NCLEX Psych/Mental Health Pharm EXAM GUIDE QUESTIONS WITH ANSWERS 2021

NCLEX Psych/Mental Health Pharm EXAM GUIDE QUESTIONS WITH ANSWERS 2021 Which client condition is contraindicated for prescribing clozapine? A. Seizures B. Glaucoma C. Dysrhythmias D. Bone marrow depression Which antipsychotic drugs have the higher risk of causing tardive dyskinesia? Select all that apply. A. Loxapine B. Quetiapine C. Haloperidol D. Ziprasidone E. Olanzapine A client has been prescribed lithium. What important nursing intervention must be implemented while this medication is being administered? A. Restricting the client's daily sodium intake B. Testing the client's urine specific gravity weekly C. Regularly testing the level of the drug in the client's blood D. Withholding the client's other medications for several days Which drug would the nurse administer transdermally to treat a client with major depression? A. Selegiline B. Phenelzine C. Isocarboxazid D. Tranylcypromine The primary healthcare provider prescribes a neuroleptic drug to a client diagnosed with schizophrenia. On what basis would the primary healthcare provider choose the drug? A. Symptoms B. Side effects C. Therapeutic effects D. Underlying pathology Which statement is true regarding antipsychotic drugs? A. All first- and second-generation antipsychotics are equally effective. B. Second-generation antipsychotics pose a risk of extrapyramidal symptoms. C. First-generation antipsychotics pose a significant risk of metabolic side effects. D. Clozapine is more effective than other second-generation antipsychotics. Which condition is contraindicated for St. John's wort herbal therapy? A. Anxiety B. Seizures C. Dementia D. Cardiac disease Which drug is contraindicated in clients with blood dyscrasias? A. Duloxetine B. Bupropion C. Mirtazapine D. Chlorpromazine During an interview and assessment, a 60-year-old client reports to the nurse, "I've been using St. John's wort to try to feel more like myself again. I'm not sure whether it's going to work." The nurse will pursue an assessment related to the client's report of which symptom? A. Depression B. Sleep disturbances C. Diminished cognitive ability D. Sensory-perceptual disturbances A client with a history of methamphetamine use is admitted to the medical unit. What clinical manifestation does the nurse expect when assessing the client? A. Constricted pupils B. Intractable diarrhea C. Increased heart rate D. Decreased respirations A client has a bipolar disorder for which the primary healthcare provider prescribes a mood-stabilizing medication. The nurse completes a teaching session with the client concerning the medical regimen. Which client comment indicates to the nurse that further teaching is needed? A. "I know I won't have to stay on this medication for too long." B. "I understand that I'll need to keep in touch with my primary healthcare provider." C. "Taking medication without using other forms of therapy may not be as effective." D. "Taking the medication is better than experiencing the highs and lows I've been having." Which antidepressant drug is a selective monoamine oxidase-B inhibitor? A. Selegiline B. Phenelzine C. Isocarboxazid D. Tranylcypromine Which second-generation antidepressant can worsen uncontrolled angle closure glaucoma? A. Trazodone B. Bupropion C. Duloxetine D. Mirtazapine Which drugs may cause an increase in the serum clozapine level? Select all that apply. A. Rifampin B. Phenytoin C. Ketoconazole D. Erythromycin E. Bromocriptine A depressed client is prescribed citalopram hydrobromide. Six days later the client tearfully says to the nurse, "I'm taking an antidepressant, but it's not working. I'm hopeless." What is the best response by the nurse? A. "You feel hopeless." B. "It's easy to get discouraged." C. "It takes 2 or 3 weeks before it begins to relieve depression." D. "Give it a little more time; it works more slowly in some people." Which food should be avoided by a client who is prescribed monoamine oxidase inhibitors (MAOIs)? A. Bologna B. Potatoes C. Citrus fruit D. Grapefruit juice An antianxiety medication is prescribed for an extremely anxious client. The client says, "I'm afraid to take this medication because I heard they're addictive." The nurse teaches the client that antianxiety medications have what properties? A. Rarely cause dependence when the dosage is controlled B. May require increases in dosage but rarely cause dependence C. Usually result in psychological but not physiologic dependence D. Have the potential for physiologic and psychological dependence A nurse notes that haloperidol is most effective for clients who exhibit which type of behavior? A. Depressed B. Overactive C. Withdrawn D. Manipulative Which drug worsens uncontrolled angle-closure glaucoma when used for the treatment of generalized anxiety disorder? A. Buspirone B. Duloxetine C. Chlorpromazine D. Lithium carbonate A nurse is caring for a client with the diagnosis of bipolar disorder, manic episode. The healthcare provider prescribes divalproex sodium (Depakote) 375 mg twice a day by mouth. The divalproex sodium is labeled "250 mg/5 mL." How many milliliters of solution will the nurse administer per dose? Record your answer using one decimal place. ____ mL 7.5 Nortriptyline three times a day is prescribed for a depressed client. When does the nurse expect a therapeutic response? A. 1 to 3 days B. 2 to 3 weeks C. 12 to 24 hours D. 30 minutes to 2 hours A healthcare provider diagnoses attention deficit hyperactivity disorder (ADHD) in a 7-year-old child and prescribes methylphenidate. The nurse discusses the child's treatment with the parents. What does the nurse emphasize as important for the parents to do? A. Monitor the effect of the medication on their child's behavior. B. Increase or decrease the dosage, depending on the child's behavior. C. Avoid imposing too many rules, because this will frustrate the child. D. Point out to their child that behavior can be controlled. A 45-year-old client who recently completed alcohol detoxification reports plans to begin using disulfiram (Antabuse) as part of the alcoholism treatment regimen. What important client teaching does the nurse share regarding this drug? A. Voluntary compliance with the disulfiram regimen is very high. B. A single dose of oral disulfiram will be effective for up to 72 hours. C. Disulfiram may be taken intramuscularly and will be effective for as long as 7 days. D. Foods, medications, and any topical preparation containing alcohol should be avoided. After assessing a client, the nurse suspects that the client has shift-work sleep disorder (SWSD). Which medication would be prescribed to the client? A. Caffeine B. Modafinil C. Atomoxetine D. Methylphenidate Which statement about psychotherapeutic drugs in elderly clients requires correction? A. Tricyclic antidepressants may increase anxiety in elderly clients. B. Normal dosage of lithium may result in lithium toxicity in elderly clients. C. Elderly clients on antipsychotic drugs are susceptible to orthostatic hypotension. D. Low serum levels of the drug are reported in elderly clients on psychotherapeutic drugs. D. Low serum levels of the drug are reported in elderly clients on psychotherapeutic drugs. Which statement about primary anxiolytic drugs requires correction? A. Benzodiazepines are indicated for ethanol withdrawal. B. Benzodiazepines increase the activity of gamma-aminobutyric acid. C. Benzodiazepines are the first-line drugs used in chronic anxiety disorders. D. Benzodiazepines act by depressing the activity in the region of the brainstem. B. Benzodiazepines increase the activity of gamma-aminobutyric acid. A nurse is caring for several clients with major thought disorders such as schizophrenia. They are all being treated with neuroleptic drugs. How do these drugs act in the body to promote mental health? A. By inhibiting enzymes at the postsynaptic receptor site B. By decreasing serotonin at the postsynaptic receptor site C. By increasing dopamine uptake at the postsynaptic receptor site D. By blocking access to dopamine receptors at the postsynaptic receptor site D. By blocking access to dopamine receptors at the postsynaptic receptor site Which adverse effect is least likely to occur in a client who is prescribed clozapine? A. Seizures B. Sedation C. Akathisia D. Myocarditis D. Myocarditis Which drug most commonly causes extrapyramidal side effects (EPS)? A. Clozapine B. Haloperidol C. Risperidone D. Aripiprazole B. Haloperidol