Mary Thomas is to begin treatment with an antidepressant drug. She asks how long it will take
before she feels better. The best response by the nurse would be: - Answers "it will take 3 to 4
weeks before they all therapeutic effect is reached."
Charles Downey has started to respond to antidepressant therapy. He suddenly becomes calm
and peaceful and no longer verbalizes thoughts about dying. He does state to The nurse, "things
will get better soon". It is important that the nurse now engages in which of the following
nursing interventions? - Answers complete a suicide assessment
Because they are considered to have a fewer side effects, are safer for clients at risk for suicide,
and are more specific in treating the symptoms of depression, the most frequently prescribed
antidepressants today are the: - Answers Selective serotonin reuptake inhibitors (SSRIS)
It is important that nurses know both the generic and tradename of a drug. Which of the
following is a generic name for the popular anti-depressant Prozac? - Answers Fluoxetine
Which of the following drug is classified as a monoamine oxidase inhibitor (MAOIs) - Answers
Phenelzine
Which of the following statements best explains the therapeutic effect of the anti-depressants?
In general, the anti-depressant drugs: - Answers Allow for more serotonin to remain in the
synapses between brain neurons
It is important to warn a client against combining alcohol with an anti-depressant drug because
the combination may result in: - Answers CNS depression
Because Sam SSRIs have a stimulating affect, these drug should be administered: - Answers In
the morning
Maria Diaz, diagnosed with major depression, has not responded to an SSRI medication. Her
physician has now prescribed Parnate (tranylcypromine sulfate), MAO inhibitor. Which of the
following should now be included in Maria's teaching plan? - Answers Avoid foods that contain
tyramine
A client receiving the drug Tofranil (imipramine) Reports dizziness when getting out of bed in
the morning. To decrease the effects of orthostatic hypotension, what should the nurse tell the
patient? - Answers Rise gradually from a supine position.
Antipsychotic medications are most frequently used in the management of: - Answers
Delusions and hallucinations
Which of the following symptoms would lead the nurse to suspect that a client is having the
adverse effect of pseudoparkinsonism from an antipsychotic drug? - Answers Shuffling gait
, The irreversible antipsychotic affect that includes facial grimacing, lipsmacking, and tongue
intrusion is called: - Answers tardive dyskinesia
A client is on a maintenance therapy for schizophrenia. Which of the following maintenance
drugs' effects last from 2 to 4 weeks? - Answers Fluphenazine
Although seizures are a relatively uncommon side effect, about 5% of clients taking the drug
————- experience seizures. - Answers Clozapine
A client is experiencing side effects consisting of frightening and painful spasms of specific
muscle groups. The side effects are referred to as: - Answers Dystonic reaction
Which of the following statements about the safety alert pertaining to antipsychotics and older
adults is true? - Answers Antipsychotics may be prescribed to treat behavior disorders and older
clients with dementia-related psychosis.
The nurse must teach clients and their families to monitor for an often fatal side effect of
antipsychotic medications characterized by muscular rigidity, High fever, Leukocytosis and
increased production of muscle enzymes. The side effect is: - Answers Neuroleptic malignant
syndrome (NMS)
A kind of experiencing both positive and negative symptoms of schizophrenia. Which of the
following drugs is appropriate for this client? - Answers Quetiapine
The newer, atypical antipsychotic drugs have been which of the following actions in the brain? -
Answers Inhibit the reaction of dopamine and serotonin at specific postsynaptic sites.
A nurse observed the client becoming more restless. He cannot sit still and group therapy and is
pacing the hallway. The nurse recognizes that he is demonstrating which of the following
extrapyramidal symptoms? - Answers Akathisia
Ask a different client will be discharged on an antipsychotic medication. The nurse should
include all of the following in a teaching plan except? - Answers Eliminate cheese and chocolate
from the diet
The first anticonvulsant drug identified as a mood stabilizer for the treatment of bipolar disorder
is: - Answers Carbamazepine (Tegretol)
When taking lithium for bipolar disorder, it is important monetary urinary output because: -
Answers Fluid volume deficits may occur as a result of polyuria
A client has just been prescribed lithium for bipolar disorder treatment. The client works long
hours and often drinks 10 to 12 cups of coffee a day to stay awake. How does this behavior
affect the drugs effectiveness? - Answers The caffeine in coffee may reduce the effectiveness
of lithium