mental health med test 3/27

A patient with schizophrenia asks, “What is this medication supposed to do?”
Which response should the nurse make?

“This medication will help clear your thinking.”

A nurse is reinforcing teaching with a client who has a prescription for lithium carbonate to treat bipolar disorder. Which of the following instructions should the nurse include?

Wait up to 3 weeks to see the full effects of the medication.

A nurse is reinforcing teaching with a client who has a new prescription for lithium carbonate to treat bipolar disorder. The nurse should make sure the client understands that he must maintain consistency in his intake of which of the following dietary elements?

sodium

A nurse is collecting data from a client admitted to an inpatient mental health unit and has a new prescription for disulfiram. Which of the following information is most important for the nurse to obtain before administering this medication?

when client last drank alc

A nurse is caring for a client who has schizophrenia and is receiving clozapine. For which of the following findings should the nurse monitor to determine if the medication is havingla therapeutic effect?

decrease auditory hallucinations

A nurse is collecting data from a client who is taking alprazolam. For which of the following adverse effects should the nurse closely monitor?

inability to recall events

A nurse is collecting data from a client who is to begin taking alprazolam. Which of the following findings should the nurse identify is a contraindication to this medication?

alc use disorder

A nurse is reinforcing teaching with a client who has a prescription for lithium carbonate to treat bipolar disorder. Which of the following instructions should the nurse include?

wait 3 weeks for effects

A nurse is collecting data from a client who is taking chlorpromazine. Which of the following findings should the nurse identify as extrapyramidal symptoms (EPS)? (Select all that apply.)

Muscle contractions of the neck
Fidgeting behavior
Impaired gait

A nurse is reinforcing teaching with a client who has alcohol use disorder and is taking disulfiram. Which of the following statements should the nurse include in the teaching?

Avoid alcohol for 2 weeks after discontinuing the medication."

A nurse is reviewing the morning laboratory report for a client who has bipolar disorder and recently started taking lithium. The client's current lithium level is 1.2 mE/L. Which of the following actions should the nurse plan to take?

administer regular dose

A nurse is caring for a client who has schizophrenia and taking haloperidol. The nurse observes that the client has developed a stooped posture and shuffling gait. The nurse should document these findings as which of the following extrapyramidal side effects of haloperidol?

pseudoparkisonism

A nurse is caring for a client who has a prescription for alprazolam 0.25 mg PO every 8 hr PRN anxiety. For which of the following situations should the nurse administer the alprazolam?

heart is beating out of chest

A nurse is caring for a client who is taking clozapine for the treatment of schizophrenia. The nurse should monitor the client for which of the following potential adverse effects of clozapine?

dry mouth

A nurse is reinforcing discharge teaching for a client who will continue to take lithium carbonate at home to manage bipolar disorder. Which of the following instructions should the nurse include when reinforcing the teaching?

Withhold dose if having a fine hand tremor.

tardive disksenia

fuphanazine early symptoms

antipsychotic medications do what?

reduce hallucinations and delusions, but NOT mood or anxiety

A nurse is caring for a group of patients in a mental health facility.
Which patient should the nurse recommend the provider see first?

Patient taking clozapine who has a sore throat and fever

A nurse is collecting data from patients with anxiety disorders taking psychotropic medications.
Which patient has an increased risk for suicide?

Patient with OCD taking Prozac (SSRI)

ssris can increase what?

suicidal thoughts

ssris are responsible for?

sexual and emotional behaviors

A nurse is collecting data from a patient taking an antipsychotic.
Which findings should be identified as extrapyramidal symptoms (EPS)?

• muscle contraction of the neck

• impaired gait

snri can be remembered as?

flight or fight

ssri side effects?

shivering, sweating, dizziness, sexual dysfunction, and WEIGHT GAIN

ssri medications

escitalpram, altalopram, fluoxetine, paroxetine, & setasine

generic ssri med names

prozac, lexapro, celexa, pexeva, & zoloft

ssris must be what?

tapered off

stopping ssri meditations abruptly can cause

serotonin syndrome

what is serotonin syndrome?

overload of serotonin

sero. syndrome causes what?

the loss of functions and possibly organs

what can’t be taken together?

maois and ssris, leads to serotonin syndrome

snri medications

devenlatine, dudexetine, womilnacipran, & vanlafaxine

generic snri meds

pristiq, cymbalta, fatzima, & effexor XR

wait how long after to take ssris from maois

2 weeks

angranulochtosis

clozapine

quetipine is a?

antipsychotic and causes drowsiness

clozapine has?

anticholineegetic effects, causes a person to dry out, “i can’t see”

clozapine is contradicted in patients who have?

bone marrow pts

clozapine causes?

bone marrow problems and depression

haldol is used for

schizo patients (antipsychotic) causes hardive and dyskinesia

maois can have?

cottage cheese and regular bananas

lithium toxicity level?

0.6-1.2

wjat’s the rule to have while on lithium

do not restrict water, maintain sodium, and don't diet

how long does it take to check lithium

3-5 days

atypical medication

buripron, miratapizine, nafazadone, trazadone, viazadone, & vorioxtine