ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH MORGAN TEST BANK:Psychopharmacology
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Module
PSYCHOPHARMACOLOGY
Institution
PSYCHOPHARMACOLOGY
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. When used in combination with anxiolytic medication, alcohol leads to ______ effects, and
caffeine leads to ______ effects.
1. increased; increased
2. increased; decreased
3. decreased; decr...
essentials of psychiatric mental health nursing 8t
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ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH MORGAN TEST BANK
Chapter 4: Psychopharmacology
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. When used in combination with anxiolytic medication, alcohol leads to ______ effects, and
caffeine leads to ______ effects.
1. increased; increased
2. increased; decreased
3. decreased; decreased
4. decreased; increased
____ 2. Which information should the nurse include in a staff education program about the history of
psychopharmacology?
1. Some antipsychotic medications can cure mental illnesses.
2. Psychotropic medications are used as adjunctive therapy.
3. Antidepressants were the first type of mental health drugs.
4. Mood stabilizers help eliminate bipolar mental disorders.
____ 3. A client was recently admitted to the inpatient unit after a suicide attempt and is prescribed a
selective serotonin reuptake inhibitor (SSRI). Which sign or symptom would the nurse include in
the teaching session about serotonin syndrome?
1. Constipation
2. Myoclonus NURSINGTB.COM
3. Hypothermia
4. Impotence
____ 4. A client was recently admitted to the inpatient unit after a suicide attempt and has not responded to
SSRIs or tricyclic antidepressants. The client asks the nurse, “Why can’t monoamine oxidase
inhibitors (MAOIs) be added to what I am on now?” Which response should the nurse make?
1. “Electroconvulsive therapy is your best option at this point.”
2. “Combined use can lead to a life-threatening condition called hypertensive crisis.”
3. “There is no reason why an MAOI couldn’t be added to your therapy.”
4. “They can’t be used together because their mechanisms of action are very
different.”
____ 5. A client began taking lithium for the treatment of bipolar disorder approximately 1 month ago and
asks why he has gained 12 lbs. (5.4 kg.) since then. Which response by the nurse is appropriate?
1. “I’m surprised you have gained; weight loss is the typical pattern when taking
lithium.”
2. “Your weight gain is more likely related to food intake than medication.”
3. “Weight gain is a common but troubling side effect. Let’s talk about some
strategies for safely improving your nutrition and exercise habits.”
4. “There’s not much you can do about the weight gain. It’s better than being
emotionally unstable, though.”
____ 6. The nurse is assessing a client who has a diagnosis of schizophrenia and takes an antipsychotic
agent daily. Which finding requires further nursing assessment immediately?
, ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH MORGAN TEST BANK
1. Respirations of 20 breaths/minute
2. Weight gain of 8 lbs. (3.6 kg.) in 2 months
3. Temperature of 101oF (38.3 oC)
4. Excess salivation
____ 7. An aging client with chronic schizophrenia takes a beta-adrenergic blocking agent (propranolol)
for hypertension and an antipsychotic. Given the combined side effects of these drugs, what
teaching should the nurse provide?
1. “Make sure you concentrate on taking slow, deep, cleansing breaths.”
2. “Watch your diet and try to engage in some regular physical activity.”
3. “Rise slowly when you change position from lying to sitting or sitting to standing.”
4. “Wear sunscreen and try to avoid midday sun exposure.”
____ 8. A client with depression and substance abuse has an interrupted sleep pattern and demands a
sedative. Which teaching would the nurse provide about sedative-hypnotics?
1. “Sedative-hypnotics are potentially addictive and gradually lose their effectiveness
as one builds up tolerance to them.”
2. “Sedative-hypnotics work best in combination with other techniques.”
3. “Sedative-hypnotics are not permitted for use in clients with substance abuse
disorders.”
4. “Sedative-hypnotics are not as effective as the antidepressant medications for
treating sleep disturbances.”
____ 9. Which information should the nurse share with the client about tricyclic antidepressant
medications? NURSINGTB.COM
1. Strong or aged cheese should not be eaten while taking them.
2. Their full therapeutic potential may not be reached until 4 weeks.
3. They may cause hypomania or recent memory impairment.
4. They should not be given with antianxiety agents.
____ 10. The client is taking selective serotonin reuptake inhibitor (SSRI). Which finding indicates the
client is having a therapeutic effect from the SSRI?
1. Psychosis is reduced.
2. Neuropathy pain is relieved.
3. Panic attacks are prevented.
4. Obsessions are controlled.
____ 11. In the treatment of anxiety disorders, benzodiazepines (such as Ativan and Xanax) are indicated
for ______ use and have a ______ abuse potential.
1. short-term; high
2. long-term; high
3. short-term; low
4. long-term; low
____ 12. Which client would the nurse instruct to obtain routine blood-level monitoring?
1. A client taking lithium
2. A client taking buspirone
3. A client taking chlorpromazine
, ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING 8TH MORGAN TEST BANK
4. A client taking paroxetine
____ 13. As part of discharge teaching, which guideline regarding lithium therapy will the nurse plan to
include?
1. Avoid foods high in tyramine.
2. Maintain a consistent sodium intake.
3. Consume at least 3,000 to 3,500 mL of fluid per day.
4. Watch for signs of tardive dyskinesia.
____ 14. A client with schizophrenia has recently begun a new medication, clozapine (Clozaril). Which
potentially fatal side effect will the nurse teach the client about?
1. Agranulocytosis
2. Akathisia
3. Pseudoparkinsonism
4. Akinesia
____ 15. The client with schizophrenia has recently begun a new medication, clozapine (Clozaril). Which
signs and symptoms of a potentially fatal side effect will the nurse teach the client about?
1. Blurring vision, dry mouth, and constipation
2. Sore throat, fever, and malaise
3. Tremor, shuffling gait, and rigidity
4. Fine tremor, tinnitus, and nausea
____ 16. The client with schizophrenia has recently begun a new medication, clozapine (Clozaril). Which
laboratory result would reveal
NURaSpotentially
INGTB.Cfatal OM side effect of this medication?
1. Elevated white blood cell count
2. Elevated bleeding times
3. Low platelet count
4. Low absolute neutrophil count
____ 17. A client is taking a monoamine oxidase inhibitor (MAOI). When teaching the client about diet,
which foods will the nurse caution the client to avoid?
1. Pepperoni pizza and red wine
2. Bagels with cream cheese and tea
3. Apple pie and coffee
4. Potato chips and diet cola
____ 18. An elderly client has been diagnosed with major depression and is prescribed a selective serotonin
reuptake inhibitor (SSRI). Which side effect would the nurse monitor for in this client?
1. Diarrhea
2. Pseudoparkinsonism
3. Hypertensive crisis
4. Hyponatremia
____ 19. To which client would the nurse most likely administer a benzodiazepine?
1. One with alcohol withdrawals
2. One taking cough medicine
3. One with schizophrenia
4. One taking opioid pain agents
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