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PSYCH HESI – DRUGS QUESTIONS WITH COMPLETE SOLUTIONS

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A 28-year-old client is being treated with lithium carbonate for bipolar disorder. Which of the following factors will increase his risk for lithium toxicity? a) The client eats cheeses and smoked meats. b) The client runs marathons frequently. c) The client drinks caffeinated beverages. d)...

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  • January 15, 2025
  • 15
  • 2024/2025
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PSYCH HESI – DRUGS QUESTIONS WITH COMPLETE
SOLUTIONS

A 28-year-old client is being treated with lithium carbonate for
bipolar disorder. Which of the following factors will increase his
risk for lithium toxicity?
a) The client eats cheeses and smoked meats.
b) The client runs marathons frequently.
c) The client drinks caffeinated beverages.
d) The client works in a paint factory. Correct Answers b) The
client runs marathons frequently.

Lithium toxicity can occur when the body's sodium levels are
lowered and absorption is disrupted. Predisposing factors
include excessive heat, diaphoresis, concurrent use of diuretics,
and decreased sodium intake.

A 52-year-old woman is seeing a nurse therapist for moderate
depression. The client has been taking fluoxetine (Prozac) for 3
weeks, but her mood has not improved. She states, "I need more
than this to get better. I'm taking St. John's wort, too." Why does
the nurse tell the client to immediately stop taking St. John's
wort? Correct Answers St. John's wort with fluoxetine may
lead to serotonin syndrome

- It is not a proven treatment for depression, but it is thought to
increase serotonin levels. Therefore, taking St. John's wort along
with a prescription antidepressant may cause central serotonin
syndrome.

, A client has been diagnosed with major depressive disorder. The
clinical symptoms that would be included when the clinician
makes this diagnosis are what?

a) Claims by family, friends, or coworkers that the client is
depressed
b) Demonstrated examples of unwise decisions
c) A significant decrease in appetite
d) A significant failure in an occupational or relational setting
Correct Answers A significant decrease in appetite
-- among the 9 clinical symptoms of a major depressive episode
is a significant increase or decrease in appetite

Failures may precipitate or exacerbate decisions and others may
confirm the client's depression, but these are not diagnostic
criteria. Unwise decision making is not a hallmark of
depression, but indecisiveness is a diagnostic criterion

A client has been sitting in same position for 2 hrs. He is mute.
What type of schizophrenia is this client experiencing? Correct
Answers catatonic

A client has been started on an antipsychotic medication and is
exhibiting muscle stiffness of the arms, slowness of gait, and
tremors. Which of the following extrapyramidal syndromes
(EPS) is the client displaying? Correct Answers
Pseudoparkinsonism - symptoms include the classic triad of
Parkinson's disease (rigidity, slowed movements, and tremor).
The rigid muscle stiffness is usually seen in the arms

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