MENTAL HEALTH NURSING TEST 1 QUESTIONS AND ANSWERS
What are the main psychotropic drug categories? - CORRECT ANSWER✅✅antipsychotics,
antidepresssants, mood stabilizers, anxiolytics, and stimulants
formerly known a neuroleptics, these drugs are used to treat the symptoms of psychosis, such as
delusions and hallucinations seen in schizophrenia, schizoaffective disorder, and the manic phase of
bipolar disorder. - CORRECT ANSWER✅✅antipsychotics
this psychotropic drug category's primary medical treatment is for schizophrenia and used in psychotic
episodes of acute mania, psychotic depression, and drug-induced psychosis; also with dementia who
have psychotic symptoms. - CORRECT ANSWER✅✅antipsychotics
these psychotropic drugs have extrapyramidal symptoms, neuroleptic malignant syndrome, tardive
dyskinesia, anticholinergic side effects. - CORRECT ANSWER✅✅antipysychotics
these are serious neurologic symptoms, and are major side effects of antipyschotic drugs, and include
acute dystonia, pseudoparkinsonism, and akathisia. - CORRECT ANSWER✅✅EPS or Extrapyramidal
syptoms
this symptom includes acute muscular rigidity and cramping, a stiff or thick tongue with diffecultly
swallwing and in sever cases, laryngospasm and respiratory difficulties; occurs most likely in the first
week of treatment, those that are younger than 40, male, and those recieving first generation
antipsychotics such as thiothixene (Narvane0 or haloperido (Haldol). - CORRECT ANSWER✅✅acute
dystonia
this symptom is a "drug-induced" parkinsonism; is often referred to by the generic label of EPS;
resemble those of Parkinson's disease and include a stiff, shuffling, festinating gait (with small steps);
cogwheel rigidity (ratchet-like movements of joints); drooling ; tremor, bradycardia, and coarse pill-
rolling movements of the thumb and fingers while at rest. - CORRECT ANSWER✅✅pseudoparkinsonism
this symptom is reported by the client at an intense need to move about; client appears restless or
anxious and agitated, often with a rigid posture or gait and a lack of spontaneous gestures. This feeling
internal restlessness and the inability to sit still or rest often leads clients to discontinue their use of
antipsychotic meds. - CORRECT ANSWER✅✅akathisia
,this is a potentially fatal idiosyncratic reaction to an antipsychotic (or neuroleptic) drug - CORRECT
ANSWER✅✅neuroleptic malignant syndrome (NMS)
this is permanent involuntary movements, is most commonly caused by long-term use of conventional
antipsychotics (first generation) - CORRECT ANSWER✅✅tardive dyskinesia (TD)
what categories are these drugs? phenothiazines: chlorpromazine (Thorazine); thioxanthene:
thiothixene (Navane); butyrophenones: haloperido (Halidol) - CORRECT ANSWER✅✅conventional (first-
generation) antipsychotics
what category are these drugs? chozapine (Clozaril); olanzapine (Zyprexa); ziprasidone (Geodon) -
CORRECT ANSWER✅✅atypical (second-generation) antipsychotics
what category is this drug? aripiprazole (Abilify) - CORRECT ANSWER✅✅third-generation antipsychotics
Elderly patients with dementia-related psychosis treated with atypical (sencond-generation)
antipsychotics are at an increased risk for death; these drugs can cause death that appear to be either
cardiovascular or infectious; list three of the main antipsychotics that are being discussed here. -
CORRECT ANSWER✅✅Clozaril, Zyprexa, and Geodon.
Droperidol, Thioridazine, Mesoridazine may lengthen the QT interval, leading to potentially life-
threatening cardiac dysrythmias or cardiac arrest-what drug category is this? - CORRECT
ANSWER✅✅atypical (second-generation) antipsychotics
Clozapine, may cause agranulocytosis, a potentially life-threatening event; you must have a baseline
WBC count and differential before initiation of treatment and WBC count every week throughout
treatment and for 4 weeks after discontinuation . Clozapine is in what category? - CORRECT
ANSWER✅✅atypical (second-generation) antipsychotics
These psychotropic drug category are primarily used in the treatment of major depressive illness,
anxiety disorders, the depressed phase of bipolar disorder, and psychotic depression. - CORRECT
ANSWER✅✅antidepressants
, This drug category is divided into four groups: tricyclic and the related cyclic antidepressants; selective
serotonin reuptake inhibitors (SSRIs); MAO inhibitors (MAOIs); and others. - CORRECT
ANSWER✅✅antidepressants
Tracey is at her favorite restaurant. She is currently taking a MAOI for major depressive illness. She
begins to order her meal. Which meal lets her nurse know she needs further teaching in regards to her
strict tyramine-free diet?
a) "I ordered glass of water, fresh chicken salad with fresh carrots and fresh apples, with a side of
cottage cheese."
b) "I ordered a slice of pizza with white sauce and ricotta cheese."
c) "I ordered a glass of wine-I had it measured. It was only 1 oz of wine and that was the only wine I had
today."
d) "I ordered Big Momma's Dish of Lasagna; I then went out and about 3 beers with my friends; and
before I went home I stopped and got a peanut-buster parfae for a little snack." - CORRECT
ANSWER✅✅answer: d
rationale: do not eat mature or aged cheeses or dishes made with cheese-cheese not considered ages:
cottage cheese, cream cheese, ricotta cheese and processes cheese; aged meats are a no; no fava, tofu,
banana pel, overripe fried and avocado; all tap beers and microbrewery beer. drink no more than 2 cans
or botttles of beer-including nonalcoholic beer) or 4 oz of wine per day; no sauerkraut, soy sauce or
soybean condiments, or marmite (concetrated yeast); and no yogurt, sour cream, peanuts, brewer's
yeast, and no MSG.
SSRIs: Prozac, Luvox, Paxil, Zoloft, Celexa, and Lexapro are all in what category of psychotropics? -
CORRECT ANSWER✅✅antidepressants
Cyclic compounds: Tofranil, Norpramin, Elavil, Sinequan, Remeron..these are all in what category of
psychotropics? - CORRECT ANSWER✅✅antidepressants
Wellbutrin, Effexor, Pristiq, Trazodone (Desyrel), Cymbalta-these are all in what category of
psychotropics? - CORRECT ANSWER✅✅antidepressants
What are the main psychotropic drug categories? - CORRECT ANSWER✅✅antipsychotics,
antidepresssants, mood stabilizers, anxiolytics, and stimulants
formerly known a neuroleptics, these drugs are used to treat the symptoms of psychosis, such as
delusions and hallucinations seen in schizophrenia, schizoaffective disorder, and the manic phase of
bipolar disorder. - CORRECT ANSWER✅✅antipsychotics
this psychotropic drug category's primary medical treatment is for schizophrenia and used in psychotic
episodes of acute mania, psychotic depression, and drug-induced psychosis; also with dementia who
have psychotic symptoms. - CORRECT ANSWER✅✅antipsychotics
these psychotropic drugs have extrapyramidal symptoms, neuroleptic malignant syndrome, tardive
dyskinesia, anticholinergic side effects. - CORRECT ANSWER✅✅antipysychotics
these are serious neurologic symptoms, and are major side effects of antipyschotic drugs, and include
acute dystonia, pseudoparkinsonism, and akathisia. - CORRECT ANSWER✅✅EPS or Extrapyramidal
syptoms
this symptom includes acute muscular rigidity and cramping, a stiff or thick tongue with diffecultly
swallwing and in sever cases, laryngospasm and respiratory difficulties; occurs most likely in the first
week of treatment, those that are younger than 40, male, and those recieving first generation
antipsychotics such as thiothixene (Narvane0 or haloperido (Haldol). - CORRECT ANSWER✅✅acute
dystonia
this symptom is a "drug-induced" parkinsonism; is often referred to by the generic label of EPS;
resemble those of Parkinson's disease and include a stiff, shuffling, festinating gait (with small steps);
cogwheel rigidity (ratchet-like movements of joints); drooling ; tremor, bradycardia, and coarse pill-
rolling movements of the thumb and fingers while at rest. - CORRECT ANSWER✅✅pseudoparkinsonism
this symptom is reported by the client at an intense need to move about; client appears restless or
anxious and agitated, often with a rigid posture or gait and a lack of spontaneous gestures. This feeling
internal restlessness and the inability to sit still or rest often leads clients to discontinue their use of
antipsychotic meds. - CORRECT ANSWER✅✅akathisia
,this is a potentially fatal idiosyncratic reaction to an antipsychotic (or neuroleptic) drug - CORRECT
ANSWER✅✅neuroleptic malignant syndrome (NMS)
this is permanent involuntary movements, is most commonly caused by long-term use of conventional
antipsychotics (first generation) - CORRECT ANSWER✅✅tardive dyskinesia (TD)
what categories are these drugs? phenothiazines: chlorpromazine (Thorazine); thioxanthene:
thiothixene (Navane); butyrophenones: haloperido (Halidol) - CORRECT ANSWER✅✅conventional (first-
generation) antipsychotics
what category are these drugs? chozapine (Clozaril); olanzapine (Zyprexa); ziprasidone (Geodon) -
CORRECT ANSWER✅✅atypical (second-generation) antipsychotics
what category is this drug? aripiprazole (Abilify) - CORRECT ANSWER✅✅third-generation antipsychotics
Elderly patients with dementia-related psychosis treated with atypical (sencond-generation)
antipsychotics are at an increased risk for death; these drugs can cause death that appear to be either
cardiovascular or infectious; list three of the main antipsychotics that are being discussed here. -
CORRECT ANSWER✅✅Clozaril, Zyprexa, and Geodon.
Droperidol, Thioridazine, Mesoridazine may lengthen the QT interval, leading to potentially life-
threatening cardiac dysrythmias or cardiac arrest-what drug category is this? - CORRECT
ANSWER✅✅atypical (second-generation) antipsychotics
Clozapine, may cause agranulocytosis, a potentially life-threatening event; you must have a baseline
WBC count and differential before initiation of treatment and WBC count every week throughout
treatment and for 4 weeks after discontinuation . Clozapine is in what category? - CORRECT
ANSWER✅✅atypical (second-generation) antipsychotics
These psychotropic drug category are primarily used in the treatment of major depressive illness,
anxiety disorders, the depressed phase of bipolar disorder, and psychotic depression. - CORRECT
ANSWER✅✅antidepressants
, This drug category is divided into four groups: tricyclic and the related cyclic antidepressants; selective
serotonin reuptake inhibitors (SSRIs); MAO inhibitors (MAOIs); and others. - CORRECT
ANSWER✅✅antidepressants
Tracey is at her favorite restaurant. She is currently taking a MAOI for major depressive illness. She
begins to order her meal. Which meal lets her nurse know she needs further teaching in regards to her
strict tyramine-free diet?
a) "I ordered glass of water, fresh chicken salad with fresh carrots and fresh apples, with a side of
cottage cheese."
b) "I ordered a slice of pizza with white sauce and ricotta cheese."
c) "I ordered a glass of wine-I had it measured. It was only 1 oz of wine and that was the only wine I had
today."
d) "I ordered Big Momma's Dish of Lasagna; I then went out and about 3 beers with my friends; and
before I went home I stopped and got a peanut-buster parfae for a little snack." - CORRECT
ANSWER✅✅answer: d
rationale: do not eat mature or aged cheeses or dishes made with cheese-cheese not considered ages:
cottage cheese, cream cheese, ricotta cheese and processes cheese; aged meats are a no; no fava, tofu,
banana pel, overripe fried and avocado; all tap beers and microbrewery beer. drink no more than 2 cans
or botttles of beer-including nonalcoholic beer) or 4 oz of wine per day; no sauerkraut, soy sauce or
soybean condiments, or marmite (concetrated yeast); and no yogurt, sour cream, peanuts, brewer's
yeast, and no MSG.
SSRIs: Prozac, Luvox, Paxil, Zoloft, Celexa, and Lexapro are all in what category of psychotropics? -
CORRECT ANSWER✅✅antidepressants
Cyclic compounds: Tofranil, Norpramin, Elavil, Sinequan, Remeron..these are all in what category of
psychotropics? - CORRECT ANSWER✅✅antidepressants
Wellbutrin, Effexor, Pristiq, Trazodone (Desyrel), Cymbalta-these are all in what category of
psychotropics? - CORRECT ANSWER✅✅antidepressants
