N5 psych drug quiz

Lilley: Pharmacology and the Nursing Process, 4th Edition
Multiple Choice Review Questions Chapter 15
1.
The nurse notes lithium on a patient’s drug history upon admission. The nurse would suspect that this patient suffers from:
A. Obsessive-compulsive disorder
B. Absence seizures
C. Bipolar disorder
D. Paranoid schizophrenia

2.
Selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs) both function by:
A. Blocking the reuptake of neurotransmitters at nerve endings
B. Increasing alertness levels in the brain
C. Decreasing levels of epinephrine and serotonin at nerve endings
D. Increasing the placebo effect

3.
A child is noted to be taking imipramine (Tofranil), but the parents deny a history of depression. The nurse suspects that this child suffers from:
A. Obsessive-compulsive disorder
B. Absence seizures
C. Manic episodes
D. Nocturnal enuresis

4.
When teaching a patient about TCAs, it is important to emphasize that:
A. Common side effects can be relieved by increasing fluid and fiber intake as well as sucking on ha d candy
B. The patient should notify the health care provider if therapeutic effects are not noted within 10 days
C. The drugs are often given with monoamine oxidase (MAO) inhibitors for synergistic effect
D. Dietary restrictions of beer and chocolate are needed to prevent a hypertensive crisis

5.
A patient is being switched from amitriptyline (Elavil) to citalopram (Celexa). Which of the following statements made by the patient reflects understanding of patient education?
A. “I can just stop taking my Elavil and start taking the Celexa as ordered.”
B. “I can expect fewer cardiovascular side effects such as orthostatic hypotension with the Celexa.”
C. “The doctor is switching me to this medication because it is less expensive but just as effective.”
D. “I will need to limit my intake of cheese when taking Celexa to prevent a rise in my blood pressure.”

6.
Which of the following should the patient be cautioned against while taking an MAO inhibitor?
A. Participating in a bowling league
B. Sunbathing at the pool
C. Eating aged cheese
D. Smoking a low-nicotine cigarette

7.
Bupropion (Zyban), a second-generation antidepressant, is unique in that it is also used to:
A. Treat orthostatic hypotension
B. Aid in smoking cessation
C. Increase appetite in patients undergoing chemotherapy
D. Treat nocturnal enuresis in children

8.
Patients taking antipsychotic medications may be periodically prescribed a “drug-free holiday.” The nurse explains that the purpose of this is to help prevent:
A. Noncompliance due to side effects
B. Higher costs by decreasing amount of drug used
C. Destructive behaviors by allowing patient to regain control
D. Tardive dyskinesia and other extrapyramidal reactions

9.
Which of the following statements made by a patient demonstrates a lack of understanding of patient teaching regarding phenothiazine drug therapy?
A. “I need to change positions slowly to prevent dizziness.”
B. “I will need to wear sunscreen and protective clothing when outdoors.”
C. “It is okay to take this drug with a small glass of wine to help relax me.”
D. “I should call my doctor if I notice any uncontrollable movements of my tongue.”

10.
Which of the following laboratory tests should be monitored frequently to assess for a potential life-threatening adverse reaction to clozapine (Clozaril)?
A. Renal panel
B. Complete blood count
C. Liver function tests
D. Immunoglobulin levels

11.
The nurse monitors a patient taking an antipsychotic medication for extrapyramidal side effects, including:
A. Dystonia
B. Orthostatic hypotension
C. Dry mouth and constipation
D. Neuroleptic malignant syndrome

12.
An atypical antipsychotic medication useful for treatment of schizophrenia is:
A. trazodone (Desyrel)
B. phenelzine (Nardil)
C. amoxapine (Asendin)
D. risperidone (Risperdal)