WCU Mental Health FINAL EXAM
STUDY GUIDE 2025/2026
ACCURATE QUESTIONS AND
VERIFIED CORRECT SOLUTIONS
WITH RATIONALES || 100%
GUARANTEED PASS <LATEST
VERSION>
TCA side effects - ANSWER Orthohypotension
Anticholinergic effects
Sedation
Contraindications to TCAs - ANSWER Amitriptyline is pregnancy
category C
Sieizures
What should you not take with TCAs - ANSWER MAOIs
Alcohol
Other anticholinergic medication
1st generation antipsychotics names - ANSWER Chlorpromazine,
haloperidol, fluphenazine, loxapine
1st generation - ANSWER EPS, liver impairment, anticholinergic effects,
sedation, seizures, sexual dysfunction, skin effects
Contraindications to 1st Gen - ANSWER Liver issues, Parkinson's
disease, severe hypotension, dementia
What does 1st Gen antipsychotics do - ANSWER Block dopamine
Neuromalignant syndrome - ANSWER Hyperpyrexia
BP fluctuations
,Tachycardia
Tachypnea
Decreased level of consciousness
EPS stuff - ANSWER Akathisia
Parkinsonism
Acute dystonia
Tar dive dyskinesia
Benotropine (Cogentin) - ANSWER Treats EPS
Diphenhydramine (Benadryl) - ANSWER Treats EPS
2nd Generation Antipsychotiscs - ANSWER Rispridone
Clozapine
Olanzapine
Quetiapine
Aripiprazole
Side effects of 2nd Antipsychotics - ANSWER Fewers EPS
Orthostatic hypotension
Anticholinergic effects
Sleep disturbances
Sexual dysfunction
Contraindications for EPS - ANSWER Risperidone pregnancy risk
category C
Dementia
Diabetes Mellitus
What's important about Clozapine - ANSWER Agranulocytosis
A nurse is caring for a client who is taking clozapine. For which of the
following findings should the nurse withhold the medication? -
ANSWER The client reports a sore throat
Antidepressants first Generation are also known as - ANSWER
Tricyclics Antidepressants (TCA's)
MonoAmine Oxidase Inhibitors (MAOIs)
1st generation TCA medication - ANSWER Amitriptyline
Nortriptyline
Imipramine
,Trimipramine
TCAs can occur during TCAs which can lead to - ANSWER suicidal
ideations
Phenelizine
Isocarboxazid
Tranylcypromine
Selegiline - ANSWER Medications of MAOIS
Side effects of MAOIs - ANSWER CNS stimulation
Orthostatic Hypotension
HTN crisis
Contraindications to MAOIs - ANSWER Phenelzine is pregnancy
category C
When not to take MAOIs - ANSWER TCAs
SSRIs
Ephedrine
Amphetamine
BP meds
Caffeine use during MAOIs - ANSWER Reduce caffeine use
Antidepressants 2nd Generation - ANSWER SSRIs
SSRI medications - ANSWER Fluoxetine (Prozac)
Paroxetine
Sertraline
Citalopram
Escitalopram
Side effects of SSRIs - ANSWER Weight changes
Sexual dysfunction
Serotonin Syndrome
CNS Stimulation
Contraindications to SSRIs - ANSWER Fluoxetine Pregnancy Risk C
Liver/renal dysfunction
Cardiac disease
Seizures
Diabetes
, Ulcers
GI bleedings
Do not take SSRIs with - ANSWER MAOIs
TCAs
St. John's Wort
Lithium
NSAID
How to DC SSRIs - ANSWER Taper slowly to withdrawal syndrome
SNRIs - ANSWER Antidepressant 2nd Generation
SNRI medication - ANSWER Venlafaxine
Duloxetine
Desvenlafaxine
Side effects of SNRIs - ANSWER Hyponatremia
Anorexia
HTN
Sexual dysfunction
Contraindications to SNRIs - ANSWER Fluoxetine
MAOIs
St. John's Wort
Alcohol
NSAIDs
Medication Administration for SNRIs - ANSWER To DC taper off to
avoid withdrawal syndrome
Take with food
How long for SNRIs to take effective - ANSWER 4 weeks
Lithium manic episode blood level - ANSWER 0.8-1.4
Lithium maintenance blood level - ANSWER 0.4-1.0
Early lithium toxicity - ANSWER Less than 1.5
Early lithium toxicity manifestations - ANSWER NVD
Thirst
Polyuria
STUDY GUIDE 2025/2026
ACCURATE QUESTIONS AND
VERIFIED CORRECT SOLUTIONS
WITH RATIONALES || 100%
GUARANTEED PASS <LATEST
VERSION>
TCA side effects - ANSWER Orthohypotension
Anticholinergic effects
Sedation
Contraindications to TCAs - ANSWER Amitriptyline is pregnancy
category C
Sieizures
What should you not take with TCAs - ANSWER MAOIs
Alcohol
Other anticholinergic medication
1st generation antipsychotics names - ANSWER Chlorpromazine,
haloperidol, fluphenazine, loxapine
1st generation - ANSWER EPS, liver impairment, anticholinergic effects,
sedation, seizures, sexual dysfunction, skin effects
Contraindications to 1st Gen - ANSWER Liver issues, Parkinson's
disease, severe hypotension, dementia
What does 1st Gen antipsychotics do - ANSWER Block dopamine
Neuromalignant syndrome - ANSWER Hyperpyrexia
BP fluctuations
,Tachycardia
Tachypnea
Decreased level of consciousness
EPS stuff - ANSWER Akathisia
Parkinsonism
Acute dystonia
Tar dive dyskinesia
Benotropine (Cogentin) - ANSWER Treats EPS
Diphenhydramine (Benadryl) - ANSWER Treats EPS
2nd Generation Antipsychotiscs - ANSWER Rispridone
Clozapine
Olanzapine
Quetiapine
Aripiprazole
Side effects of 2nd Antipsychotics - ANSWER Fewers EPS
Orthostatic hypotension
Anticholinergic effects
Sleep disturbances
Sexual dysfunction
Contraindications for EPS - ANSWER Risperidone pregnancy risk
category C
Dementia
Diabetes Mellitus
What's important about Clozapine - ANSWER Agranulocytosis
A nurse is caring for a client who is taking clozapine. For which of the
following findings should the nurse withhold the medication? -
ANSWER The client reports a sore throat
Antidepressants first Generation are also known as - ANSWER
Tricyclics Antidepressants (TCA's)
MonoAmine Oxidase Inhibitors (MAOIs)
1st generation TCA medication - ANSWER Amitriptyline
Nortriptyline
Imipramine
,Trimipramine
TCAs can occur during TCAs which can lead to - ANSWER suicidal
ideations
Phenelizine
Isocarboxazid
Tranylcypromine
Selegiline - ANSWER Medications of MAOIS
Side effects of MAOIs - ANSWER CNS stimulation
Orthostatic Hypotension
HTN crisis
Contraindications to MAOIs - ANSWER Phenelzine is pregnancy
category C
When not to take MAOIs - ANSWER TCAs
SSRIs
Ephedrine
Amphetamine
BP meds
Caffeine use during MAOIs - ANSWER Reduce caffeine use
Antidepressants 2nd Generation - ANSWER SSRIs
SSRI medications - ANSWER Fluoxetine (Prozac)
Paroxetine
Sertraline
Citalopram
Escitalopram
Side effects of SSRIs - ANSWER Weight changes
Sexual dysfunction
Serotonin Syndrome
CNS Stimulation
Contraindications to SSRIs - ANSWER Fluoxetine Pregnancy Risk C
Liver/renal dysfunction
Cardiac disease
Seizures
Diabetes
, Ulcers
GI bleedings
Do not take SSRIs with - ANSWER MAOIs
TCAs
St. John's Wort
Lithium
NSAID
How to DC SSRIs - ANSWER Taper slowly to withdrawal syndrome
SNRIs - ANSWER Antidepressant 2nd Generation
SNRI medication - ANSWER Venlafaxine
Duloxetine
Desvenlafaxine
Side effects of SNRIs - ANSWER Hyponatremia
Anorexia
HTN
Sexual dysfunction
Contraindications to SNRIs - ANSWER Fluoxetine
MAOIs
St. John's Wort
Alcohol
NSAIDs
Medication Administration for SNRIs - ANSWER To DC taper off to
avoid withdrawal syndrome
Take with food
How long for SNRIs to take effective - ANSWER 4 weeks
Lithium manic episode blood level - ANSWER 0.8-1.4
Lithium maintenance blood level - ANSWER 0.4-1.0
Early lithium toxicity - ANSWER Less than 1.5
Early lithium toxicity manifestations - ANSWER NVD
Thirst
Polyuria
