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Quiz von brittny beauford, aktualisiert more than 1 year ago
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Erstellt von brittny beauford
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Frage 1
Frage
SSRIs with MAOIs or multiple SSRIs at once causes this
Antworten
-
serotonin syndrom
-
hyptertensive crisis
Frage 2
Frage
clozapine (Clozaril), olanzapine (Zyprexa) & resperidone (Risperdal) are
Antworten
-
Tricyclics
-
Atypical antipsychotics
-
Typical antipsychotics – neuroleptics
-
Barbiturates
Frage 3
Frage
haloperidol (Haldol) can cause
Antworten
-
Hypertensive crisis
-
Serotonin Syndrome
-
coma
-
Extra pyramidal symptoms
Frage 4
Frage
MAOIs with decongestants/ cold medicines can cause
Antworten
-
Hypertensive crisis
-
Extra pyramidal symptoms
-
Serotonin Syndrome
Frage 5
Frage
triazolam (Halcion) & flurazepam (Dalmane)
Antworten
-
Tricyclics
-
Selective serotonin reuptake inhibitors
-
Mood stabilizers
-
Sedative-hypnotics
Frage 6
Frage
fluoxetine (Prozac) & Sertraline (Zoloft) are
Antworten
-
Atypical antipsychotics
-
Selective serotonin reuptake inhibitors
-
Tricyclics
-
Anti-Parkinsonian drugs
Frage 7
Frage
imipramine (Tofranil) & amitryptiline (Elavil) are
Antworten
-
Mood stabilizers
-
Tricyclics
-
Typical antipsychotics – neuroleptics
-
Anti-anxiety agents
Frage 8
Frage
Lithium & depakote are
Antworten
-
Mood stabilizers
-
Atypical antipsychotics
-
Tricyclics
-
Anti-anxiety agents
Frage 9
Frage
chlorpromazine (Thorazine) & thiothixine (Navane) are
Antworten
-
Mood stabilizers
-
Typical antipsychotics – neuroleptics
-
Tricyclics
-
Anti-Parkinsonian drugs
Frage 10
Frage
lorazepam (Ativan) & alprazolam (Xanax)
Antworten
-
Mood stabilizers
-
Atypical antipsychotics
-
Tricyclics
-
Anti-anxiety agents
Frage 11
Frage
benztropine (Cogentin) & trihexyphenidyl (Artane) are
Antworten
-
Anti-Parkinsonian drugs
-
Mood stabilizers
-
Sedative-hypnotics
-
Selective serotonin reuptake inhibitors
Frage 12
Frage
secobarbital (Seconal) & Pentobarbital (Nembutal) are
Antworten
-
Atypical antipsychotics
-
Mood stabilizers
-
Barbiturates
-
Anti-anxiety agents
Frage 13
Frage
A decrease in serotonin can result in anxiety.
Antworten
- True
- False
Frage 14
Frage
Lithium carbonate can cause extrapyramidal symptoms.
Antworten
- True
- False
Frage 15
Frage
Children with ADHD respond atypically to Methylphenidate (Ritalin) than children without the diagnosis – instead of stimulation they calm and can focus.
Antworten
- True
- False
Frage 16
Frage
Extrapyramidal symptoms are caused by the blockage of norepinephrine at the synapse.
Antworten
- True
- False
Frage 17
Frage
Routine blood levels are taken on a client using haloperidol (Haldol).
Antworten
- True
- False
Frage 18
Frage
Eating aged cheese and minimal red wine is acceptable for clients taking Lithium carbonate but not those taking an MAO inhibitor.
Antworten
- True
- False
Frage 19
Frage
St. John’s Wort herbal medication has shown qualities of being an antidepressant; however, more clinical trials are needed.
Antworten
- True
- False
Frage 20
Frage
Fluoxetine (Prozac) is given at bedtime.
Antworten
- True
- False
Frage 21
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Loarazepam is preferred over diazepam for short procedures or situations because the half-life is shorter.
Antworten
- True
- False
Frage 22
Frage
You will see more SSRIs used as a front-line drug of choice over the older tricyclics. Why?
Antworten
-
Clients can more easily overdose with the tricyclics because of cardiac involvement.
-
Tricyclics have more sedating and anticholinergic effects than the SSRIs.
-
SSRIs work faster to achieve a therapeutic response than the tricyclics (days as opposed to 2 weeks).
Frage 23
Frage
Which of the following is a potential prescribed drug of abuse, often in the elderly?
Antworten
-
Carbamazepine (Tegretol) for sleep
-
Haloperidol (Haldol) for sleep
-
Alprazolam (Xanax) for anxiety
-
Risperadone (Risperdal) for confusion
Frage 24
Frage
You receive a client to your floor from the ER after having received a large dose of Haldol. He is sleepy but begins to complain of being stiff and feels restless inside. What would you do?
Antworten
-
Call “Rapid Response.”
-
Call the MD, report the symptoms as likely EPS, and administer
-
Give more haloperidol (Haldol) PRN
-
Suggest a warm shower to relax (accompanied to prevent a fall)
Frage 25
Frage
Your client has been ordered phenelzine (Nardil). What special patient-family teaching do you need to address?
Antworten
-
diet, use of other medications (over the counter ie cold meds), and blood pressure
-
lab draws for blood levels and diet
-
diet, exercise, and sexual activity
-
diet, exercise and lactation because weight gain is eminent
Frage 26
Frage
Sarah has bipolar illness and begins taking Lithium. In your teaching, what is important to cover?
Antworten
-
the need for periodic blood levels because the therapeutic range is close to the mild toxicity range.
-
signs and symptoms of early toxicity verses side effects (weight gain is common)
-
the importance of taking the medicine and working with the doctor to find a comfortable therapeutic level – instead of self-stopping the medication.
-
all the above
Frage 27
Frage
Which electrolyte are you most concerned with when a client is taking Lithium?
Antworten
-
sodium
-
potassium
Frage 28
Frage
Harry Potter is on the mental health unit because of hallucinations of Hogwarts, flying brooms and witches. He begins to become confused and disoriented, has decreasing loss of consciousness rapidly, holds himself stiff, and is very warm to touch. You take his vitals and he has high BP, and temperature of 103.2 F. What are you most concerned he has?
Antworten
-
Call rapid response because it is likely serotonin syndrome
-
Call rapid response because it is likely neuroleptic malignant syndrome
-
Call rapid response because it is likely an impending stroke
-
Call rapid response because it is likely sepsis
Frage 29
Frage
Nicole, aged 30, is in the intensive outpatient program because of depressive symptoms with mild suicidal ideation. Which is the safest antidepressant for her?
Antworten
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Risperidone (Risperdal)
-
Diazepam (Valium)
-
Sertaline (Zoloft)
-
Amitriptyline (Elavil)
Frage 30
Frage
Marian, aged 68, has been started on Risperdal for agitation and delusions. What is she at risk for?
Antworten
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hypertension- QT prolongation is a AE not SE
-
decreasing her dress size- weight gain
-
hypotension and falls- yes, orthostatic hypotension
-
sexually transmitted disease- sexual side effects
Frage 31
Frage
Ativan is an anti anxiety that is give which ways
Antworten
-
PO
-
IM
-
IV
-
SC
Frage 32
Frage
Riperdal is an antipsychotic that is given
Antworten
-
SC and IV
-
PO and IM
Frage 33
Frage
Prozac is an antidepressant that is given
Antworten
-
SC
-
PO
Frage 34
Frage
Ritalin is a CNS stimulant that is given
Antworten
-
IM
-
PO
-
SC
-
transdermal
Frage 35
Frage
Haldol is an antipsychotic that is given
Antworten
-
transdermal
-
PO
-
SC
-
IM
Frage 36
Frage
Xanax is an anti anxiety that is given
Antworten
-
PO
-
SC
-
IV
-
IM
Frage 37
Frage
Ativan is a(n)
Antworten
-
antidepressant
-
antianxiety
Frage 38
Frage
risperdal is a(n)
Antworten
-
CNS stimulant
-
antipsychotic
Frage 39
Frage
Prozac is a(n)
Antworten
-
antianxiety
-
antidepressant
Frage 40
Frage
Ritalin is a(n)
Antworten
-
CNS stimulant
-
antianxiety
Frage 41
Frage
Haldol is a(n)
Antworten
-
antidepressant
-
antipsychotic
Frage 42
Frage
Tegretol is a(n)
Antworten
-
antidepressant and MAOI
-
Mood stabilizers, anticonvulsant
Frage 43
Frage
Tegretol can only be given IM
Antworten
- True
- False
Frage 44
Frage
Litium in a(n)
Antworten
-
SSRI
-
Mood Stabilizing Drug
Frage 45
Frage
Lithium a drug used for anticonvulsant and bipolar disorder can only be given PO
Antworten
- True
- False
Frage 46
Frage
Thorazine is a(n)
Antworten
-
antiemetic
-
mood stabilizer
-
antipsychotic
-
SSRI
Frage 47
Frage
Thorazine can be given
Antworten
-
PO
-
IM
-
SC
-
IV
Frage 48
Frage
Seroquel is an anti anxiety
Antworten
- True
- False
Frage 49
Frage
Seroquel is given IM
Antworten
- True
- False
Frage 50
Frage
Marplan is a(n)
Antworten
-
antidepressant and MAOI
-
SSRI
-
Tricylic antidepressant
Frage 51
Frage
Marplan is given for depression and is given PO
Antworten
- True
- False
Frage 52
Frage
Buspar is a(n)
Antworten
-
anti-anxiety
-
SSRI
Frage 53
Frage
Buspar is given for the management of anxiety and is administered PO
Antworten
- True
- False
Frage 54
Frage
Zoloft is given for major depressive disorder, panic disorder and OCD. It is a(n)
Antworten
-
anti-depressent
-
SSRI
Frage 55
Frage
Zoloft is a SSRI that is given IM
Antworten
- True
- False
Frage 56
Frage
Elavil is a(n)
Antworten
-
tricylic antidepressant
-
antipsychotic/mood stabalizer
Frage 57
Frage
The tricyclic antidepressant Elavil is given SC
Antworten
- True
- False
Frage 58
Frage
Fluphenazine is a(n)
Antworten
-
antianxiety
-
antipsychotic
Frage 59
Frage
Fluphenazine an antipsychotic is given
Antworten
-
PO
-
transdermal
-
IV
-
IM
Frage 60
Frage
An antipsychotic/mood stabilizer given for schizophrenia and acute manic disorder is
Antworten
-
Paxil
-
Zyprexa
Frage 61
Frage
Zyprexa is given for bipolar I and is given
Antworten
-
PO
-
SC
-
IV
-
IM
Frage 62
Frage
Paxil is a(n)
Antworten
-
Sedative/hypnotics
-
Antianxiety/antidepressant
Frage 63
Frage
Paxil is administered PO
Antworten
- True
- False
Frage 64
Frage
Ambien is a(n)
Antworten
-
Antianxiety/antidepressant
-
Sedative/hypnotics
Frage 65
Frage
Ambien is given for insomnia and is administered
Antworten
-
PO
-
IM
-
SL
-
transdermal
Frage 66
Frage
Haloperidol (Haldol) is what drug classification?
Antworten
-
Atypical antipsychotic
-
Typical antipsychotic drug
-
Sedative/hypnotics
Frage 67
Frage
How is Haloperidol (Haldol) administered?
Antworten
-
PO
-
IM
-
IV
-
SL
Frage 68
Frage
What is the range of dose for Haloperidol (Haldol)
Antworten
-
40-50 mg
-
5-50 mg
-
2-40 mg
Frage 69
Frage
Side effects to monitor for Haloperidol (Haldol) are
Antworten
-
Anticholinergic effects
-
EPS, sedation and weight gain
-
nausea and vomiting
-
orthostatic hypotension
-
sexual side effects
Frage 70
Frage
Side effects of Haloperidol (Haldol) are QT prolongation and increased prolactin
Antworten
- True
- False
Frage 71
Frage
Describe how Haloperidol (Haldol) is used for rapid tranquilization in emergencies?
Antworten
-
IV for sedation
-
IM for sedation
Frage 72
Frage
Risperidone (Risperdal) is what drug classification?
Antworten
-
Atypical antipsychotic
-
Mood stabilizing
Frage 73
Frage
Risperidone (Risperdal) is administered
Antworten
-
IV
-
PO
-
SC
-
IM
Frage 74
Frage
standard dose for Risperidone (Risperdal) is PO 1 mg twice daily
Antworten
- True
- False
Frage 75
Frage
A standard dose for 2 Risperidone (Risperdal) is 45mg IM every 4 weeks
Antworten
- True
- False
Frage 76
Frage
Side effects of Risperidone (Risperdal) include
Antworten
-
Less sedation and fewer EPS, weight gain/metabolic syndrome, sexual side effects
-
QT prolongation, increased prolactin
Frage 77
Frage
a patient can breastfeed on Risperidone (Risperdal)
Antworten
- True
- False
Frage 78
Frage
Risperidone (Risperdal) is preferred over older antipsychotics because
Antworten
-
Targets the negative symptoms of schizophrenia as well as the positive and
-
less expensive to administer
-
have fewer motor side effects
-
They may also improve cognitive function
Frage 79
Frage
Fluoxetine (Prozac) is a SSRI antidepressant
Antworten
- True
- False
Frage 80
Frage
Fluoxetine (Prozac) is administered IV at night
Antworten
- True
- False
Frage 81
Frage
What is the standard dose of Fluoxetine (Prozac)?
Antworten
-
60mg
-
40mg
-
20mg
Frage 82
Frage
Side effects of Fluoxetine (Prozac) include
Antworten
-
anxiety and insomnia
-
agitation and akathisia
-
weight gain and nausea
-
sexual dysfunction
Frage 83
Frage
Fluoxetine (Prozac) is contraindicated in all but which of the following
Antworten
-
adolescents
-
elderly
-
CV disease or seizure disorder
-
MAO’s within 14 days
Frage 84
Frage
Lithium carbonate is a mood stabilizer
Antworten
- True
- False
Frage 85
Frage
How is lithium carbonate administered
Antworten
-
PO
-
IM
Frage 86
Frage
What is the standard dose for lithium carbonate
Antworten
-
Initial dose: 300-600 mg 3 times daily maintenance dose: 300 mg 3-4 times daily
-
Initial dose: 100-200 mg 2 times daily maintenance dose: 150 mg 4-7 times daily
Frage 87
Frage
What would a nurse teach a patient receiving lithium carbonate
Antworten
-
take with food
-
have blood levels drawn 12 hours after last dose
-
take before bed
-
maintain therapeutic levels between 0.5-1.5 mEq/L
Frage 88
Frage
EPS symptoms are drug-induced movement disorders
Antworten
- True
- False
Frage 89
Frage
EPS symptoms are drug-induced movement disorders that include
Antworten
-
Pseudoparkinsonism: difficulty speaking or swallowing, loss of balance control, pill rolling of hands, mask-like face, shuffling gait, rigidity, tremors
-
Akasthisia: restlessness or desire to keep moving
-
Tardive dyskinesia: uncontrolled rhythmic movement of mouth, face and extremities.
-
Dystonia: muscle spasms, twisting motions, twitching, inability to move eyes, weakness of arms and legs
-
tenitus: rigidity of muscles
Frage 90
Frage
What are the 5 rights
Antworten
-
right dose amount
-
right route
-
right time
-
right patient
-
right consent form
-
right drug
Frage 91
Frage
The neurotransmitter that is increased in the disease of schizophrenia – hence the antipsychotics block the receptors
Antworten
-
epinephrine
-
norepinephrine
-
dopamine
Frage 92
Frage
The neurotransmitter that helps regulate attention, behavior, and body temperature; decreased in depression
Antworten
-
dopamine
-
serotonin
Frage 93
Frage
Medications that need routine blood levels to monitor for therapeutic range and toxicity
Antworten
-
lithium carbonate and depakote
-
lithium phosphate and haldol
Frage 94
Frage
Most anti-anxiety agents enhance the inhibitory effect of this neurotransmitter
Antworten
-
dopamine
-
GABA
Frage 95
Frage
The antidepressant medications administered in the morning
Antworten
-
SSRIs
-
antidepressants
Frage 96
Frage
The antidepressant medications administered at bedtime
Antworten
-
mood stabilizers
-
tricyclics (TCAx)
Frage 97
Frage
The average time frame for therapeutic results of the antidepressants
Antworten
-
2-3 months
-
2-6 weeks
Frage 98
Frage
The 3 most common medications used for bi-polar disorder
Antworten
-
lithium carbonate
-
Depakote (divalproex sodium),
-
Lamictal (lamotrigene)?
-
imipramine (Tofranil)
Frage 99
Frage
The types of antidepressant medications that present the highest risk for overdose
Antworten
-
tricyclics (TCAs)
-
SSSRIs
Frage 100
Frage
The most common medication used for rapid tranquilization of a patient with psychotic symptoms
Antworten
-
xanex
-
haloperidol
Frage 101
Frage
The new class of antipsychotics that have fewer motor side effects (EPS) but are more expensive
Antworten
-
typical antipsychotics
-
atypical antipsychotics
Frage 102
Frage
The abnormal motor side effects common with the typical or standard antipsychotics
Antworten
-
extrapyramidal side effects (EPS)
-
serotonin syndrome
Frage 103
Frage
Two medications that can be administered in a long-acting injectable
Antworten
-
Haldol Deconoate
-
quetiapine (Seroquel)
-
Risperdal Consta
Frage 104
Frage
The permanent extrapyramidal side effect
Antworten
-
tardive dyskinesia
-
serotonin syndrome
Frage 105
Frage
The nurse suggests low calorie hard candies and sips of water
Intervention for what?
Antworten
-
nursing intervention for the anticholinergic, dry mouth
-
nursing intervention for the anticholinergic, hypoglycemia
Frage 106
Frage
Adequate fluid intake, daily exercise, and high fiber foods
Intervention for what?
Antworten
-
nursing intervention for the anticholinergic side effect of dry mouth
-
nursing intervention for the anticholinergic side effect of constipation
Frage 107
Frage
Instructing the patient to move slowly from lying to sitting to standing, especially in the morning and in the Elderly.
Routinely checking BP for this
Antworten
-
hypertension
-
orthostatic hypotension
Frage 108
Frage
The common medication combination (2 drugs) given to an agitated and psychotic person in the ER
Antworten
-
Haldol and Ativan
-
Xanex and Proxac
Frage 109
Frage
The 2 roles of the nurse when treating a mental health patient with psychotropics
Antworten
-
Provider of direct patient care (administer meds, assess effectiveness, monitor for side effects)
-
Educator (of purpose, maintenance & side effects)
-
notify HCP (report all noticeable signs of psychotropics)
Frage 110
Frage
The benzodiazepine that has a shorter half life than valium and is often used in treatment of alcohol withdrawal
Antworten
-
Ativan
-
Haldol
Frage 111
Frage
The type of antidepressant medication that requires the patient to eat a special diet to avoid a hypertensive crisis
Antworten
-
Monoamine Oxidase (MAO) Inhibitors
-
SSRIs
Frage 112
Frage
The illness with signs & symptoms of :
Confusion to coma
Hyperthermia
Hyperreflexia
Labile BP & HR
Myoclonus & tremor
Antworten
-
serotonin syndrome
-
Neuroleptic Malignant Syndrome
Frage 113
Frage
The illness with signs & symptoms of :
Muscle ridgidity
Hyperthermia
Tachycardia
Diaphoresis
Labile BP
Respiratory distress – hypoxia
Renal failure
Antworten
-
Neuroleptic Malignant Syndrome
-
serotonin syndrome
Frage 114
Frage
The condition with signs & symptoms of :
Coarse hand tremor
Mental confusion
Hyperirritability of muscles
Drowsiness
Incoordination to ataxia
ECG changes and arrythmias
Blurred vision
Seizures
Antworten
-
Neuroleptic Malignant Syndrome
-
lithium toxicity
Frage 115
Frage
What is used in ALL nursing departments & settings
Antworten
-
administration of psychotropic medications
-
administration of cardiac mediations
Frage 116
Frage
When neurons are stimulated or depolarized they release neurotransmitters. Each neurotransmitter has site-specific receptors that can receive it. This is called
Antworten
-
process of neurotransmission and synaptic transmission
-
process of transmission and ion transport
Frage 117
Frage
Most psychotropic medication affect neurotransmitters in one of several ways. Mark all that apply.
Antworten
-
Block NTs from entering receptor site on postsynaptic neuron
-
Accelerates the synaptic transmission
-
Prevent destruction of NTs at synapse by interfering with enzymes at synapse
-
Inhibit reuptake/recycling NTs by presynaptic neuron
-
Enhance the release or inhibit the release
Frage 118
Frage
There are two types of antipsychotic medication typical and atypical
Antworten
- True
- False
Frage 119
Frage
Which of the following 2 medications were the first generation of treatment for psychosis including hallucinations and delusions
Antworten
-
Haldol
-
Clozaril
-
Thorazine
-
Abilify
Frage 120
Frage
The Atypical Psychotics or the second generation are medications developed more recently that address similar symptoms. These medications include
Antworten
-
Clozaril
-
Olanzapine
-
Risperidone
-
Abilify
-
Thorazine
Frage 121
Frage
Serious medical complications for antipsychotics include
Antworten
-
Tardivea dyskinesia
-
serotonin syndrome
Frage 122
Frage
Antipsychotics have a Black-Box Warning for
Antworten
-
dementia Related Psychosis
-
excessive dopamine transmission
Frage 123
Frage
Schizophrenia (positive symptoms), acute mania, psychotic depression, drug-induced psychosis, other psychotic symptoms (these symptoms are associated with elevated concentrations of
Antworten
-
serotonin
-
epinephrine
-
dopamine
Frage 124
Frage
MOA of Typical antipsychotics
Antworten
-
blocks dopamine receptors
-
reduce dopamine transmission
-
decreases concentration of dopamine
Frage 125
Frage
Which antipsychotics have fewer EPS but are no less sedating
Antworten
-
atypical
-
typical
Frage 126
Frage
The weight gain from these drugs can be as much as 40lbs per month in worst case scenario
Antworten
-
atypical
-
typical
Frage 127
Frage
Which atypical antipsychotic has a risk of agranulocytosis or a serious drop in granulated WBCs due to suppression of the bone marrow
Antworten
-
Prozac
-
Haldol
-
Clozaril
-
Lorazepam
Frage 128
Frage
Atypical antipsychotics are use to treat schizophrenia, treatment of acute mania associated with bipolar disorder, some uses for augmentation of antidepressant
Antworten
- True
- False
Frage 129
Frage
These drugs target the negative symptoms of schizophrenia as well as the positive and have fewer motor side effects.
Antworten
-
Typical antipsychotics
-
Atypical antipsychotics
Frage 130
Frage
These drugs are known as serotonin-dopamine antagonists because they have more 5-Ht2 effects to D2 receptor blockade. They may also improve cognitive function.
Antworten
-
typical antipsychotic
-
Atypical antipsychotic
Frage 131
Frage
Atypical antipsychotic have which side effects
Antworten
-
fatigue and tiredness
-
weight gain/metabolic syndrome (not Ability or Geodon)
-
sexual side effects
-
less sedation and fewer EPS
Frage 132
Frage
What is the psychiatric emergency related to atypical antipsychotics
Antworten
-
serotonin syndrome
-
neuroleptic malignant syndrome
Frage 133
Frage
Serotonin syndrome is poorly understood and is believed to be an abrupt and drastic reduction in dopaminergic activity, high mortality
Antworten
- True
- False
Frage 134
Frage
Symptoms of neuroleptic malignant syndrome include
Antworten
-
Muscle ridgidity/mutism
-
Respiratory distress – hypoxia
-
Tachycardia and hyperthermia
-
liver failure
Frage 135
Frage
Treatment for Neuroleptic Malignant Syndrome include
Antworten
-
Haldol
-
Parlodel
-
dantrium
-
life support
Frage 136
Frage
types of antidepressants include
Antworten
-
SSRIs
-
SNRIs
-
TCA
-
Atypical antipsychotics
-
MAOIs
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typical antipsychotics
Frage 137
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Antidepressants are used to treat major depression, panic disorder and other anxiety disorders including psychotic depression
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- True
- False
Frage 138
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Interact with the monoamine neurotransmitter systems in the brain, particularly the neurotransmitters
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norepinephrine and serotonin
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Epinephrine and dopamine
Frage 139
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Antidepressants have a Black Box Warning for increased risk of suicide in
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adolescents
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elderly
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women
Frage 140
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Contraindications for antidepressants include
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adolescents
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blood pressure medications
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cardiac disease or seizure disorder
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MAO's within 14 days
Frage 141
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Psychiatric syndrome of antidepressants include
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Neuroleptic Malignant Syndrome
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serotonin syndrome
Frage 142
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Serotonin syndrome occurs from excessive serotoninergic activity this can occur because
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overdose
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drug interaction
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stopping medication abruptly
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not informing provider of other medication
Frage 143
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manifestations of serotonin syndrome include confusion to coma, hypothermia, labile BP/HR and
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hyper-reflexia
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dry mouth
Frage 144
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Atypical or novel antidepressants MOA differ structurally and seem to work with less defined mechanisms than the other antidepressants
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- True
- False
Frage 145
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Atypical or novel antidepressants are the oldest drugs for depression but are not used as much because of side effects.
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- True
- False
Frage 146
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MOA of ti-cyclic antidepressants block the presynaptic re-uptake of neurotransmitters (norephinephrine & serotonin). Result is increased norephinephrine in the synapse. TCA’s block the muscarinic receptors that bind______________________ – result is anticholinergic effects.
Could also use for shingles cause blocks neurotransmitter
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acetylcholine
-
dopamine
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epinephrine
Frage 147
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An important patient teaching for trip-cyclic antidepressants is to use caution when getting up or driving and
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to take in the morning
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to take in the evening
Frage 148
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Side effects of Tri-cyclic antidepressants are anticholinergic which include
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cleared vision
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urinary retention
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dry mouth and constipation
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weight loss
Frage 149
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Nursing interventions for tri-cyclic antidepressants include section, weight gain, tachycardia, sexual dysfunction and
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orthostatic hypotension
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hypertension
Frage 150
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Contraindications of tri-cyclic antidepressants include suicide due to the overdose risk
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- True
- False
Frage 151
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These are older drugs, along with the TCA’s. They are rarely used and usually a last choice for treatment of major depression. They require high compliance in lifestyle diet from the patient.
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atypical antidepressants
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mood stabilizers
-
MAO inhibitors
Frage 152
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MAO inhibitors MOA: inhibition of MAO enzyme system result in which neurotransmitters not being broken down so there are higher levels
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dopamine
-
norepinephrine
-
epinephrine
-
serotonin
Frage 153
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Side effects of MAO inhibitors include sedation, insomnia, dry mouth, orthostatic hypotension, sexual dysfunction and
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weight loss
-
weight gain
Frage 154
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Psychotic emergency of MAO inhibitors are
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serotonin syndrome
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hypertensive crisis
Frage 155
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Hypertensive crisis occurs because excessive tyramine or sympathomimetic drugs and example of this is
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OTC allergy medication
-
OTC cold medicine
Frage 156
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Which drug do you need to teach patients to avoid tyramine foods such as (aged cheeses, aged meats, beer and wine, sauerkraut, soy sauce) as well as sympathomimetic drugs
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-
MAO inhibitors
-
tri-cyclic antidepressents
-
Atypical antipsychotics
Frage 157
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Mood stabilizers drugs include
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-
lithium carbonate
-
anticonvulsant medications
-
Depakote
-
Lamictal
Frage 158
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Mood stabilizing drugs are use to treat anxiety
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- True
- False
Frage 159
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Which drug was the first drug specific Bipolar Disorder (manic depression)Replaced in the 1980’s with usage of the anticonvulsants.
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-
Depakote
-
Lamictal
-
Lithium carbonate
Frage 160
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Which is true regarding lithium carbonate MOA:
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-
not fully understood
-
A salt; the ions alter sodium ion transport in nerve cells
-
causes an excessive release of dopamine
Frage 161
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Lithium Carbonate has the most narrow therapeutic index of all psychotropic medications
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- True
- False
Frage 162
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Lithium carbonate has a black box warning that can occur even when doses close to a therapeutic range
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- True
- False
Frage 163
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Side effects of lithium carbonate include nausea, diarrhea anorexia and
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fine hand tremors
-
blurred vision
-
dry mouth
Frage 164
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Nursing interventions for Lithium Carbonate include fatigue, weight gain, acne, cardiac (non-therapeutic levels) and
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-
polydipsia and poyuria
-
night sweats and terrors
Frage 165
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Patient teaching for Lithium Carbonate include taking with food, avoid alcohol and NSAIDS, ensuring the HCP of all other meds and having monthly blood levels drawn _______ hours after last dose. (maintain therapeutic levels between 0.5–1.5 mEq/L)
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-
8
-
24
-
12
Frage 166
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Adverse effects of Lithium Carbonate include long term kidney and thyroid disease, lithium toxicity and
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-
blurred vision
-
harm to a fetus
Frage 167
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therapeutic level for lithium carbonate are
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-
0.5-1.5 mEq/L
-
1.5-2 mEq/L
-
2-2.5 mEq/L
Frage 168
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1.5–2 mEq/L are what levels for lithium carbonate and can cause coarse hand tremors, ECG change and persistent GI upsets
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-
mid to moderate toxic reactions
-
moderate to severe toxic reactions
Frage 169
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2-2.5 mEq/L is what level for lithium carbonate and can cause ataxia, serious ECG changes, large dilute urine output and fatalities secondary to pulmonary complications?
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-
moderate to sever toxic reactions
-
mild to moderate toxic reactions
Frage 170
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____________________are used as mood stabilizers to treat mania in bipolar disorder. Lamictal and Depakote are used to treat bipolar depression. They are prescribed alone, with lithium, or with an antipsychotic drug to control mania.
Antworten
-
MAO inhibitors
-
Tri-cyclic antidepressents
-
Anticonvulsants
Frage 171
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Interventions for anticonvulsants include
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-
frequent rests
-
therapy animals
-
periodic blood levels
Frage 172
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Anticonvulsant medications carry MANY Black Box warnings. Among them:
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-
fetal risk
-
pancreatitis and hepatotoxicity
-
Rash (Stevens-Johnson)
-
Aplastic Anemia/Agranulocytosis
Frage 173
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Anticonvulsant medications carry MANY Black Box warnings. The one that is a psychiatric emergency is
Antworten
-
Increased Hepatoxicity Risk in Mitochondrial Disease
-
Aplastic Anemia/Agranulocytosis
-
Steven-Johnson Syndrome
Frage 174
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Side effects of anticonvulsants include sedation, dizziness, blurred vision, dry mouth, nausea, heartburn, muscle tremors and
Antworten
-
weight gain
-
weight loss
Frage 175
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Patient teaching for anticonvulsants include impaired operation due to sedation, may require blood levels, notify MD immediately of rash and
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-
may need to increase in dosage of hormonal birth control methods
-
may need to be taken with an anti anxiety agent
Frage 176
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Adverse effects of anticonvulsants include Stevens-Johnson syndrome, evere stomach pain, bruising, jaundice (pancreatitis, liver involvement, thrombocytopenia) and potential harm to a fetus from
Antworten
-
depakote
-
lamictal
Frage 177
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Which medications are used to treat anxiety disorders, PTSD, alcohol withdrawal
Antworten
-
tri-cyclic antidepressents
-
MAO inhibitors
-
Anxiolytics
Frage 178
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Anxiolytics include
Antworten
-
Depakote
-
benzodiazepines
-
buspirone (BuSpar)
Frage 179
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This is the MOA for which drug:
Moderate the actions of GABA, increases the receptor responsiveness to GABA
Antworten
-
anticonvulsants
-
anxiolytics
-
antidepressants
Frage 180
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side effects of anxiolytics include sedation, drowsiness, poor concentration, impaired memory, cloudy sensations and
Antworten
-
tolerance and dependance
-
impaired and blurry vision
Frage 181
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Patient teaching for anxiolytics include use caution while driving due to slower reflexes, avoid alcohol and
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-
abrupt withdrawal can be fatal
-
overdose can cause serotonin syndrome
Frage 182
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Antianxietys and Anxiolytics have very similar side effects and patient teachings
Antworten
- True
- False
Frage 183
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CNS stimulate drugs are used to manage which of the following
Antworten
-
ADHD
-
narcolepsy
-
autism
-
diabetes
Frage 184
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The MOA of CNS stimulate drugs is stimulate brain function, increasing release of neurotransmitters (norepinephrine & dopamine)and blocking re-uptake. Reduces action of _______.
Antworten
-
dopamine
-
GABA
-
serotonin
Frage 185
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CNS stimulants are at extreme risk for...
Antworten
-
respiratory depression
-
abuse and dependence
Frage 186
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Side effects for CNS stimulates include anorexia, nausea, irritability and
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-
weight loss
-
weight gain
Frage 187
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Patient teaching for CNS stimulants include long-term use can cause dependency, tolerance develops and
Antworten
-
taking before meals
-
taking after meals
Frage 188
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For this drug patients learn when they need to take the med.
Example: to focus on school work, cognitive tasks; drug holiday on weekends
Antworten
-
anti-anxiety
-
CNS stimulate
Frage 189
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cognitive enhancers work on neurons are destroyed and this lowers the available ____________ for nervous system transmission. (dementia for example)
Antworten
-
dopamine
-
acetyocholine
-
GABA
Frage 190
Frage
Cognitve enhancers are used for Alzheimers disease, with their MOA lowering acetylcholine. Examples of these drugs include
Antworten
-
Donepezil (Aricept),
-
Rivastigmine (Exelon),
-
buspirone (BuSpar)
-
Galantamine HBR (Razadyne)
Frage 191
Frage
cognitive enhancers work by blocking the enzyme acetylcholinesterase and make available more of the neurotransmitter, ___________________
Antworten
-
dopamine
-
acetylcholine
-
GABA
Frage 192
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For cognitive enhancers it is important to note in patient teachings that the medication does not reverse the disease process and
Antworten
-
may take up to 6 weeks to work
-
may take up to 6 months to work
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