Mastery EAQ Ch. 16

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Question #1

Which food can be included in the diet of a patient who is taking monoamine oxidase inhibitors?

A Red wine

B Cottage cheese

C Fava beans

D Corned beef

Question #2

Which extrapyramidal side effect does the nurse monitor for in a patient who is taking an antipsychotic medication?

A Dystonia

B Dry mouth and constipation

C Orthostatic hypotension

D Neuroleptic malignant syndrome

Question #3

The nurse recognizes that teaching is needed when the patient with hypertension states taking which over-the-counter medication and/or supplement?

A Garlic

B Ginseng

C Valerian root

D St. John’s wort

Question #4

Which antagonist may be used to treat an overdose of oxazepam?

A Flumazenil

B Nalmefene

C Naloxone

D Naltrexone

Question #5

Which information would be important to include in the teaching plan for a patient who is prescribed clozapine, an atypical antipsychotic medication for schizophreniform disorder?

A The importance of promptly reporting flulike symptoms

B Contraceptive measures and expected changes in menstruation

C Strategies to manage breast enlargement and nipple discharge

D The meaning of various components of a white blood cell count

Question #6

Which tests will the nurse suggest to the health care provider before duloxetine is started for depression?

A Complete urine examination

B Complete blood count

C Liver function test

D Renal function test

Question #7

Which symptom does the nurse monitor for with a patient who is taking tricyclic antidepressant (TCA) therapy for the treatment of insomnia and phenelzine?

A Paradoxical anxiety, Lethargy, Muscle spasms

B Hyperthermia, Lethargy, Paradoxical anxiety

C Shivering, Hyperthermia, Muscle spasms

D Lethargy, Paradoxical anxiety, Shivering

Question #8

Which atypical antipsychotic agent is a better medication for a patient with schizophrenia with a poorly healing leg ulcer and hyperglycemia?

A Quetiapine

B Ziprasidone

C Olanzapine

D Risperidone

Question #9

Which statement made by the patient reflects understanding of medication education when being switched from amitriptyline to citalopram?

A “The health care provider is switching me to this medication because it is less expensive but just as effective.”

B “I will need to limit my intake of cheese when taking Celexa to prevent a rise in my blood pressure.”

C “I can just stop taking my Elavil and start taking the Celexa as ordered.”

D “I will not get as dizzy when I change positions after I switch medications.”

Question #10

Which laboratory test should be monitored frequently to assess for a potential life-threatening adverse reaction to clozapine?

A Renal panel

B Immunoglobulin levels

C Liver function tests

D Complete blood count

Question #11

Which assessment may have prompted the administration of flumazenil to a patient who is taking anxiolytic medication?

A The patient might have difficulty breathing. The patient might have been sleeping for a long time.

B The patient might have increased hunger. The patient might have severe abdominal pain.

C The patient might have perspiration. The patient might have increased hunger.

D The patient might have severe abdominal pain. The patient might have perspiration.

Question #12

Which is the most important nursing responsibility for ensuring safety for a patient being treated with anxiolytic medications?

A Monitor the postural blood pressure.

B Teach the patient about the side effects.

C Monitor the patient’s response to therapy.

D Instruct the patient not to miss doses.

Question #13

Which patient data would the nurse check to help prevent complications of the pharmacotherapy with a patient taking risperidone who has a necrotic foot ulcer that started as a minor scratch?

A Leukocyte count

B Liver function studies

C Kidney function studies

D Fasting blood glucose

Question #14

Which piece of objective data contraindicates the use of clozapine?

A Acute lymphocytic leukemia

B Self-destructive behavior

C Failed antipsychotic therapy

D Allergy to phenothiazines

Question #15

Which is the primary benefit of taking a parenteral formulation of an antipsychotic medication?

A Fewer doses are needed for effective therapy.

B It can be injected as a long-acting agent.

C There is a better chance of effectiveness.

D There is increased likelihood of adherence to therapy.

Question #16

The nurse is assessing an older adult diagnosed with severe anxiety who was prescribed clonazepam. The patient’s family members inform the nurse that for the last few days, the patient has experienced dizziness and suddenly becomes aggressive and confused. Which does the nurse infer from this behavior?

A The patient has reduced drug effect due to calcium deficiency.

B The patient has withdrawal symptoms of the administered drug.

C The patient has adverse effects due to drug–food interaction.

D The patient has adverse effects due to drug–drug interaction.

Question #17

The nurse would include which teaching point when educating the patient about selective serotonin reuptake inhibitor medication?

A There are no contraindications to this medication.

B This class of medications has no other use and is only for depression.

C The medication is safe; it has been used longer than many others.

D There is a risk of toxicity when this medication is taken with alcohol.

Question #18

Which medication is prescribed to the patient with panic disorder if the nurse uses the intramuscular route for administration of a diluted anxiolytic?

A Buspirone

B Diazepam

C Alprazolam

D Lorazepam

Question #19

A patient currently prescribed duloxetine comes to the health clinic complaining of restlessness, agitation, diaphoresis, and tremors. The nurse suspects serotonin syndrome and questions the patient regarding concurrent use of which substance?

A St. John’s wort

B Glucosamine chondroitin

C Ibuprofen

D Ginkgo

Question #20

Which analgesic agent would a nurse avoid to help prevent serotonin syndrome in a patient who takes sertraline for depression?

A Ibuprofen

B Tramadol

C Fentanyl

D Oxycodone

Question #21

The nurse will instruct a patient who has been taking alprazolam to avoid which substance to help prevent intensification of this medication’s adverse effects?

A Tobacco, Caffeinated drinks, Alcohol, Antihistamines

B Tobacco, Opioids, Caffeinated drinks, Alcohol

C Opioids, Tobacco, Muscle relaxants, Caffeinated drinks

D Alcohol, Opioids, Antihistamines, Muscle relaxants

Question #22

Which symptom does a nurse expect to find in a patient who develops neuroleptic malignant syndrome after being administered antipsychotic drugs?

A Acute dystonia, Akathisia, Unstable blood pressure

B Myoglobinemia, Akathisia, Acute dystonia

C Akathisia, High fever, Acute dystonia

D High fever, Myoglobinemia, Unstable blood pressure

Question #23

Which intervention would the nurse implement to prevent adverse effects in a patient who takes isocarboxazid for depression and who is now taking buspirone for a slight increase in blood pressure and agitation?

A Administer buspirone and isocarboxazid by dissolving in water.

B Administer buspirone intravenously and isocarboxazid orally.

C Administer buspirone 14 days after discontinuing isocarboxazid.

D Administer buspirone at night and isocarboxazid after lunch.

Question #24

Which intervention will the nurse expect to perform for a patient who takes a tricyclic antidepressant (TCA) and who has consumed a lot of alcohol?

A Administer multiple doses of activated charcoal.

B Administer hypotensive drugs as prescribed.

C Refer the patient for regular hemodialysis.

D Perform urine acidification until the pH is 5.

Question #25

Which statement made by a patient demonstrates a lack of understanding of patient teaching regarding phenothiazine drug therapy?

A “I will need to wear sunscreen and protective clothing when outdoors.”

B “It is okay to take this drug with a small glass of wine to help me relax.”

C “I need to change positions slowly to prevent dizziness.”

D “I should call my health care provider if I notice any uncontrollable movements of my tongue.”

Question #26

The primary health care provider reviews the medical history of a patient who is receiving buspirone. The health care provider instructs the nurse to continuously monitor the patient’s blood pressure to prevent hypertension due to a drug interaction. Which other medication is the patient taking?

A Nonsteroidal antiinflammatory drugs

B Iron supplement

C Oral contraceptives

D Monoamine oxidase inhibitor (MAOI)

Question #27

Which medication would the nurse expect to administer for a patient with a history of abusing opioid analgesics and needs an antianxiety agent?

A Venlafaxine

B Buspirone

C Diazepam

D Escitalopram

Question #28

Which mood-stabilizing drug is used to treat bipolar disorder?

A Bupropion, Imipramine

B Bupropion, Isocarboxazid

C Oxcarbazepine, Lithium carbonate

D Isocarboxazid, Imipramine

Question #29

Which is a common symptom of serotonin syndrome?

A Myoclonus, Drowsiness, Suicidal thoughts

B Delirium, Myoclonus, Coarse tremors

C Drowsiness, Suicidal thoughts, Delirium,

D Drowsiness, Coarse tremors, Suicidal thoughts

Question #30

Which adverse effect results from antipsychotic drugs’ action on alpha-adrenergic receptors?

A Reflex tachycardia, Weight gain, Tardive dyskinesia

B Weight gain, Tardive dyskinesia, Lightheadedness,

C Postural hypotension, Tardive dyskinesia, Weight gain

D Lightheadedness, Reflex tachycardia, Postural hypotension

Question #31

Which adverse effect does the nurse monitor for in a patient who has been prescribed alprazolam to treat panic disorder?

A Ataxia, Dizziness, Paradoxical anxiety, Visual changes

B Dizziness, Confusion, Visual changes, Paradoxical anxiety

C Ataxia, Dizziness, Confusion, Visual changes

D Paradoxical anxiety, Ataxia, Dizziness, Confusion

Question #32

Which instruction would the nurse include to educate a patient taking sertraline?

A Report any increase in mania.

B Expect to feel better in 4 to 6 days.

C Take sertraline at the same time each day.

D Avoid overheating and direct sun exposure.

Question #33

Which time frame would the nurse include in patient teaching to explain how long it will take for escitalopram to be completely effective?

A 1 week

B Several weeks

C 2 or 3 days

D 2 or 3 months

Question #34

Which phenomenon does the nurse recognize as a positive symptom of schizophrenia?

A Hallucinations, Poverty of speech, Social withdrawal

B Catatonia, Poverty of speech, Social withdrawal

C Delusions, Hallucinations, Conceptual disorganization

D Catatonia, Poverty of speech, Conceptual disorganization

Question #35

Which reason is necessary for monitoring blood sodium levels in a patient with bipolar disorder who takes lithium citrate?

A To ensure proper nourishment in the patient

B To maintain normal cholesterol levels in the body

C To prevent renal toxicity caused by the drug

D To maintain therapeutic concentration of lithium

Question #36

When a patient is prescribed a benzodiazepine and the nurse reviews the patient history, what inquiry may the nurse make?

A “Are you taking oral contraceptives?”

B “Are you taking calcium supplements?”

C “Have you ever experienced trauma?”

D “Have you undergone any surgery?”

Question #37

Which anxiolytic medication might be a better option for a patient with anxiety disorder who is taking lorazepam but finds the side effect of drowsiness to be interfering with life?

A Alprazolam

B Buspirone

C Hydroxyzine hydrochloride salt

D Chlordiazepoxide

Question #38

Which is the current indication for tricyclic antidepressants (TCAs)?

A Insomnia, Childhood enuresis, Neuropathic pain syndrome

B Childhood enuresis, Seizures, Depression

C Depression, Seizures, Neuropathic pain syndrome

D Seizures, Insomnia, Depression

Question #39

Which drug is responsible for an adverse effect of involuntary wavelike movements of the legs in a patient with bipolar disorder?

A Buspirone

B Lithium citrate

C Diazepam

D Alprazolam

Question #40

Which drug may cause serotonin syndrome if given together with an antidepressant medication?

A Diazepam

B Lorazepam

C Buspirone

D Alprazolam

Question #41

Which atypical antipsychotic medication would the nurse anticipate a health care provider prescribing for treatment of refractory schizophrenia?

A Risperidone

B Amoxapine

C Phenelzine

D Trazodone

Question #42

Which activity would the patient be cautioned to avoid while taking a monoamine oxidase (MAO) inhibitor?

A Participating in a bowling league

B Eating aged cheese

C Smoking a low-nicotine cigarette

D Sunbathing at the pool

Question #43

Which cue is a common symptom of serotonin syndrome?

A Rhabdomyolysis

B Renal failure

C Hypothermia

D Myoclonus

Question #44

Which second-generation antidepressant medication interacts with nonsteroidal antiinflammatory drugs (NSAIDs)?

A Tertracyclics

B Serotonin and norepinephrine reuptake inhibitors (SNRIs)

C Selective serotonin reuptake inhibitors (SSRIs)

D Trycyclics

Question #45

Which hypothesis postulates that depression results from a deficiency of neuronal and synaptic catecholamines and mania from an excess of amines at the adrenergic receptor sites in the brain?

A Biogenic amine

B Dopamine

C Permissive

D Dysregulation

Question #46

Which drugs represent the largest class of conventional antipsychotic drugs?

A Phenylbutylpiperidines

B Dibenzodiazepines

C Phenothiazines

D Thioxanthene

Question #47

Which cue is indicative of a benzodiazepine overdose?

A Blurred vision

B Somnolence

C Paradoxical anxiety

D Dizziness

Question #48

What does the nurse infer from a patient with increased blood glucose levels, increased blood pressure (BP), and abnormal cholesterol levels?

A The patient has metabolic syndrome.

B The patient has dyskinesia.

C The patient has dystonia.

D The patient has mania.

Question #49

Which theory states that depression and mania are caused by alterations in the concentration of dopamine and norepinephrine and serotonin and histamine in the brain?

A Permissive hypothesis

B Biogenic amine hypothesis

C Dopamine hypothesis

D Dysregulation hypothesis

Question #50

Which anxiolytic drug promotes agonistic activity at both the serotonin and dopamine receptors?

A Buspirone

B Lorazepam

C Alprazolam

D Amitriptyline

Question #51

Which condition would the nurse suspect that a patient on lithium has been diagnosed with?

A Paranoid schizophrenia

B Absence seizures

C Obsessive–compulsive disorder

D Bipolar disorder

Question #52

Which type of medication is indicated to help the patient manage withdrawal symptoms while detoxifying from alcohol abuse?

A Benzisoxazole

B Phenothiazine

C Dibenzazepine

D Benzodiazepine

Question #53

Which class of medication found in the patient’s prescription is responsible for constipation and urinary retention in a patient who takes nortriptyline for depression?

A Anxiolytics

B Diuretics

C Antihypertensives

D Anticholinergics

Question #54

Which medication would a nurse suggest the health care provider prescribe for a patient with psychosis who is experiencing extrapyramidal effects from conventional antipsychotic pharmacotherapy?

A Haloperidol

B Risperidone

C Molindone

D Chlorpromazine

Question #55

A patient with an anxiety disorder is prescribed an oral dose of diazepam. What is the maximum dose of the drug that the patient would receive in a day?

A 50 mg/day

B 25 mg/day

C 40 mg/day

D 10 mg/day

Question #56

Which is the main receptor in the central nervous system (CNS) that is blocked by conventional antipsychotic drugs?

A Norepinephrine

B Dopamine

C Serotonin

D Acetylcholine

Question #57

Which disorder is treated with mood stabilizers?

A Affective

B Depressive

C Psychotic

D Anxiety

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