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Which client condition is contraindicated for prescribing clozapine? A. Seizures |
D. Bone marrow depression |
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Which antipsychotic drugs have the higher risk of causing tardive dyskinesia? Select all that apply. A. Loxapine |
A. Loxapine C. Haloperidol |
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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 |
C. Regularly testing the level of the drug in the client’s blood |
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Which drug would the nurse administer transdermally to treat a client with major depression? A. Selegiline |
A. Selegiline |
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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 |
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Which statement is true regarding antipsychotic drugs? A. All first- and second-generation antipsychotics are equally effective. |
D. Clozapine is more effective than other second-generation antipsychotics. |
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Which condition is contraindicated for St. John’s wort herbal therapy? A. Anxiety |
C. Dementia |
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Which drug is contraindicated in clients with blood dyscrasias? A. Duloxetine |
D. Chlorpromazine |
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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 |
A. Depression |
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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 |
C. Increased heart rate |
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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." |
A. "I know I won’t have to stay on this medication for too long." |
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Which antidepressant drug is a selective monoamine oxidase-B inhibitor? A. Selegiline |
A. Selegiline |
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Which second-generation antidepressant can worsen uncontrolled angle closure glaucoma? A. Trazodone |
C. Duloxetine |
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Which drugs may cause an increase in the serum clozapine level? Select all that apply. A. Rifampin |
C. Ketoconazole D. Erythromycin |
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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." |
C. "It takes 2 or 3 weeks before it begins to relieve depression." |
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Which food should be avoided by a client who is prescribed monoamine oxidase inhibitors (MAOIs)? A. Bologna |
A. Bologna |
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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 |
D. Have the potential for physiologic and psychological dependence |
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A nurse notes that haloperidol is most effective for clients who exhibit which type of behavior? A. Depressed |
B. Overactive |
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Which drug worsens uncontrolled angle-closure glaucoma when used for the treatment of generalized anxiety disorder? A. Buspirone |
B. Duloxetine |
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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 |
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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 |
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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. |
A. Monitor the effect of the medication on their child’s behavior. |
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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. |
D. Foods, medications, and any topical preparation containing alcohol should be avoided. |
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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 |
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Which statement about psychotherapeutic drugs in elderly clients requires correction? A. Tricyclic antidepressants may increase anxiety in elderly clients. |
D. Low serum levels of the drug are reported in elderly clients on psychotherapeutic drugs. |
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Which statement about primary anxiolytic drugs requires correction? A. Benzodiazepines are indicated for ethanol withdrawal. |
B. Benzodiazepines increase the activity of gamma-aminobutyric acid. |
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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 |
D. By blocking access to dopamine receptors at the postsynaptic receptor site |
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Which adverse effect is least likely to occur in a client who is prescribed clozapine? A. Seizures |
D. Myocarditis |
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Which drug most commonly causes extrapyramidal side effects (EPS)? A. Clozapine |
B. Haloperidol |
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