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 Fava beans

B Corned beef

C Cottage cheese

D Red wine

Question #2

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

A Neuroleptic malignant syndrome

B Dry mouth and constipation

C Orthostatic hypotension

D Dystonia

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 Ginseng

B Valerian root

C Garlic

D St. John’s wort

Question #4

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

A Naltrexone

B Naloxone

C Flumazenil

D Nalmefene

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 The meaning of various components of a white blood cell count

D Strategies to manage breast enlargement and nipple discharge

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 Hyperthermia, Lethargy, Paradoxical anxiety

B Lethargy, Paradoxical anxiety, Shivering

C Shivering, Hyperthermia, Muscle spasms

D Paradoxical anxiety, Lethargy, Muscle spasms

Question #8

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

A Olanzapine

B Ziprasidone

C Risperidone

D Quetiapine

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

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

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

Question #10

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

A Liver function tests

B Immunoglobulin levels

C Complete blood count

D Renal panel

Question #11

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

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

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

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

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 Instruct the patient not to miss doses.

B Monitor the patient’s response to therapy.

C Teach the patient about the side effects.

D Monitor the postural blood pressure.

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 Fasting blood glucose

C Kidney function studies

D Liver function studies

Question #14

Which piece of objective data contraindicates the use of clozapine?

A Acute lymphocytic leukemia

B Self-destructive behavior

C Allergy to phenothiazines

D Failed antipsychotic therapy

Question #15

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

A There is increased likelihood of adherence to therapy.

B Fewer doses are needed for effective therapy.

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

D There is a better chance of effectiveness.

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 adverse effects due to drug–food interaction.

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

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

D The patient has withdrawal symptoms of the administered drug.

Question #17

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

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

B There are no contraindications to this medication.

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

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

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 Diazepam

B Buspirone

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 Ibuprofen

C Glucosamine chondroitin

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 Tramadol

B Fentanyl

C Ibuprofen

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 Alcohol, Opioids, Antihistamines, Muscle relaxants

B Tobacco, Caffeinated drinks, Alcohol, Antihistamines

C Opioids, Tobacco, Muscle relaxants, Caffeinated drinks

D Tobacco, Opioids, Caffeinated drinks, Alcohol

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 High fever, Myoglobinemia, Unstable blood pressure

D Akathisia, High fever, Acute dystonia

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 at night and isocarboxazid after lunch.

D Administer buspirone 14 days after discontinuing isocarboxazid.

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 Perform urine acidification until the pH is 5.

B Refer the patient for regular hemodialysis.

C Administer hypotensive drugs as prescribed.

D Administer multiple doses of activated charcoal.

Question #25

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

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

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

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

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

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 Monoamine oxidase inhibitor (MAOI)

D Oral contraceptives

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 Escitalopram

C Diazepam

D Buspirone

Question #28

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

A Oxcarbazepine, Lithium carbonate

B Bupropion, Imipramine

C Bupropion, Isocarboxazid

D Isocarboxazid, Imipramine

Question #29

Which is a common symptom of serotonin syndrome?

A Drowsiness, Suicidal thoughts, Delirium,

B Myoclonus, Drowsiness, Suicidal thoughts

C Delirium, Myoclonus, Coarse tremors

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 Postural hypotension, Tardive dyskinesia, Weight gain

C Weight gain, Tardive dyskinesia, Lightheadedness,

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, Confusion, Visual changes

B Paradoxical anxiety, Ataxia, Dizziness, Confusion

C Dizziness, Confusion, Visual changes, Paradoxical anxiety

D Ataxia, Dizziness, Paradoxical anxiety, Visual changes

Question #32

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

A Take sertraline at the same time each day.

B Report any increase in mania.

C Avoid overheating and direct sun exposure.

D Expect to feel better in 4 to 6 days.

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 Several weeks

B 2 or 3 days

C 1 week

D 2 or 3 months

Question #34

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

A Catatonia, Poverty of speech, Social withdrawal

B Delusions, Hallucinations, Conceptual disorganization

C Catatonia, Poverty of speech, Conceptual disorganization

D Hallucinations, Poverty of speech, Social withdrawal

Question #35

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

A To prevent renal toxicity caused by the drug

B To maintain normal cholesterol levels in the body

C To ensure proper nourishment in the patient

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 “Have you ever experienced trauma?”

C “Have you undergone any surgery?”

D “Are you taking calcium supplements?”

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 Chlordiazepoxide

B Alprazolam

C Hydroxyzine hydrochloride salt

D Buspirone

Question #38

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

A Childhood enuresis, Seizures, Depression

B Insomnia, Childhood enuresis, Neuropathic pain syndrome

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 Lithium citrate

B Alprazolam

C Diazepam

D Buspirone

Question #40

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

A Lorazepam

B Diazepam

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 Trazodone

C Phenelzine

D Amoxapine

Question #42

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

A Smoking a low-nicotine cigarette

B Participating in a bowling league

C Eating aged cheese

D Sunbathing at the pool

Question #43

Which cue is a common symptom of serotonin syndrome?

A Myoclonus

B Rhabdomyolysis

C Renal failure

D Hypothermia

Question #44

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

A Serotonin and norepinephrine reuptake inhibitors (SNRIs)

B Selective serotonin reuptake inhibitors (SSRIs)

C Trycyclics

D Tertracyclics

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 Dysregulation

B Permissive

C Dopamine

D Biogenic amine

Question #46

Which drugs represent the largest class of conventional antipsychotic drugs?

A Phenylbutylpiperidines

B Thioxanthene

C Phenothiazines

D Dibenzodiazepines

Question #47

Which cue is indicative of a benzodiazepine overdose?

A Dizziness

B Blurred vision

C Somnolence

D Paradoxical anxiety

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 dyskinesia.

B The patient has mania.

C The patient has metabolic syndrome.

D The patient has dystonia.

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 Biogenic amine hypothesis

B Dysregulation hypothesis

C Permissive hypothesis

D Dopamine hypothesis

Question #50

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

A Amitriptyline

B Alprazolam

C Buspirone

D Lorazepam

Question #51

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

A Absence seizures

B Paranoid schizophrenia

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 Benzodiazepine

B Dibenzazepine

C Benzisoxazole

D Phenothiazine

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 Chlorpromazine

B Haloperidol

C Molindone

D Risperidone

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 10 mg/day

C 25 mg/day

D 40 mg/day

Question #56

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

A Serotonin

B Norepinephrine

C Dopamine

D Acetylcholine

Question #57

Which disorder is treated with mood stabilizers?

A Depressive

B Affective

C Psychotic

D Anxiety

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