Neurobiologic Theories and Psychopharmacology: 16 items

Neurobiologic Theories and Psychopharmacology: 16 items

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1. The nurse is teaching a client tng an MAOI about foods with tyramine that he or she should avoid. Which of the following statements indicates that the client needs further teaching?
a. "Ï'm so glad I can have pizza as long as I don't order pepperoni."
b. "I will be able to eat cottage cheese without worrying."
c. "I will have to avoid drinking nonalcoholic beer."
d. "Ï can eat green beans on this diet."

2. A client who has been depressed and suicidal started taking a tricyclic antidepressant 2 weeks ago and is now ready to leave the hospital to go home. Which of the following is a concern for the nurse as discharge plans are finalized?
a. The client may need a prescription for diphenhydramine (Benadryl) to use for side effects.
b. The nurse will evaluate the risk for suicide by overdose of tricyclic antidepressant.
c. The nurse will need to include teaching regarding the signs of neuroleptic malignant syndrome.
d. The client will need regular laboratory work to monitor therapeutic drug levels.

3. The signs of lithium toxicity include which of the following?
a. Sedation, Fever, Restlessness
b. Psychomotor, Agitation, Insomia, Increased Thirst
c. Elevated white blood cell count, Sweating, Confusion
d. Severe vomiting, Diarrhea, Weakness

4. Which of the following is a concern for children taking stimulants for ADHD for several years?
a. Dependence on the drug
b. Insomia
c. Growth Suppression
d. Weight Gain

5. The nurse is caring for a client with schizophrenia who is taking haloperidol (Haldol). The client complains of restlessness, cannot sit still, and has muscle stiffeness. Of the following PRN medications, whch would the nurse administer?
a. Haloperidol (Haldol), 5 mg PO
b. Benztropine (Cogentin), 2 mg PO
c. Propanolol (Inderal), 20 mg PO
d. Trazodone, 50 mg PO

6. Client teaching for lamotrigine (Lamictal) should include which of the following?
a. Eat a well-balance diet to avoid weight gain
b. Report any rashes to your doctor immediately
c. Take each dose with food to avoid nausea
d. This drug may cause psychological dependence

7. Which of the following physician orders would the nurse question for a client who has stated "I'm allergic to phenothiazines"?
a. Haldol, 5 mg O bid
b. Navane, 10 mg PO bid
c. Proxilin, 5 mg PO tid
d. Risperidal, 2 mg bid

8. Clients taking which of the following types of psychotropic medications need close monitoring of their cardiac status?
a. Antidepressant
b. Antipsychotics
c. Mood Stabilizers
d. Stimulants

Fill in the Blanks:
Identify the drug classification for each of the following medications.

1. Clozapine (Clozaril)
2. Fluoxetine (Prozac)
3. Amitriptyline (Elavil)
4. Benztropine (Cogentin)
5. Methylphenidate (Ritalin)
6. Carbamazepine (Tegretol)
7. Clonazepam (Klonopin)
8. Quetiapine (Seroquel)

Congratulations! You have finished Chapter 2 of Psychiatric - Mental Health Nursing by Videbeck