ATI Pharm 3 Antipsychotics & Anxiolytics Exam

A patient's family member informs the nurse that after taking buspirone hydrochloride (BuSpar) for almost a week, there has been no improvement in the patient's condition. What is the best advice provided by the nurse to the caregiver? "Avoid taking long walks." "Take herbs like kava kava." "Limit the intake of grapefruit juice." "Stop taking the medication immediately." - "Limit the intake of grapefruit juice." Why are atypical antipsychotics prescribed more often than typical antipsychotics? There are fewer side effects with atypical antipsychotics. Atypical antipsychotics are dosed at higher levels. Typical antipsychotics require more intense monitoring. Typical antipsychotics cost more. - There are fewer side effects with atypical antipsychotics. The nurse is working with a patient who has recently been started on lorazepam (Ativan). The patient is also a new mother. What is the nurse's highest priority instruction to the patient? "Take this medication with food." "The drug should be taken with 8 ounces of water." "Do not breastfeed while taking the medication." "Take this medication on an empty stomach." - "Do not breastfeed while taking the medication." A female patient who takes lorazepam (Ativan) for anxiety tells the nurse that she plans to become pregnant. What is the best instruction for the nurse to give the patient? Visit an obstetrician to determine the correct dose of lorazepam during pregnancy. Discuss tapering the drug with the provider before conception. Stop taking the drug and form another plan to manage anxiety. Eat a well-balanced diet that includes milk. - Discuss tapering the drug with the provider before conception. Which statement made by a patient demonstrates a lack of understanding of patient teaching regarding phenothiazine drug therapy? "I need to change positions slowly to prevent dizziness." "I will need to wear sunscreen and protective clothing when outdoors." "It is okay to take this drug with a small glass of wine to help me relax." "I should call my doctor if I notice any uncontrollable movements of my tongue." - "It is okay to take this drug with a small glass of wine to help me relax." The nurse educates a patient treated for psychosis with perphenazine (Trilafon) regarding the measures to be taken to manage and prevent side effects. The patient makes certain statements to reiterate the teaching. What statement of the patient indicates a need for further teaching? "I should rise slowly from sitting or lying to the standing position." "I should use sunscreen and protective clothing when stepping out in the sun." "I should take lozenges or hard candy if I have dry mouth for more than 2 weeks." "I should avoid driving and other hazardous activities in the initial phase of my treatment." - "I should take lozenges or hard candy if I have dry mouth for more than 2 weeks." A patient is detoxifying from alcohol abuse. Which type of medication is indicated to help the patient manage withdrawal symptoms? Dibenzapine Benzisoxazole Phenothiazine Benzodiazepine - Benzodiazepine Which patient is a poor candidate for therapy with diazepam (Valium) to treat generalized anxiety disorder? One who had convulsions as a child One with a history of alcoholism One who has had a myocardial infarction One with type 2 diabetes mellitus - One with a history of alcoholism The nurse is working with a patient who asks for medication for anxiety related to coping with a chronic illness. Which benzodiazepine does the nurse anticipate will be ordered for the patient? Temazepam (Restoril) Alprazolam (Xanax) Clonazepam (Klonopin) Quazepam (Doral) - Alprazolam (Xanax) The nurse is caring for a patient with dementia who is prescribed a neuroleptic. What are neuroleptics used for? To treat sleep disorders To supplement anesthesia To modify psychotic behavior To treat withdrawal symptoms - To modify psychotic behavior The nurse notes that a patient who has been prescribed clorazepate dipotassium (Tranxene) is pregnant. What course of action should the nurse take to ensure the patient's well-being? Decrease the dosage of the medication gradually. Instruct the patient to refrain from having caffeinated products. Substitute an anticonvulsant drug when withdrawing the medication. Consult with the primary health care provider to modify the prescription. - Consult with the primary health care provider to modify the prescription. Which symptoms can be seen in a patient diagnosed with pseudoparkinsonism? Select all that apply. Shuffling gait Tremors at rest Laryngeal spasms Pill-rolling motion of the hand Sucking and smacking movements of the lips - Shuffling gait Tremors at rest Pill-rolling motion of the hand