Question 1

A patient with depression has been taking paroxetine (Paxil)  for the last 3 months and has noticed improvement of symptoms. Which of the following side effects would the nurse expect the patient to report?

Accepted Answer

A)   A headache after eating wine and cheese
B)   A decrease in sexual pleasure during intimacy
C)   An intense need to move about
D)   Persistent runny noseE) All of the above
F) C) and D)

Question 2

A client has a lithium level of 1.2 mEq/L. Which of the following interventions by the nurse is indicated?

Accepted Answer

A)   Call the physician for an increase in dosage.
B)   Do not give the next dose, and call the physician.
C)   Increase fluid intake for the next week.
D)   No intervention is necessary at this time.E) None of the above
F) A) and B) D

Question 3

Which of the following was the first nonstimulant medication specifically designed and tested for ADHD?

Accepted Answer

A)   Methylphenidate (Ritalin) 
B)   Amphetamine (Adderall) 
C)   Atomoxetine (Strattera) 
D)   Pemoline (Cylert) E) A) and D)
F) B) and D) C

Question 4

The nurse is preparing a patient for an MRI scan of the head. The nurse should ask the patient,

Accepted Answer

A)   Have you ever had an allergic reaction to radioactive dye?
B)   Have you had anything to eat in the last 24 hours?
C)   Does your insurance cover the cost of this scan?
D)   Are you anxious about being in tight spaces?E) A) and D)
F) B) and D)

Question 5

The nurse knows that the client understands the rationale for dietary restrictions when taking MAOI when the client makes which of the following statements?

Accepted Answer

A)   I am now allergic to foods that are high in the amino acid tyramine such as aged cheese, organ meats, wine, and chocolate.
B)   Certain foods will cause me to have sexual dysfunction when I take this medication.
C)   Foods that are high in tyramine will reduce the medication's effectiveness.
D)   I should avoid foods that are high in the amino acid tyramine such as aged cheese, meats, and chocolate because this drug causes the level of tyramine to go up to dangerous levels.E) B) and D)
F) B) and C)

Question 6

Which one of the following types of antipsychotic medications is most likely to produce extrapyramidal effects?

Accepted Answer

A)   Atypical antipsychotic drugs
B)   First-generation antipsychotic drugs
C)   Third-generation antipsychotic drugs
D)   Dopamine system stabilizersE) A) and C)
F) B) and C)

Question 7

A patient with bipolar disorder asks the nurse, Why did I get this illness? I don't want to be sick. The nurse would best respond with,

Accepted Answer

A)   People who develop mental illnesses often had very traumatic childhood experiences.
B)   There is some evidence that contracting a virus during childhood can lead to mental disorders.
C)   Sometimes people with mental illness have an overactive immune system.
D)   We don't fully understand the cause, but mental illnesses do seem to run in families.E) C) and D)
F) B) and C) D

Question 8

When the client experiences facial flushing, a throbbing headache, nausea and vomiting after consuming alcohol while taking Disulfiram (Antabuse) , the nurse is aware that this is due to which of the following?

Accepted Answer

A)   A mild side effect of the medication.
B)   The intended therapeutic result.
C)   An idiosyncratic reaction
D)   A severe allergy to the medication.E) B) and D)
F) None of the above

Question 9

A client who is taking paroxetine (Paxil)  reports to the nurse that he has been nauseated since beginning the medication. Which of the following actions is indicated initially?

Accepted Answer

A)   Instruct the client to stop the medication for a few days to see if the nausea goes away.
B)   Reassure the client that this is an expected side effect that will improve with time.
C)   Suggest that the client take the medication with food.
D)   Tell the client to contact the physician for a change in medication.E) A) and C)
F) All of the above

Question 10

When the client asks the nurse how long it will take before the SSRI antidepressant medication will be effective, which of the following replies is most accurate and therapeutic?

Accepted Answer

A)   This is a good medication! It will be effective within 20 minutes of the first dose.
B)   You will have gradual improvement in symptoms over the next few weeks, but the changes may be so subtle that you may not notice them for a while. It is important for you to keep taking the medication.
C)   It will probably take months for the medication to work. In the meantime, you should work on improving your attitude.
D)   If you believe it will work, then it will. You have to have faith!E) C) and D)
F) None of the above

Question 11

Which of the following is a neuromodulator?

Accepted Answer

A)   Neuropeptides
B)   Glutamate
C)   Dopamine
D)   GABAE) B) and C)
F) B) and D)

Question 12

A patient with bipolar disorder takes lithium 300 mg three times daily. The nurse evaluates that the dose is appropriate when the patient reports

Accepted Answer

A)   feeling sleepy and less energetic.
B)   weight gain of 7 pounds in the last 6 months.
C)   minimal mood swings.
D)   increased feelings of self-worth.E) A) and B)
F) None of the above

Question 13

When teaching a client about restrictions for tranylcypromine (Parnate) , the nurse will tell the client to avoid which of the following foods?

Accepted Answer

A)   Broad beans
B)   Citrus fruit
C)   Egg products
D)   Fried foodsE) B) and D)
F) None of the above

Question 14

Which of the following is the primary consideration with clients taking antidepressants?

Accepted Answer

A)   Decreased mobility
B)   Emotional changes
C)   Suicide
D)   Increased sleepE) A) and B)
F) All of the above

Question 15

Which drug classification is the primary medication treatment for schizophrenia?

Accepted Answer

A)   Anticoagulants
B)   Antidepressants
C)   Antimanics
D)   AntipsychoticsE) C) and D)
F) A) and C)

Question 16

The nurse is assessing a patient suffering a head injury as a result of an altercation with two other individuals. The patient has difficulty accurately reporting the events of the altercation and appears very emotional during the assessment. The nurse suspects which part of the brain received the greatest amount of injury?

Accepted Answer

A)   Cerebrum
B)   Cerebellum
C)   Medulla
D)   AmygdalaE) B) and D)
F) C) and D)

Question 17

An abnormality of which of the following structures of the cerebrum would be associated with schizophrenia?

Accepted Answer

A)   Parietal lobes
B)   Frontal lobe
C)   Occipital lobe
D)   Temporal lobesE) A) and D)
F) C) and D)

Question 18

A client with bipolar disorder has been taking lithium, and today his serum blood level is 2.0 mEq/L. What effects would the nurse expect to see?

Accepted Answer

A)   Constipation and postural hypotension
B)   Fever, muscle rigidity, and disorientation
C)   Nausea, diarrhea, and confusion
D)   None; the serum level is in therapeutic rangeE) A) and D)
F) None of the above

Question 19

Which of the following would not be included as a symptom of drug-induced parkinsonism?

Accepted Answer

A)   Stooped posture
B)   Cogwheel rigidity
C)   Drooling
D)   TachycardiaE) C) and D)
F) B) and D)

Question 20

The nurse is educating a patient and family about strategies to minimize the side effects of antipsychotic drugs. Which of the following should be included in the plan? Select all that apply.

Accepted Answer

A)   Drink plenty of fruit juice.
B)   Developing an exercise program is important.
C)   Increase foods high in fiber.
D)   Laxatives can be used as needed.
E)   Use sunscreen when outdoors.F)  For missed doses, take double the dose at the next scheduled time.G) A) and D)
H) D) and F)

Exam 2: Neurobiologic Theories and Psychopharmacology

A patient with depression has been taking paroxetine (Paxil) for the last 3 months and has noticed improvement of symptoms. Which of the following side effects would the nurse expect the patient to report?

Correct Answer
verified

A client has a lithium level of 1.2 mEq/L. Which of the following interventions by the nurse is indicated?

Correct Answer
verified
D

Which of the following was the first nonstimulant medication specifically designed and tested for ADHD?

Correct Answer
verified
C

The nurse is preparing a patient for an MRI scan of the head. The nurse should ask the patient,

Correct Answer
verified

The nurse knows that the client understands the rationale for dietary restrictions when taking MAOI when the client makes which of the following statements?

Correct Answer
verified

Which one of the following types of antipsychotic medications is most likely to produce extrapyramidal effects?

Correct Answer
verified

A patient with bipolar disorder asks the nurse, Why did I get this illness? I don't want to be sick. The nurse would best respond with,

Correct Answer
verified
D

When the client experiences facial flushing, a throbbing headache, nausea and vomiting after consuming alcohol while taking Disulfiram (Antabuse) , the nurse is aware that this is due to which of the following?

Correct Answer
verified

A client who is taking paroxetine (Paxil) reports to the nurse that he has been nauseated since beginning the medication. Which of the following actions is indicated initially?

Correct Answer
verified

When the client asks the nurse how long it will take before the SSRI antidepressant medication will be effective, which of the following replies is most accurate and therapeutic?

Correct Answer
verified

Which of the following is a neuromodulator?

Correct Answer
verified

A patient with bipolar disorder takes lithium 300 mg three times daily. The nurse evaluates that the dose is appropriate when the patient reports

Correct Answer
verified

When teaching a client about restrictions for tranylcypromine (Parnate) , the nurse will tell the client to avoid which of the following foods?

Correct Answer
verified

Which of the following is the primary consideration with clients taking antidepressants?

Correct Answer
verified

Which drug classification is the primary medication treatment for schizophrenia?

Correct Answer
verified

Correct Answer
verified

An abnormality of which of the following structures of the cerebrum would be associated with schizophrenia?

Correct Answer
verified

A client with bipolar disorder has been taking lithium, and today his serum blood level is 2.0 mEq/L. What effects would the nurse expect to see?

Correct Answer
verified

Which of the following would not be included as a symptom of drug-induced parkinsonism?

Correct Answer
verified

The nurse is educating a patient and family about strategies to minimize the side effects of antipsychotic drugs. Which of the following should be included in the plan? Select all that apply.

Correct Answer
verified

Exam 2: Neurobiologic Theories and Psychopharmacology

A patient with depression has been taking paroxetine (Paxil) for the last 3 months and has noticed improvement of symptoms. Which of the following side effects would the nurse expect the patient to report?

Correct AnswerverifiedShow Answer

A client has a lithium level of 1.2 mEq/L. Which of the following interventions by the nurse is indicated?

Correct AnswerverifiedD

Which of the following was the first nonstimulant medication specifically designed and tested for ADHD?

Correct AnswerverifiedC

The nurse is preparing a patient for an MRI scan of the head. The nurse should ask the patient,

Correct AnswerverifiedShow Answer

The nurse knows that the client understands the rationale for dietary restrictions when taking MAOI when the client makes which of the following statements?

Correct AnswerverifiedShow Answer

Which one of the following types of antipsychotic medications is most likely to produce extrapyramidal effects?

Correct AnswerverifiedShow Answer

A patient with bipolar disorder asks the nurse, Why did I get this illness? I don't want to be sick. The nurse would best respond with,

Correct AnswerverifiedD

When the client experiences facial flushing, a throbbing headache, nausea and vomiting after consuming alcohol while taking Disulfiram (Antabuse) , the nurse is aware that this is due to which of the following?

Correct AnswerverifiedShow Answer

A client who is taking paroxetine (Paxil) reports to the nurse that he has been nauseated since beginning the medication. Which of the following actions is indicated initially?

Correct AnswerverifiedShow Answer

When the client asks the nurse how long it will take before the SSRI antidepressant medication will be effective, which of the following replies is most accurate and therapeutic?

Correct AnswerverifiedShow Answer

Which of the following is a neuromodulator?

Correct AnswerverifiedShow Answer

A patient with bipolar disorder takes lithium 300 mg three times daily. The nurse evaluates that the dose is appropriate when the patient reports

Correct AnswerverifiedShow Answer

When teaching a client about restrictions for tranylcypromine (Parnate) , the nurse will tell the client to avoid which of the following foods?

Correct AnswerverifiedShow Answer

Which of the following is the primary consideration with clients taking antidepressants?

Correct AnswerverifiedShow Answer

Which drug classification is the primary medication treatment for schizophrenia?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

An abnormality of which of the following structures of the cerebrum would be associated with schizophrenia?

Correct AnswerverifiedShow Answer

A client with bipolar disorder has been taking lithium, and today his serum blood level is 2.0 mEq/L. What effects would the nurse expect to see?

Correct AnswerverifiedShow Answer

Which of the following would not be included as a symptom of drug-induced parkinsonism?

Correct AnswerverifiedShow Answer

The nurse is educating a patient and family about strategies to minimize the side effects of antipsychotic drugs. Which of the following should be included in the plan? Select all that apply.

Correct AnswerverifiedShow Answer

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D

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C

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D

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