PsychgandgPharmgfinal.
NUg425gPHARMgPSYCHgFINALgSTUDYgGUIDE/NOTES
PharmgKeegstudygguideg23
1. Agpatient’sgwanderinggandghostilityglevelsghavegincreasedgpergfamilygreports.gWhatgshouldgconcerngtheg
nursegingthisgpatientgwhogisgtakinggmemantineg(Namenda)g10gmg/d?g-
gThegpatientgisgnotgtakinggenoughgofgthegmedication
2. Whatgstatementgbygthegpatientgindicatesgangunderstandinggofghowgtogrelievegsomegsidegeffectsg
associatedgwithgthegusegofgbenzotropinegmesylateg(Cogentin)?
“Igcangsuckgonghardgcandygorgchewgsugarlessggumgtogpreventgdrygmouth”
PharmgKeeg27
1. ThegnursegisgcaringgforgagpatientgwhoghasgbegungtakinggchlorpromazinegHClg(Thorazine)g75gmggBIDgtog
treatgschizophrenia.gAgfamilygmembergtellsgthegnursegthatgthegpatient’sgagitation,ghallucinations,gandgde
lusionalgsymptomsghavegimproved,gbutgthegpatientgcontinuesgtogwithdrawgfromgsocialginteractiongandgwo
n’tgbathegunlessgremindedgtogdogso.gThegnursegwillgtellgthegfamilygmembergthat
a. allgsymptomsgwillgeventuallygresolvegovergtimegwithgthisgmedication.
b. thegpatientgmaygneedgangincreasedgdosegofgthegantipsychoticgmedication.
c. thesegresultsgmaygindicategthatgthegpatientgdoesgnotghavegschizophrenia.
d. theygshouldgconsidergdiscussinggaddingganothergmedication.
ANS:gD
2. Thegnursegisgassessinggagyounggadultgpatientgwithgschizophreniagwhogrecentlygbegangtakinggfluphena
zineg(Prolixin).gThegpatientgisgexhibitinggspasmsgofgfacialgmusclesgalonggwithggrimacing,gandgthegnursegnot
esgupwardgeyegmovements.gThegnursegsuspectsgwhichgsidegeffect?
a. Acutegdystonia
b. Akathisia
c. Pseudoparkinsonism
d. Tardivegdyskinesiag
ANS:gA
3. Thegnursegisgpreparinggtogadministergloxapineg(Loxitane)g50gmggtogagpatientgwhoghasgschizophrenia.g
Thegpatientghasgbeengtakinggthisgmedicationgtwicegdailygforg15gmonths.gThegnursegnotesgsmackingglipg
movementsgandginvoluntarygmovementsgofgallgextremities.gWhichgactiongbygthegnursegisgcorrect?
a. Administergthegmedicationgasgorderedgtogtreatgthesegsymptomsgofgpsychosis.
b. Holdgthegdosegandgnotifygthegprovidergofgthesegmedicationgadversegeffects.
c. Requestgangordergforganganticholinergicgmedicationgsuchgasgbenztropineg(Cogentin).
d. Suggestgthatgthegprovidergincreasegthegdosegtog125gmggtwicegdaily.g
ANS:gB
4. Agpatientgwhogtakesgloxapineg(Loxitane)gtogtreatgschizophreniagisgnotedgtogbegrestlessgandgfidgetygandgisg
pacinggaroundgthegroom.gThegnursegcaringgforgthisgpatientgwillgperformgwhichgaction?
a. Contactgthegprovidergtogdiscussgchanginggtogbenztropineg(Cogentin).
b. Notifygthegprovidergofgthesegsymptomsgandgrequestgangordergforglorazepamg(Ativan).
c. Questiongthegpatientgaboutgadherencegtogthegdruggregimen.
d. Recognizegthesegsignsgofgagseriousgadversegdruggreactiongandgnotifygthegprovider.g
ANS:gB
,PsychgandgPharmgfinal.
5. Agpatientgarrivesgingthegemergencygdepartmentgwithgdehydration.gThegpatientgreportsgtakinggflu
phenazineg(Prolixin)gtogtreatgschizophrenia.gThegnursegnotesgrigidgmusclesgandgangalteredgmentalgsta
tus.gThegpatientghasgagtemperaturegofg103.6°gF,gagheartgrategofg98gbeatsgpergminute,gandgagbloodgpre
ssuregofg90/58gmmgHg.gThegnursegwillganticipategadministeringgwhichgmedication?
a. Dantroleneg(Dantrium)
b. Haloperidolg(Haldol)
c. Propranololg(Inderal)
d. Tetrabenazineg(Xenazine)g
ANS:gA
6. Thegparentgofgagyounggadultgwhoghasgschizophreniagisgconcernedgthatgthegpatientgspitsgoutgpillsgthatg
areggiven.gThegnursegwillgsuggestgcontactinggthegpatient’sgprovidergtogdiscussgwhichgintervention?
a. Changinggtogagliquidgformgofgthegmediation
b. Providinggaghomeghealthgnursegtogsupervisegmedicationgadministration
c. Teachinggthegpatientgthegimportancegofgtakinggthegmedication
d. Weeklygintramuscularginjectionsgofgthegmedicationg
ANS:gA
7. Thegnursegisgpreparinggtogadministergintramuscularghaloperidolg(Haldol)gtogagpatientgwhoghasg
schizophrenia.gWhatgactiongwillgthegnursegperform?
a. Massagegthegsitegafterginjectinggthegmedicationgtogensuregcompletegabsorption.
b. Teachgthegpatientgtogreturngeverygweekgtogreceivegmedicationgdoses.
c. Usegagsmallgboregneedlegwhenginjectinggthegmedication.
d. UsegthegZ-trackgmethodgandginjectgthegmedicationgintogdeepgmusclegtissue.
ANS:gD
8. Thegnursegisgteachinggagpatientgwhogwillgbegdischargedghomegongagtypicalgantipsychoticgmedicationgtogt
reatgschizophrenia.gWhichgstatementgbygthegpatientgindicatesgagneedgforgfurthergteaching?
a. “Igshouldgnotgdrinkgalcoholgwhilegtakinggthisgmedication.”
b. “Igshouldgusegagheatinggpadgtogtreatgmusclegspasmsgwhilegtakinggthisgmedication.”
c. “Igshouldgusegsunscreengwhilegtakinggthisgmedication.”
d. “Igwillgneedgfrequentgbloodgtestsgwhilegtakinggthisgmedication.”g
ANS:gB
9. Agpatientgwhogisgaboutgtogbegingtakinggthegatypicalgantipsychoticgmedicationgclozapineg(Clozaril)gisgco
ncernedgaboutgsidegeffects.gWhatginformationgwillgthegnursegincludegwhengteachinggthegpatientgaboutgthi
sgmedication?
a. “Yougaregmoreglikelygtogexperiencegdrygmouth,gconstipation,gandgurinarygretention.”
b. “Yougmaygexperiencegweightggain,gdrowsiness,gandgheadaches.”
c. “Yougwillgnotgexperiencegextrapyramidalgsidegeffectsgwithgthisgmedication.”
d. “Yougwillgnotgneedgfrequentglabgworkgwhilegtakinggthisgmedication.”g
ANS:gB
10. Agfamilygmembergofgagpatientgwhoghasgbeengtakinggfluphenazineg(Prolixin)gforg3gmonthsgcallsgtogrepo
rtgthatgthegpatientgisgexhibitinggagitationgandgrestlessness.gThegnurseglearnsgthatgthegpatient’sgdelusional
gthinkinggandghallucinationsghavegstoppedgsincegtakinggthegmedication.gThegnursegwillgperformgwhichgacti
on?
a. Reassuregthegfamilygmembergthatgtolerancegtogthesegsidegeffectsgwillgsubsidegovergtime.
,PsychgandgPharmgfinal.
b. Remindgthegfamilygmembergthatgcompletegdruggeffectsgmaygnotgoccurgforgseveralgmoregweeks.
c. Suggestgthatgthegfamilygmembergcontactgthegprovidergtogdiscussgangordergforgagbenzodiazepine.
d. Tellgthegfamilygmembergtogwithholdgthegmedicationgandgnotifygthegpatient’sgprovider.g
ANS:gC
11. Agpatientghasgbeengtakinggrisperidoneg(Risperdal)gforg2gweeks.gThegpatientgreportsgdrowsinessgandg
headache.gWhatgwillgthegnursegdo?
a. Counselgthegpatientgtogrequestgchanginggtogaripiprazoleg(Abilify).
b. Reassuregthegpatientgthatgthesegaregcommongsidegeffectsgofgthegmedication.
c. Suggestgthatgthegpatientghavegserumgglucosegtesting.
d. Suggestgthatgthesegmaygbegsignsgofgagranulocytosis.g
ANS:gB
12. Thegnursegisgperforminggagmedicationghistorygongagpatientgwhogreportsgtakingglorazepamg(Ativan)gforg
thegpastg6gmonthsgtogtreatganganxietygdisorder.gThegpatientgstatesgthatgthegmedicationgisgnotgworkinggasg
wellgasgpreviously.gThegnursegwill
a. contactgthegprovidergtogdiscussgchanginggtoganothergbenzodiazepine.
b. notifygthegprovidergandgdiscussgincreasinggthegdosegofglorazepam.
c. suspectgworseninggofgtheganxietygdisorder.
d. understandgthatgthegpatientghasgdevelopedgtolerancegtogthisgdrug.
ANS:gD
13. Agpatientgwhogisgtakinggchlorpromazinegcallsgthegclinicgtogreportghavinggreddish-
browngurine.gWhatgactiongwillgthegnursegtake?
a. NotifygthegprovidergandgrequestgordersgforgcreatininegclearancegandgBUNglevels.
b. Reassuregthegpatientgthatgthisgisgagharmlessgsidegeffectgofgthisgmedication.
c. Tellgthegpatientgtogcomegtogthegclinicgforgagurinalysis.
d. Tellgthegpatientgtogdiscardganygdruggonghandgandgrequestgagnewgprescription.g
ANS:gB
14. Agpatientghasgbegungtakinggbuspironeghydrochlorideg(BuSpar)g7.5gmggtwicegdailygtogtreatgacuteganxi
etygandgcallsg1gweekglatergtogreportglittlegchangegingsymptoms.gWhatgwillgthegnursegtellgthegpatient?
a. “Therapeuticgeffectsgmaygnotgbegevidentgforganothergweek.”
b. “Thegprovidergmaygneedgtogincreasegthegdosegtog15gmggtwicegdaily.”
c. “Notifygthegprovidergandgrequestgangordergforganotherganxiolytic.”
d. “Stopgtakinggthegdruggandgnotifygthegprovidergthatgitgdoesn’tgwork.”g
ANS:gA
15. Agpatientgwhogisgtakinggfluphenazineg(Prolixin)gtogtreatgpsychosisgisgexperiencinggsymptomsgofgacuteg
dystonia.gWhilegperforminggagmedicationghistory,gthegnurseglearnsgthatgthegpatientgtakesgherbalgmedic
ations.gWhichgherbalgsupplementgwouldgbegofgconcern?
a. Ginkgo
b. Ginseng
c. Kavagkava
d. St.gJohn’sgwortg
ANS:gC
, PsychgandgPharmgfinal.
16. Agpatientgisgbroughtgtogthegemergencygdepartmentgwithgdecreasedgrespirationsgandgsomnolence.gTheg
nursegnotesgagheartgrategofg60gbeatsgpergminutegandgagbloodgpressuregofg80/58gmmgHg.gThegpatientgisgkn
owngtogtakegalprazolamg(Xanax)gtogtreatganxiety.gWhichgmedicationgwillgthegnurseganticipategthegprovide
rgtogorder?
a. Benztropineg(Cogentin)
b. Flumazenilg(Romazicon)
c. Lorazepamg(Ativan)
d. Propranololg(Inderal)g
ANS:gB
17. Agpatientgarrivesgingthegemergencygdepartmentgcomplaininggofgdifficultygbreathing,gdizziness,gswea
ting,gandgheartgpalpitations.gThegpatientgreportsghavingghadgsimilargepisodesgpreviously.gThegnursegwillge
xpectgthegprovidergtogordergwhichgmedication?
a. Flumazenilg(Romazicon)
b. Haloperidolg(Haldol)
c. Lorazepamg(Ativan)
d. Propranololg(Inderal)g
ANS:gC
18. Thegnursegisgteachinggagpatientgaboutgtakingganganxiolyticgagentgtogtreatggrief-
relatedganxiety.gWhichgstatementgbygthegpatientgindicatesgunderstandinggofgthegteaching?
a. “Igmayghavegwinegwithgdinnergtoghelpgwithgrelaxation.”
b. “Igmaygneedgtogtakegthisgmedicationgforgupgtogagyear.”
c. “Igmaygstopgtakinggthegmedicationgwhengmygsymptomsggogaway.”
d. “Igshouldgtrygpsychotherapygorgagsupportggroupgingadditiongtogthegmedication.”
ANS:gD
BOOKgQUESTIONS
1. Thegnursegsuspectsgthatgagpatientgwhogisgexperiencinggfacialggrimacing,ginvoluntarygupwardgeyeg
movement,gandgmusclegspasmsgofgthegtonguegandgfacegmayghavegwhichgcondition?g-
Acutegdystonia
2. Agpatientgaskgthegnursegtogexplainghowgantipsychoticgdrugsgworkgtogmakeghimgfeelgbetter.gTheg
nursegunderstandsgthatgantipsychoticsgactgingwhichgway?g-Blockinggactionsgofgepinephrine.
3. Antgantipsychoticgagent,gfluphenazineg(Prolixin),gisgorderedgforgagpatientgwithgpsychosis.gTheg
nursegunderstandsgthatgthisgagentgcangleadgtogextrapyramidalgsymptomsgthatgmaygbegtreatedg
withgwhichgmedication?g-benztropineg(Cogentin)
4. Angatypicalgantipsychoticgisgprescribedgforgagpatientgwithgpsychosis.gThegnursegunderstandsgthatg
thisgcategorygofgmedicationsgincludesgwhichgdrugs?g(Selectgallgthatgapply)g-
clozapineg(Clozaril),golanzapineg(Zyprexa),garipiprazoleg(Abilify)
5. Agpatientgisgprescribedglorazepamg(Ativan).gWhatgdoesgthegnursegknowgtogbegtruegregardinggl
orazepam?g-Itgmaygcauseganterogradegamnesiagandgsleep-relatedgbehaviors.
NUg425gPHARMgPSYCHgFINALgSTUDYgGUIDE/NOTES
PharmgKeegstudygguideg23
1. Agpatient’sgwanderinggandghostilityglevelsghavegincreasedgpergfamilygreports.gWhatgshouldgconcerngtheg
nursegingthisgpatientgwhogisgtakinggmemantineg(Namenda)g10gmg/d?g-
gThegpatientgisgnotgtakinggenoughgofgthegmedication
2. Whatgstatementgbygthegpatientgindicatesgangunderstandinggofghowgtogrelievegsomegsidegeffectsg
associatedgwithgthegusegofgbenzotropinegmesylateg(Cogentin)?
“Igcangsuckgonghardgcandygorgchewgsugarlessggumgtogpreventgdrygmouth”
PharmgKeeg27
1. ThegnursegisgcaringgforgagpatientgwhoghasgbegungtakinggchlorpromazinegHClg(Thorazine)g75gmggBIDgtog
treatgschizophrenia.gAgfamilygmembergtellsgthegnursegthatgthegpatient’sgagitation,ghallucinations,gandgde
lusionalgsymptomsghavegimproved,gbutgthegpatientgcontinuesgtogwithdrawgfromgsocialginteractiongandgwo
n’tgbathegunlessgremindedgtogdogso.gThegnursegwillgtellgthegfamilygmembergthat
a. allgsymptomsgwillgeventuallygresolvegovergtimegwithgthisgmedication.
b. thegpatientgmaygneedgangincreasedgdosegofgthegantipsychoticgmedication.
c. thesegresultsgmaygindicategthatgthegpatientgdoesgnotghavegschizophrenia.
d. theygshouldgconsidergdiscussinggaddingganothergmedication.
ANS:gD
2. Thegnursegisgassessinggagyounggadultgpatientgwithgschizophreniagwhogrecentlygbegangtakinggfluphena
zineg(Prolixin).gThegpatientgisgexhibitinggspasmsgofgfacialgmusclesgalonggwithggrimacing,gandgthegnursegnot
esgupwardgeyegmovements.gThegnursegsuspectsgwhichgsidegeffect?
a. Acutegdystonia
b. Akathisia
c. Pseudoparkinsonism
d. Tardivegdyskinesiag
ANS:gA
3. Thegnursegisgpreparinggtogadministergloxapineg(Loxitane)g50gmggtogagpatientgwhoghasgschizophrenia.g
Thegpatientghasgbeengtakinggthisgmedicationgtwicegdailygforg15gmonths.gThegnursegnotesgsmackingglipg
movementsgandginvoluntarygmovementsgofgallgextremities.gWhichgactiongbygthegnursegisgcorrect?
a. Administergthegmedicationgasgorderedgtogtreatgthesegsymptomsgofgpsychosis.
b. Holdgthegdosegandgnotifygthegprovidergofgthesegmedicationgadversegeffects.
c. Requestgangordergforganganticholinergicgmedicationgsuchgasgbenztropineg(Cogentin).
d. Suggestgthatgthegprovidergincreasegthegdosegtog125gmggtwicegdaily.g
ANS:gB
4. Agpatientgwhogtakesgloxapineg(Loxitane)gtogtreatgschizophreniagisgnotedgtogbegrestlessgandgfidgetygandgisg
pacinggaroundgthegroom.gThegnursegcaringgforgthisgpatientgwillgperformgwhichgaction?
a. Contactgthegprovidergtogdiscussgchanginggtogbenztropineg(Cogentin).
b. Notifygthegprovidergofgthesegsymptomsgandgrequestgangordergforglorazepamg(Ativan).
c. Questiongthegpatientgaboutgadherencegtogthegdruggregimen.
d. Recognizegthesegsignsgofgagseriousgadversegdruggreactiongandgnotifygthegprovider.g
ANS:gB
,PsychgandgPharmgfinal.
5. Agpatientgarrivesgingthegemergencygdepartmentgwithgdehydration.gThegpatientgreportsgtakinggflu
phenazineg(Prolixin)gtogtreatgschizophrenia.gThegnursegnotesgrigidgmusclesgandgangalteredgmentalgsta
tus.gThegpatientghasgagtemperaturegofg103.6°gF,gagheartgrategofg98gbeatsgpergminute,gandgagbloodgpre
ssuregofg90/58gmmgHg.gThegnursegwillganticipategadministeringgwhichgmedication?
a. Dantroleneg(Dantrium)
b. Haloperidolg(Haldol)
c. Propranololg(Inderal)
d. Tetrabenazineg(Xenazine)g
ANS:gA
6. Thegparentgofgagyounggadultgwhoghasgschizophreniagisgconcernedgthatgthegpatientgspitsgoutgpillsgthatg
areggiven.gThegnursegwillgsuggestgcontactinggthegpatient’sgprovidergtogdiscussgwhichgintervention?
a. Changinggtogagliquidgformgofgthegmediation
b. Providinggaghomeghealthgnursegtogsupervisegmedicationgadministration
c. Teachinggthegpatientgthegimportancegofgtakinggthegmedication
d. Weeklygintramuscularginjectionsgofgthegmedicationg
ANS:gA
7. Thegnursegisgpreparinggtogadministergintramuscularghaloperidolg(Haldol)gtogagpatientgwhoghasg
schizophrenia.gWhatgactiongwillgthegnursegperform?
a. Massagegthegsitegafterginjectinggthegmedicationgtogensuregcompletegabsorption.
b. Teachgthegpatientgtogreturngeverygweekgtogreceivegmedicationgdoses.
c. Usegagsmallgboregneedlegwhenginjectinggthegmedication.
d. UsegthegZ-trackgmethodgandginjectgthegmedicationgintogdeepgmusclegtissue.
ANS:gD
8. Thegnursegisgteachinggagpatientgwhogwillgbegdischargedghomegongagtypicalgantipsychoticgmedicationgtogt
reatgschizophrenia.gWhichgstatementgbygthegpatientgindicatesgagneedgforgfurthergteaching?
a. “Igshouldgnotgdrinkgalcoholgwhilegtakinggthisgmedication.”
b. “Igshouldgusegagheatinggpadgtogtreatgmusclegspasmsgwhilegtakinggthisgmedication.”
c. “Igshouldgusegsunscreengwhilegtakinggthisgmedication.”
d. “Igwillgneedgfrequentgbloodgtestsgwhilegtakinggthisgmedication.”g
ANS:gB
9. Agpatientgwhogisgaboutgtogbegingtakinggthegatypicalgantipsychoticgmedicationgclozapineg(Clozaril)gisgco
ncernedgaboutgsidegeffects.gWhatginformationgwillgthegnursegincludegwhengteachinggthegpatientgaboutgthi
sgmedication?
a. “Yougaregmoreglikelygtogexperiencegdrygmouth,gconstipation,gandgurinarygretention.”
b. “Yougmaygexperiencegweightggain,gdrowsiness,gandgheadaches.”
c. “Yougwillgnotgexperiencegextrapyramidalgsidegeffectsgwithgthisgmedication.”
d. “Yougwillgnotgneedgfrequentglabgworkgwhilegtakinggthisgmedication.”g
ANS:gB
10. Agfamilygmembergofgagpatientgwhoghasgbeengtakinggfluphenazineg(Prolixin)gforg3gmonthsgcallsgtogrepo
rtgthatgthegpatientgisgexhibitinggagitationgandgrestlessness.gThegnurseglearnsgthatgthegpatient’sgdelusional
gthinkinggandghallucinationsghavegstoppedgsincegtakinggthegmedication.gThegnursegwillgperformgwhichgacti
on?
a. Reassuregthegfamilygmembergthatgtolerancegtogthesegsidegeffectsgwillgsubsidegovergtime.
,PsychgandgPharmgfinal.
b. Remindgthegfamilygmembergthatgcompletegdruggeffectsgmaygnotgoccurgforgseveralgmoregweeks.
c. Suggestgthatgthegfamilygmembergcontactgthegprovidergtogdiscussgangordergforgagbenzodiazepine.
d. Tellgthegfamilygmembergtogwithholdgthegmedicationgandgnotifygthegpatient’sgprovider.g
ANS:gC
11. Agpatientghasgbeengtakinggrisperidoneg(Risperdal)gforg2gweeks.gThegpatientgreportsgdrowsinessgandg
headache.gWhatgwillgthegnursegdo?
a. Counselgthegpatientgtogrequestgchanginggtogaripiprazoleg(Abilify).
b. Reassuregthegpatientgthatgthesegaregcommongsidegeffectsgofgthegmedication.
c. Suggestgthatgthegpatientghavegserumgglucosegtesting.
d. Suggestgthatgthesegmaygbegsignsgofgagranulocytosis.g
ANS:gB
12. Thegnursegisgperforminggagmedicationghistorygongagpatientgwhogreportsgtakingglorazepamg(Ativan)gforg
thegpastg6gmonthsgtogtreatganganxietygdisorder.gThegpatientgstatesgthatgthegmedicationgisgnotgworkinggasg
wellgasgpreviously.gThegnursegwill
a. contactgthegprovidergtogdiscussgchanginggtoganothergbenzodiazepine.
b. notifygthegprovidergandgdiscussgincreasinggthegdosegofglorazepam.
c. suspectgworseninggofgtheganxietygdisorder.
d. understandgthatgthegpatientghasgdevelopedgtolerancegtogthisgdrug.
ANS:gD
13. Agpatientgwhogisgtakinggchlorpromazinegcallsgthegclinicgtogreportghavinggreddish-
browngurine.gWhatgactiongwillgthegnursegtake?
a. NotifygthegprovidergandgrequestgordersgforgcreatininegclearancegandgBUNglevels.
b. Reassuregthegpatientgthatgthisgisgagharmlessgsidegeffectgofgthisgmedication.
c. Tellgthegpatientgtogcomegtogthegclinicgforgagurinalysis.
d. Tellgthegpatientgtogdiscardganygdruggonghandgandgrequestgagnewgprescription.g
ANS:gB
14. Agpatientghasgbegungtakinggbuspironeghydrochlorideg(BuSpar)g7.5gmggtwicegdailygtogtreatgacuteganxi
etygandgcallsg1gweekglatergtogreportglittlegchangegingsymptoms.gWhatgwillgthegnursegtellgthegpatient?
a. “Therapeuticgeffectsgmaygnotgbegevidentgforganothergweek.”
b. “Thegprovidergmaygneedgtogincreasegthegdosegtog15gmggtwicegdaily.”
c. “Notifygthegprovidergandgrequestgangordergforganotherganxiolytic.”
d. “Stopgtakinggthegdruggandgnotifygthegprovidergthatgitgdoesn’tgwork.”g
ANS:gA
15. Agpatientgwhogisgtakinggfluphenazineg(Prolixin)gtogtreatgpsychosisgisgexperiencinggsymptomsgofgacuteg
dystonia.gWhilegperforminggagmedicationghistory,gthegnurseglearnsgthatgthegpatientgtakesgherbalgmedic
ations.gWhichgherbalgsupplementgwouldgbegofgconcern?
a. Ginkgo
b. Ginseng
c. Kavagkava
d. St.gJohn’sgwortg
ANS:gC
, PsychgandgPharmgfinal.
16. Agpatientgisgbroughtgtogthegemergencygdepartmentgwithgdecreasedgrespirationsgandgsomnolence.gTheg
nursegnotesgagheartgrategofg60gbeatsgpergminutegandgagbloodgpressuregofg80/58gmmgHg.gThegpatientgisgkn
owngtogtakegalprazolamg(Xanax)gtogtreatganxiety.gWhichgmedicationgwillgthegnurseganticipategthegprovide
rgtogorder?
a. Benztropineg(Cogentin)
b. Flumazenilg(Romazicon)
c. Lorazepamg(Ativan)
d. Propranololg(Inderal)g
ANS:gB
17. Agpatientgarrivesgingthegemergencygdepartmentgcomplaininggofgdifficultygbreathing,gdizziness,gswea
ting,gandgheartgpalpitations.gThegpatientgreportsghavingghadgsimilargepisodesgpreviously.gThegnursegwillge
xpectgthegprovidergtogordergwhichgmedication?
a. Flumazenilg(Romazicon)
b. Haloperidolg(Haldol)
c. Lorazepamg(Ativan)
d. Propranololg(Inderal)g
ANS:gC
18. Thegnursegisgteachinggagpatientgaboutgtakingganganxiolyticgagentgtogtreatggrief-
relatedganxiety.gWhichgstatementgbygthegpatientgindicatesgunderstandinggofgthegteaching?
a. “Igmayghavegwinegwithgdinnergtoghelpgwithgrelaxation.”
b. “Igmaygneedgtogtakegthisgmedicationgforgupgtogagyear.”
c. “Igmaygstopgtakinggthegmedicationgwhengmygsymptomsggogaway.”
d. “Igshouldgtrygpsychotherapygorgagsupportggroupgingadditiongtogthegmedication.”
ANS:gD
BOOKgQUESTIONS
1. Thegnursegsuspectsgthatgagpatientgwhogisgexperiencinggfacialggrimacing,ginvoluntarygupwardgeyeg
movement,gandgmusclegspasmsgofgthegtonguegandgfacegmayghavegwhichgcondition?g-
Acutegdystonia
2. Agpatientgaskgthegnursegtogexplainghowgantipsychoticgdrugsgworkgtogmakeghimgfeelgbetter.gTheg
nursegunderstandsgthatgantipsychoticsgactgingwhichgway?g-Blockinggactionsgofgepinephrine.
3. Antgantipsychoticgagent,gfluphenazineg(Prolixin),gisgorderedgforgagpatientgwithgpsychosis.gTheg
nursegunderstandsgthatgthisgagentgcangleadgtogextrapyramidalgsymptomsgthatgmaygbegtreatedg
withgwhichgmedication?g-benztropineg(Cogentin)
4. Angatypicalgantipsychoticgisgprescribedgforgagpatientgwithgpsychosis.gThegnursegunderstandsgthatg
thisgcategorygofgmedicationsgincludesgwhichgdrugs?g(Selectgallgthatgapply)g-
clozapineg(Clozaril),golanzapineg(Zyprexa),garipiprazoleg(Abilify)
5. Agpatientgisgprescribedglorazepamg(Ativan).gWhatgdoesgthegnursegknowgtogbegtruegregardinggl
orazepam?g-Itgmaygcauseganterogradegamnesiagandgsleep-relatedgbehaviors.
