Question
Seroquel is given IM
Answer
  • True
  • False

Question 50

Question
Marplan is a(n)
Answer
  • antidepressant and MAOI
  • SSRI
  • Tricylic antidepressant

Question 51

Question
Marplan is given for depression and is given PO
Answer
  • True
  • False

Question 52

Question
Buspar is a(n)
Answer
  • anti-anxiety
  • SSRI

Question 53

Question
Buspar is given for the management of anxiety and is administered PO
Answer
  • True
  • False

Question 54

Question
Zoloft is given for major depressive disorder, panic disorder and OCD. It is a(n)
Answer
  • anti-depressent
  • SSRI

Question 55

Question
Zoloft is a SSRI that is given IM
Answer
  • True
  • False

Question 56

Question
Elavil is a(n)
Answer
  • tricylic antidepressant
  • antipsychotic/mood stabalizer

Question 57

Question
The tricyclic antidepressant Elavil is given SC
Answer
  • True
  • False

Question 58

Question
Fluphenazine is a(n)
Answer
  • antianxiety
  • antipsychotic

Question 59

Question
Fluphenazine an antipsychotic is given
Answer
  • PO
  • transdermal
  • IV
  • IM

Question 60

Question
An antipsychotic/mood stabilizer given for schizophrenia and acute manic disorder is
Answer
  • Paxil
  • Zyprexa

Question 61

Question
Zyprexa is given for bipolar I and is given
Answer
  • PO
  • SC
  • IV
  • IM

Question 62

Question
Paxil is a(n)
Answer
  • Sedative/hypnotics
  • Antianxiety/antidepressant

Question 63

Question
Paxil is administered PO
Answer
  • True
  • False

Question 64

Question
Ambien is a(n)
Answer
  • Antianxiety/antidepressant
  • Sedative/hypnotics

Question 65

Question
Ambien is given for insomnia and is administered
Answer
  • PO
  • IM
  • SL
  • transdermal

Question 66

Question
Haloperidol (Haldol) is what drug classification?
Answer
  • Atypical antipsychotic
  • Typical antipsychotic drug
  • Sedative/hypnotics

Question 67

Question
How is Haloperidol (Haldol) administered?
Answer
  • PO
  • IM
  • IV
  • SL

Question 68

Question
What is the range of dose for Haloperidol (Haldol)
Answer
  • 40-50 mg
  • 5-50 mg
  • 2-40 mg

Question 69

Question
Side effects to monitor for Haloperidol (Haldol) are
Answer
  • Anticholinergic effects
  • EPS, sedation and weight gain
  • nausea and vomiting
  • orthostatic hypotension
  • sexual side effects

Question 70

Question
Side effects of Haloperidol (Haldol) are QT prolongation and increased prolactin
Answer
  • True
  • False

Question 71

Question
Describe how Haloperidol (Haldol) is used for rapid tranquilization in emergencies?
Answer
  • IV for sedation
  • IM for sedation

Question 72

Question
Risperidone (Risperdal) is what drug classification?
Answer
  • Atypical antipsychotic
  • Mood stabilizing

Question 73

Question
Risperidone (Risperdal) is administered
Answer
  • IV
  • PO
  • SC
  • IM

Question 74

Question
standard dose for Risperidone (Risperdal) is PO 1 mg twice daily
Answer
  • True
  • False

Question 75

Question
A standard dose for 2 Risperidone (Risperdal) is 45mg IM every 4 weeks
Answer
  • True
  • False

Question 76

Question
Side effects of Risperidone (Risperdal) include
Answer
  • Less sedation and fewer EPS, weight gain/metabolic syndrome, sexual side effects
  • QT prolongation, increased prolactin

Question 77

Question
a patient can breastfeed on Risperidone (Risperdal)
Answer
  • True
  • False

Question 78

Question
Risperidone (Risperdal) is preferred over older antipsychotics because
Answer
  • 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

Question 79

Question
Fluoxetine (Prozac) is a SSRI antidepressant
Answer
  • True
  • False

Question 80

Question
Fluoxetine (Prozac) is administered IV at night
Answer
  • True
  • False

Question 81

Question
What is the standard dose of Fluoxetine (Prozac)?
Answer
  • 60mg
  • 40mg
  • 20mg

Question 82

Question
Side effects of Fluoxetine (Prozac) include
Answer
  • anxiety and insomnia
  • agitation and akathisia
  • weight gain and nausea
  • sexual dysfunction

Question 83

Question
Fluoxetine (Prozac) is contraindicated in all but which of the following
Answer
  • adolescents
  • elderly
  • CV disease or seizure disorder
  • MAO’s within 14 days

Question 84

Question
Lithium carbonate is a mood stabilizer
Answer
  • True
  • False

Question 85

Question
How is lithium carbonate administered
Answer
  • PO
  • IM

Question 86

Question
What is the standard dose for lithium carbonate
Answer
  • 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

Question 87

Question
What would a nurse teach a patient receiving lithium carbonate
Answer
  • 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

Question 88

Question
EPS symptoms are drug-induced movement disorders
Answer
  • True
  • False

Question 89

Question
EPS symptoms are drug-induced movement disorders that include
Answer
  • 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

Question 90

Question
What are the 5 rights
Answer
  • right dose amount
  • right route
  • right time
  • right patient
  • right consent form
  • right drug

Question 91

Question
The neurotransmitter that is increased in the disease of schizophrenia – hence the antipsychotics block the receptors
Answer
  • epinephrine
  • norepinephrine
  • dopamine

Question 92

Question
The neurotransmitter that helps regulate attention, behavior, and body temperature; decreased in depression
Answer
  • dopamine
  • serotonin

Question 93

Question
Medications that need routine blood levels to monitor for therapeutic range and toxicity
Answer
  • lithium carbonate and depakote
  • lithium phosphate and haldol

Question 94

Question
Most anti-anxiety agents enhance the inhibitory effect of this neurotransmitter
Answer
  • dopamine
  • GABA

Question 95

Question
The antidepressant medications administered in the morning
Answer
  • SSRIs
  • antidepressants

Question 96

Question
The antidepressant medications administered at bedtime
Answer
  • mood stabilizers
  • tricyclics (TCAx)

Question 97

Question
The average time frame for therapeutic results of the antidepressants
Answer
  • 2-3 months
  • 2-6 weeks

Question 98

Question
The 3 most common medications used for bi-polar disorder
Answer
  • lithium carbonate
  • Depakote (divalproex sodium),
  • Lamictal (lamotrigene)?
  • imipramine (Tofranil)

Question 99

Question
The types of antidepressant medications that present the highest risk for overdose
Answer
  • tricyclics (TCAs)
  • SSSRIs

Question 100

Question
The most common medication used for rapid tranquilization of a patient with psychotic symptoms
Answer
  • xanex
  • haloperidol

Question 101

Question
The new class of antipsychotics that have fewer motor side effects (EPS) but are more expensive
Answer
  • typical antipsychotics
  • atypical antipsychotics

Question 102

Question
The abnormal motor side effects common with the typical or standard antipsychotics
Answer
  • extrapyramidal side effects (EPS)
  • serotonin syndrome

Question 103

Question
Two medications that can be administered in a long-acting injectable
Answer
  • Haldol Deconoate
  • quetiapine (Seroquel)
  • Risperdal Consta

Question 104

Question
The permanent extrapyramidal side effect
Answer
  • tardive dyskinesia
  • serotonin syndrome

Question 105

Question
The nurse suggests low calorie hard candies and sips of water Intervention for what?
Answer
  • nursing intervention for the anticholinergic, dry mouth
  • nursing intervention for the anticholinergic, hypoglycemia

Question 106

Question
Adequate fluid intake, daily exercise, and high fiber foods Intervention for what?
Answer
  • nursing intervention for the anticholinergic side effect of dry mouth
  • nursing intervention for the anticholinergic side effect of constipation

Question 107

Question
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
Answer
  • hypertension
  • orthostatic hypotension

Question 108

Question
The common medication combination (2 drugs) given to an agitated and psychotic person in the ER
Answer
  • Haldol and Ativan
  • Xanex and Proxac

Question 109

Question
The 2 roles of the nurse when treating a mental health patient with psychotropics
Answer
  • 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)

Question 110

Question
The benzodiazepine that has a shorter half life than valium and is often used in treatment of alcohol withdrawal
Answer
  • Ativan
  • Haldol

Question 111

Question
The type of antidepressant medication that requires the patient to eat a special diet to avoid a hypertensive crisis
Answer
  • Monoamine Oxidase (MAO) Inhibitors
  • SSRIs

Question 112

Question
The illness with signs & symptoms of : Confusion to coma Hyperthermia Hyperreflexia Labile BP & HR Myoclonus & tremor
Answer
  • serotonin syndrome
  • Neuroleptic Malignant Syndrome

Question 113

Question
The illness with signs & symptoms of : Muscle ridgidity Hyperthermia Tachycardia Diaphoresis Labile BP Respiratory distress – hypoxia Renal failure
Answer
  • Neuroleptic Malignant Syndrome
  • serotonin syndrome

Question 114

Question
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
Answer
  • Neuroleptic Malignant Syndrome
  • lithium toxicity

Question 115

Question
What is used in ALL nursing departments & settings
Answer
  • administration of psychotropic medications
  • administration of cardiac mediations

Question 116

Question
When neurons are stimulated or depolarized they release neurotransmitters. Each neurotransmitter has site-specific receptors that can receive it. This is called
Answer
  • process of neurotransmission and synaptic transmission
  • process of transmission and ion transport

Question 117

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

Question 118

Question
There are two types of antipsychotic medication typical and atypical
Answer
  • True
  • False

Question 119

Question
Which of the following 2 medications were the first generation of treatment for psychosis including hallucinations and delusions
Answer
  • Haldol
  • Clozaril
  • Thorazine
  • Abilify

Question 120

Question
The Atypical Psychotics or the second generation are medications developed more recently that address similar symptoms. These medications include
Answer
  • Clozaril
  • Olanzapine
  • Risperidone
  • Abilify
  • Thorazine

Question 121

Question
Serious medical complications for antipsychotics include
Answer
  • Tardivea dyskinesia
  • serotonin syndrome

Question 122

Question
Antipsychotics have a Black-Box Warning for
Answer
  • dementia Related Psychosis
  • excessive dopamine transmission

Question 123

Question
Schizophrenia (positive symptoms), acute mania, psychotic depression, drug-induced psychosis, other psychotic symptoms (these symptoms are associated with elevated concentrations of
Answer
  • serotonin
  • epinephrine
  • dopamine

Question 124

Question
MOA of Typical antipsychotics
Answer
  • blocks dopamine receptors
  • reduce dopamine transmission
  • decreases concentration of dopamine

Question 125

Question
Which antipsychotics have fewer EPS but are no less sedating
Answer
  • atypical
  • typical

Question 126

Question
The weight gain from these drugs can be as much as 40lbs per month in worst case scenario
Answer
  • atypical
  • typical

Question 127

Question
Which atypical antipsychotic has a risk of agranulocytosis or a serious drop in granulated WBCs due to suppression of the bone marrow
Answer
  • Prozac
  • Haldol
  • Clozaril
  • Lorazepam

Question 128

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

Question 129

Question
These drugs target the negative symptoms of schizophrenia as well as the positive and have fewer motor side effects.
Answer
  • Typical antipsychotics
  • Atypical antipsychotics

Question 130

Question
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.
Answer
  • typical antipsychotic
  • Atypical antipsychotic

Question 131

Question
Atypical antipsychotic have which side effects
Answer
  • fatigue and tiredness
  • weight gain/metabolic syndrome (not Ability or Geodon)
  • sexual side effects
  • less sedation and fewer EPS

Question 132

Question
What is the psychiatric emergency related to atypical antipsychotics
Answer
  • serotonin syndrome
  • neuroleptic malignant syndrome

Question 133

Question
Serotonin syndrome is poorly understood and is believed to be an abrupt and drastic reduction in dopaminergic activity, high mortality
Answer
  • True
  • False

Question 134

Question
Symptoms of neuroleptic malignant syndrome include
Answer
  • Muscle ridgidity/mutism
  • Respiratory distress – hypoxia
  • Tachycardia and hyperthermia
  • liver failure

Question 135

Question
Treatment for Neuroleptic Malignant Syndrome include
Answer
  • Haldol
  • Parlodel
  • dantrium
  • life support

Question 136

Question
types of antidepressants include
Answer
  • SSRIs
  • SNRIs
  • TCA
  • Atypical antipsychotics
  • MAOIs
  • typical antipsychotics

Question 137

Question
Antidepressants are used to treat major depression, panic disorder and other anxiety disorders including psychotic depression
Answer
  • True
  • False

Question 138

Question
Interact with the monoamine neurotransmitter systems in the brain, particularly the neurotransmitters
Answer
  • norepinephrine and serotonin
  • Epinephrine and dopamine

Question 139

Question
Antidepressants have a Black Box Warning for increased risk of suicide in
Answer
  • adolescents
  • elderly
  • women

Question 140

Question
Contraindications for antidepressants include
Answer
  • adolescents
  • blood pressure medications
  • cardiac disease or seizure disorder
  • MAO's within 14 days

Question 141

Question
Psychiatric syndrome of antidepressants include
Answer
  • Neuroleptic Malignant Syndrome
  • serotonin syndrome

Question 142

Question
Serotonin syndrome occurs from excessive serotoninergic activity this can occur because
Answer
  • overdose
  • drug interaction
  • stopping medication abruptly
  • not informing provider of other medication

Question 143

Question
manifestations of serotonin syndrome include confusion to coma, hypothermia, labile BP/HR and
Answer
  • hyper-reflexia
  • dry mouth

Question 144

Question
Atypical or novel antidepressants MOA differ structurally and seem to work with less defined mechanisms than the other antidepressants
Answer
  • True
  • False

Question 145

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

Question 146

Question
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
Answer
  • acetylcholine
  • dopamine
  • epinephrine

Question 147

Question
An important patient teaching for trip-cyclic antidepressants is to use caution when getting up or driving and
Answer
  • to take in the morning
  • to take in the evening

Question 148

Question
Side effects of Tri-cyclic antidepressants are anticholinergic which include
Answer
  • cleared vision
  • urinary retention
  • dry mouth and constipation
  • weight loss

Question 149

Question
Nursing interventions for tri-cyclic antidepressants include section, weight gain, tachycardia, sexual dysfunction and
Answer
  • orthostatic hypotension
  • hypertension

Question 150

Question
Contraindications of tri-cyclic antidepressants include suicide due to the overdose risk
Answer
  • True
  • False

Question 151

Question
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.
Answer
  • atypical antidepressants
  • mood stabilizers
  • MAO inhibitors

Question 152

Question
MAO inhibitors MOA: inhibition of MAO enzyme system result in which neurotransmitters not being broken down so there are higher levels
Answer
  • dopamine
  • norepinephrine
  • epinephrine
  • serotonin

Question 153

Question
Side effects of MAO inhibitors include sedation, insomnia, dry mouth, orthostatic hypotension, sexual dysfunction and
Answer
  • weight loss
  • weight gain

Question 154

Question
Psychotic emergency of MAO inhibitors are
Answer
  • serotonin syndrome
  • hypertensive crisis

Question 155

Question
Hypertensive crisis occurs because excessive tyramine or sympathomimetic drugs and example of this is
Answer
  • OTC allergy medication
  • OTC cold medicine

Question 156

Question
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
Answer
  • MAO inhibitors
  • tri-cyclic antidepressents
  • Atypical antipsychotics

Question 157

Question
Mood stabilizers drugs include
Answer
  • lithium carbonate
  • anticonvulsant medications
  • Depakote
  • Lamictal

Question 158

Question
Mood stabilizing drugs are use to treat anxiety
Answer
  • True
  • False

Question 159

Question
Which drug was the first drug specific Bipolar Disorder (manic depression)Replaced in the 1980’s with usage of the anticonvulsants.
Answer
  • Depakote
  • Lamictal
  • Lithium carbonate

Question 160

Question
Which is true regarding lithium carbonate MOA:
Answer
  • not fully understood
  • A salt; the ions alter sodium ion transport in nerve cells
  • causes an excessive release of dopamine

Question 161

Question
Lithium Carbonate has the most narrow therapeutic index of all psychotropic medications
Answer
  • True
  • False

Question 162

Question
Lithium carbonate has a black box warning that can occur even when doses close to a therapeutic range
Answer
  • True
  • False

Question 163

Question
Side effects of lithium carbonate include nausea, diarrhea anorexia and
Answer
  • fine hand tremors
  • blurred vision
  • dry mouth

Question 164

Question
Nursing interventions for Lithium Carbonate include fatigue, weight gain, acne, cardiac (non-therapeutic levels) and
Answer
  • polydipsia and poyuria
  • night sweats and terrors

Question 165

Question
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)
Answer
  • 8
  • 24
  • 12

Question 166

Question
Adverse effects of Lithium Carbonate include long term kidney and thyroid disease, lithium toxicity and
Answer
  • blurred vision
  • harm to a fetus

Question 167

Question
therapeutic level for lithium carbonate are
Answer
  • 0.5-1.5 mEq/L
  • 1.5-2 mEq/L
  • 2-2.5 mEq/L

Question 168

Question
1.5–2 mEq/L are what levels for lithium carbonate and can cause coarse hand tremors, ECG change and persistent GI upsets
Answer
  • mid to moderate toxic reactions
  • moderate to severe toxic reactions

Question 169

Question
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?
Answer
  • moderate to sever toxic reactions
  • mild to moderate toxic reactions

Question 170

Question
____________________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.
Answer
  • MAO inhibitors
  • Tri-cyclic antidepressents
  • Anticonvulsants

Question 171

Question
Interventions for anticonvulsants include
Answer
  • frequent rests
  • therapy animals
  • periodic blood levels

Question 172

Question
Anticonvulsant medications carry MANY Black Box warnings. Among them:
Answer
  • fetal risk
  • pancreatitis and hepatotoxicity
  • Rash (Stevens-Johnson)
  • Aplastic Anemia/Agranulocytosis

Question 173

Question
Anticonvulsant medications carry MANY Black Box warnings. The one that is a psychiatric emergency is
Answer
  • Increased Hepatoxicity Risk in Mitochondrial Disease
  • Aplastic Anemia/Agranulocytosis
  • Steven-Johnson Syndrome

Question 174

Question
Side effects of anticonvulsants include sedation, dizziness, blurred vision, dry mouth, nausea, heartburn, muscle tremors and
Answer
  • weight gain
  • weight loss

Question 175

Question
Patient teaching for anticonvulsants include impaired operation due to sedation, may require blood levels, notify MD immediately of rash and
Answer
  • may need to increase in dosage of hormonal birth control methods
  • may need to be taken with an anti anxiety agent

Question 176

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

Question 177

Question
Which medications are used to treat anxiety disorders, PTSD, alcohol withdrawal
Answer
  • tri-cyclic antidepressents
  • MAO inhibitors
  • Anxiolytics

Question 178

Question
Anxiolytics include
Answer
  • Depakote
  • benzodiazepines
  • buspirone (BuSpar)

Question 179

Question
This is the MOA for which drug: Moderate the actions of GABA, increases the receptor responsiveness to GABA
Answer
  • anticonvulsants
  • anxiolytics
  • antidepressants

Question 180

Question
side effects of anxiolytics include sedation, drowsiness, poor concentration, impaired memory, cloudy sensations and
Answer
  • tolerance and dependance
  • impaired and blurry vision

Question 181

Question
Patient teaching for anxiolytics include use caution while driving due to slower reflexes, avoid alcohol and
Answer
  • abrupt withdrawal can be fatal
  • overdose can cause serotonin syndrome

Question 182

Question
Antianxietys and Anxiolytics have very similar side effects and patient teachings
Answer
  • True
  • False

Question 183

Question
CNS stimulate drugs are used to manage which of the following
Answer
  • ADHD
  • narcolepsy
  • autism
  • diabetes

Question 184

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

Question 185

Question
CNS stimulants are at extreme risk for...
Answer
  • respiratory depression
  • abuse and dependence

Question 186

Question
Side effects for CNS stimulates include anorexia, nausea, irritability and
Answer
  • weight loss
  • weight gain

Question 187

Question
Patient teaching for CNS stimulants include long-term use can cause dependency, tolerance develops and
Answer
  • taking before meals
  • taking after meals

Question 188

Question
For this drug patients learn when they need to take the med. Example: to focus on school work, cognitive tasks; drug holiday on weekends
Answer
  • anti-anxiety
  • CNS stimulate

Question 189

Question
cognitive enhancers work on neurons are destroyed and this lowers the available ____________ for nervous system transmission. (dementia for example)
Answer
  • dopamine
  • acetyocholine
  • GABA

Question 190

Question
Cognitve enhancers are used for Alzheimers disease, with their MOA lowering acetylcholine. Examples of these drugs include
Answer
  • Donepezil (Aricept),
  • Rivastigmine (Exelon),
  • buspirone (BuSpar)
  • Galantamine HBR (Razadyne)

Question 191

Question
cognitive enhancers work by blocking the enzyme acetylcholinesterase and make available more of the neurotransmitter, ___________________
Answer
  • dopamine
  • acetylcholine
  • GABA

Question 192

Question
For cognitive enhancers it is important to note in patient teachings that the medication does not reverse the disease process and
Answer
  • may take up to 6 weeks to work
  • may take up to 6 months to work
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