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NURS 604 EXAM QUESTIONS WITH ANSWERS TEST BANK 2022/2023 UPDATE
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NURS 604 EXAM QUESTIONS WITH ANSWERS TEST BANK 2022/2023 UPDATE
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NURS 604 EXAM QUESTIONS WITH ANSWERS TEST BANK 2022/2023 UPDATE1. Common mistakes practitioners make in treating anxiety disorders include:
1. Switching medications after an 8- to 12-week trial
2. Maximizing dosing of antianxiety medications 2. An
3. Encouraging exercise and relaxation therapy before starting medication appropriate first-line drug to
try for mild to moderate
4. Thinking a partial response to medication is acceptable generalized anxiety disorder
would be:
1. Alprazolam (Xanax)
2. Diazepam (Valium)
3. Buspirone (Buspar)
4. Amitriptyline (Elavil)
3. An appropriate drug to initially treat panic disorder is:
1. Alprazolam (Xanax)
2. Diazepam (Valium)
3. Buspirone (Buspar)
4. Amitriptyline (Elavil)
4. Prior to starting antidepressants, patients should have laboratory testing to rule out:
1. Hypothyroidism
2. Anemia
3. Diabetes mellitus
4. Low estrogen levels
5. David is a 34-year-old patient who is starting on paroxetine (Paxil) for depression. David’s education regarding his
medication would include:
1. Paroxetine may cause intermittent diarrhea.
2. He may experience sexual dysfunction beginning a month after he starts therapy.
3. He may have constipation and he should increase fluids and fiber.
4. Paroxetine has a long half-life so he may occasionally skip a dose.
6. Jamison has been prescribed citalopram (Celexa) to treat his depression. Education regarding how quickly selective
serotonin reuptake inhibitor (SSRI) antidepressants work would be:
,NURS 604 EXAM QUESTIONS WITH ANSWERS TEST BANK 2022/2023 UPDATE
1. Appetite and concentration improve in the first 1 to 2 weeks.
2. Sleep should improve almost immediately upon starting citalopram.
3. Full response to the SSRI may take 2 to 4 months after he reaches the full ic dose.
therapeut
4. His dysphoric mood will improve in 1 to 2 weeks.
7. An appropriate drug for the treatment of depression with anxiety would be:
1. Alprazolam (Xanax)
2. Escitalopram (Lexapro)
3. Buspirone (Buspar)
4. Amitriptyline (Elavil)
8. An appropriate first-line drug for the treatment of depression with fatigue and low energy would be:
1. Venlafaxine (Effexor)
2. Escitalopram (Lexapro)
3. Buspirone (Buspar)
4. Amitriptyline (Elavil)
9. The laboratory monitoring required when a patient is on a selective serotonin reuptake inhibitor is:
1. Complete blood count every 3 to 4 months
2. Therapeutic blood levels every 6 months after a steady state is achieved
3. Blood glucose every 3 to 4 months
4. There is no laboratory monitoring required
10. Jaycee has been on escitalopram (Lexapro) for a year and is willing to try tapering off of the selective serotonin reuptake
inhibitor. What is the initial dosage adjustment when starting a taper off antidepressants?
1. Change dose to every other day dosing for a week
2. Reduce dose by 50% for 3 to 4 days
3. Reduce dose by 50% every other day
4. Escitalopram (Lexapro) can be stopped abruptly due to its long half-life
11. The longer-term Xanax patient comes in and states they need a higher dose of the medication. They deny any additional,
new, or accelerating triggers of their anxiety. What is the probable reason?
r higher
1. They have become tolerant of the medication, which is characterized by the need
fo
and higher doses.
2. They are a drug seeker.
3. They are suicidal.
,NURS 604 EXAM QUESTIONS WITH ANSWERS TEST BANK 2022/2023 UPDATE
4. They only need additional counseling on lifestyle modification.
12. What “onset of action” symptoms should be reviewed with patients who have been newly prescribed a selective serotonin
reuptake inhibitor?
1. They will have insomnia for a week.
2. They can feel a bit of nausea, but this resolves in a week.
3. They will have an “onset seizure” but this is considered normal.
4. They will no longer dream.
13. Which of the following should not be taken with a selective serotonin reuptake inhibitor?
1. Aged blue cheese
2. Grapefruit
3. Alcohol
4. Green leafy vegetables
14. Why is the consistency of taking paroxetine (Paxil) and never running out of medication more important than with
most other selective serotonin reuptake inhibitors (SSRIs)?
1. It has a shorter half-life and withdrawal syndrome has a faster onset without taper.
2. It has the longest half-life and the withdrawal syndrome has a faster onset.
3. It is quasi-addictive in the dopaminergic reward system. en deep
4. It is the most activating of SSRI medications and will cause the person to have sudd
sadness.
15. The patient shares with the provider that he is taking his Prozac at night before going to bed. What is the best response?
1. This is a good idea because this class of medications generally makes people sleepy
.
2. Have you noticed that you are having more sleep issues since you started that?
3. This a good way to remember to take your daily medications because it is near your
toothbrush.
4. This is a good plan because you can eat grapefruit if there is 8–12 hours in the
difference time each are ingested.
Chapter 15. Drugs Affecting the Central Nervous System
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Sarah, a 42-year-old female, requests a prescription for an anorexiant to treat her obesity. A trial of phentermine is
prescribed. Prescribing precautions include:
, NURS 604 EXAM QUESTIONS WITH ANSWERS TEST BANK 2022/2023 UPDATE
1. Understanding that obesity is a contraindication to prescribing phentermine
2. Anorexiants may cause tolerance and should only be prescribed for 6 months
3. Patients should be monitored for postural hypotension
4. Renal function should be monitored closely while on anorexiants
2. Before prescribing phentermine to Sarah, a thorough drug history should be taken including assessing for the use of
serotonergic agents such as selective serotonin reuptake inhibitors (SSRIs) and St John’s wort due to:
1. Additive respiratory depression risk
2. Additive effects affecting liver function
3. The risk of serotonin syndrome
4. The risk of altered cognitive functioning
3. Antonia is a 3-year-old child who has a history of status epilepticus. Along with her routine antiseizure medication,
she should also have a home prescription for to be used for an
episode of status epilepticus.
1. IV phenobarbital
2. Rectal diazepam (Diastat)
3. IV phenytoin (Dilantin)
4. Oral carbamazepine (Tegretol)
4. Rabi is being prescribed phenytoin for seizures. Monitoring includes assessing:
1. For phenytoin hypersensitivity syndrome 3 to 8 weeks after starting treatment
2. For pedal edema throughout therapy
3. Heart rate at each visit and consider altering therapy if heart rate is less than 60 bpm
4. For vision changes, such as red-green blindness, at least annually
5. Dwayne has recently started on carbamazepine to treat seizures. He comes to see you and you note that while his
carbamazepine levels had been in the therapeutic range, they are now low. The possible cause for the low
carbamazepine levels include:
1. Dwayne hasn’t been taking his carbamazepine because it causes insomnia.
2. Carbamazepine auto-induces metabolism, leading to lower levels in spite of good compliance.
3. Dwayne was not originally prescribed the correct amount of carbamazepine.
4. Carbamazepine is probably not the right antiseizure medication for Dwayne.
6. Carbamazepine has a Black Box Warning due to life-threatening:
1. Renal toxicity, leading to renal failure
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