Exam (elaborations)
Nurs 402 - Mental Health Exam 2 questions with correct answers
- Course
- Nurs 402
- Institution
- University Of Maryland - University College
Nurs 402 - Mental Health Exam 2 questions with correct answers
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Nurs 402 - Mental Health Exam 2 questions withcorrect answers
psychotropic medications available before 1950 Correct Answer-
sedatives and amphetamines
psychotropic medications available after 1950 Correct Answer-
antipsychotics, antidepressants, and antianxiety drugs
ethical and legal implications associated with the administration of
psychotropic medications Correct Answer-client's right to refuse
treatment - -except in emergency situations
first generation antipsychotics Correct Answer-combat psychotic
symptoms by reducing dopamine levels in the brain; also called typical
antipsychotics - helps with positive symptoms of psychosis
(extrapyramidal side effects) (the -azine medications)
second generation antipsychotics Correct Answer-less concerning side
effects and helps with positive and negative symptoms of psychosis (-
apine and -idone medications)
adverse effects of antipsychotics Correct Answer-severe hypotension,
decrease in anticoagulant effects, prolonged QT, anticholinergic effects,
blurred vision
,management medication of urinary retention Correct Answer-
bethanechol
extrapyramidal side effects Correct Answer-dystonia (muscle
movement), drug-induced parkinsonism (shuffling gait, pill rolling),
akathisia (restlessness), tardive dyskinesia (lip smacking)
what is dystonia Correct Answer-bizarre and severe muscle contractions
- reversible
drug-induced parkinsonism Correct Answer-occurs after a week or two
on medication, dopamine blockade, discontinue medication treatment
Akathisia Correct Answer-vague feeling of apprehension or irritability,
the desire to move, 3 or more weeks of treatment
tardive dyskinesia Correct Answer-most severe, appears after years of
treatment, late onset
dopamine-acetylcholine imbalance Correct Answer-uncommon, difficult
to recognize, hallucinations, tachycardia, urinary retention
neuroleptic malignant syndrome Correct Answer-muscle rigidity,
hperpyrexia, altered consciousness, severe and life threatening
tx: discontinue medications
very rare
, DISCUS Correct Answer-training about psychotropic medications,
watching for tremors during assessment
AIMS Correct Answer-watching for tremors, used in LTC facilities
the "first" antidepressant Correct Answer-isoniazid - used to treat TB
preferred first-line treatment for depression Correct Answer-SSRI and
SNRI
serotonin syndrome Correct Answer-too much serotonin - shaking,
sweating, fatigue, agitated, confused, hallucinations
tricyclic antidepressants Correct Answer-indicated for depression,
blocks reuptake of serotonin (-amine and -tyline medications)
side effects: urinary retention, HA
MAOI medications Correct Answer-idicated for depression and anxiety,
tyramine induced hypertensive crisis (cheese syndrome)
Nardil, Parnate, Marplan, Selegiline
SSRI medications Correct Answer-suicidal thoughts worsen, serotonin
syndrome, discontinuation syndrome
Fluoxetine, Paroxetine, Citalopram, Sertraline
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