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Chapter 4. Psychopharmacology

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Chapter 4. Psychopharmacology

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  • August 29, 2024
  • 23
  • 2024/2025
  • Exam (elaborations)
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Chapter 4. Psychopharmacology

MULTIPLE CHOICE



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

ANS: 2
Chapter: Chapter 4, Psychopharmacology
Objective: Describe indications, actions, contraindications, precautions, side effects, and
nursing implications for the following classifications of drugs: antianxiety agents,
antidepressants, mood-stabilizing agents, antipsychotics and agents for the treatment of
tardive dyskinesia, antiparkinsonian agents, sedative-hypnotics, agents for attention-
deficit/hyperactivity disorder
Page: 60
Heading: Antianxiety Agents > Interactions
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies
Cognitive Level: Knowledge [Remembering]
Concept: Safety
Difficulty: Easy

, Feedback
1. This is incorrect. Caffeine is a central nervous system (CNS) stimulant and inhibits
(decreases) their effects.
2. This is correct. Anxiolytic medications work by depressingabcirebr.ctoamin/teCstNS
functions. Alcohol is also a CNS depressant that potentiates (increases) effects of
anxiolytics. Caffeine is a CNS stimulant and inhibits (decreases) their effects.
3. This is incorrect. Alcohol is also a CNS depressant that potentiates (increases)
effects of anxiolytics.
4. This is incorrect. Alcohol is a CNS depressant that potentiates (increases) effects of
anxiolytics. Caffeine is a CNS stimulant and inhibits (decreases) their effects.

CON: Safety

, Townsend
PMHN, 10e
Chapter 4 - ETB
abirb.com/test
2. A patient was recently admitted to the inpatient unit after a suicide attempt. During
the hospitalization, the patient was placed on a tricyclic antidepressant. Which action
should the nurse implement to maintain the patient’s safety when the patient is
discharged?
1. Provide the patient with a 6-month supply of medication.
2. Provide a 1-week supply of medication to be refilled after visiting the provider.
3. Instruct increased fluid intake to counteract the medication’s saidbierb.ecfofme/ctetsst.
4. Provide education on fluid restrictions to prevent side effects.
ANS: 2
Chapter: Chapter 4, Psychopharmacology
Objective: Describe indications, actions, contraindications, precautions, side effects, and
nursing implications for the following classifications of drugs: b. antidepressants.
Page: 64
Heading: Antidepressants > Safety Issues in Planning and Implementing Care; Table 4–
8
Integrated Processes: Nursing Process Client Need:
Physiological Integrity; Pharmacological and Parenteral Therapies Cognitive
Level: Application [Applying]
Concept: Safety
Difficulty: Moderate

Feedback
1. This is incorrect. Suicide risk often increases as antidepresasbairnbt.cmome/tdeisct ation
takes
effect and the patient’s level of depression and mood improve, and the patient should
be monitored
2. This is correct.more frequently
Suicide thanincreases
risk often every 6 as
months.
antidepressant medication takes effect
and the patient’s level of depression and mood improve. Thabeirbp.caotmie/tnetstmay
then have
increased energy with which to implement a suicide plan. Providing a 1-week supply
to be refilled after visiting the provider may facilitate monitoring of the patient’s
3. This
overall
is incorrect.
level of depression.
This would not be an intervention for safety, as the patient may
experience dry mouth from the medication.
4. This is incorrect. This would not be a valid intervention, as the medication may
cause dry mouth and there is no indication for a fluid restriacbtiribo.cno.m/test
CON: Safety


3. Which statement best describes how the perspective on psychopharmacological use of
phenothiazines has historically changed?
1. Phenothiazines were originally used as a preoperative medication and found to
improve the client’s anxiety.
2. Phenothiazines were originally used for infection control and faobuirbn.cdomto/teismt prove a
client’s treatment compliance.

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