mental health 3

A nurse is reinforcing teaching with a patient who has major depressive disorder and a new prescription for fluoxetine. Which of the following statements should the nurse make to the patient?

You could experience withdrawal manifestations if you stop taking fluoxetine abruptly

A nurse is reinforcing teaching with a patient who has depression about a new prescription for fluoxetine. Which of the following statements by the patient indicates an understanding of the teaching?

I may experience sedation and sleepiness

A nurse is reinforcing teaching with a patient who is to begin MAOI in addition to SSRI. Which of the following statements should the nurse include in the teaching?

You will need to be off SSRI for at least 2 weeks before taking MAOI

A nurse in a mental health facility is discussing antidepressant medications with a newly licensed nurse. Comparing SSRI and Tricyclic antidepressants. Which of the following information should the nurse include about TCAs?

Increase risk of cardiovascular adverse effects

A nurse is reinforcing dietary teaching with a patient who has a new prescription for MAOI. Which of the following foods should the nurse instruct the patient to avoid while taking MAOI

Aged cheese

A nurse is caring for a patient who has depression and is taking MAOI. The nurse should inform the patient that his diet should contain which of the following food

Cottage cheese

A nurse is reinforcing teaching with a patient about manifestations of lithium toxicity. Which of the following manifestations should the nurse include in the teaching?

Vomiting and diarrhea is an early sign of toxicity

A nurse is reinforcing discharge teaching with a patient who has bipolar disorder and begins to take lithium. Which of the following instructions should the nurse include in the teaching?

Avoid dieting

A nurse is reviewing the laboratory report for a client who has bipolar disorder and has a serum lithium level of 2.0 mEq/L. Which of the following should the nurse do first?

Obtain patient vital signs

A nurse is reinforcing teaching with a patient about a new prescription for lithium. Which of the following statements should the nurse include in the teaching?

We will need to check your lithium level in the next 3 to 5 days

A nurse is reinforcing teaching with a patient who is to start taking lithium for bipolar disorder. Which of the following instructions should the nurse include?

Take lithium with meals or a glass of milk

A nurse is caring for a patient who has schizophrenia and is taking haloperidol. The nurse should monitor the patient for which of the following adverse effects?

Tardive dyskinesia

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

Pseudoparkinsonism

A nurse is reinforcing teaching about valproate with a patient who has bipolar disorder. Which of the following information should the nurse include in the teaching?

Liver function test must be monitored regularly

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

Dry mouth

A nurse is caring for an older adult patient who has a prescription for lorazepam 0.5 milligrams. Which of the following findings should the nurse report to the provider immediately?

Increased anxiety

A nurse is preparing to administer buspirone to a patient who has generalized anxiety disorder. The nurse should plan to monitor the patient for which of the following adverse reactions?

Headache

A nurse is reinforcing teaching with a patient who has a new prescription amitriptyline. Which of the following statements should the nurse include in the teaching?

Change positions slowly while taking this medication

A nurse is caring for a patient who has paranoid schizophrenia and a new prescription for risperidone. The patient asked the nurse what the medication is supposed to do. Which of the following responses should the nurse make?

This medication will clear your thinking

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

A client who is taking clozapine and reports sore throat and chills

A nurse is caring for a patient who has paranoid schizophrenia and is taking quetiapine. The nurse should observe the patient for which of the following adverse effects of this medication?

Drowsiness

A nurse is collecting data from a group of patients who have anxiety disorder and have a prescription for various psychotropic medications. The nurse should recognize which of the following patients at high risk for suicide?

A patient who has OCD and takes fluoxetine (Prozac)

A nurse is reviewing the medical record for a patient who has a new prescription for clozapine. Which of the following findings should the nurse identify as a contraindication for clozapine?

Bone marrow depression

A nurse is collecting data from a patient who has schizophrenia and is taking fluphenazine. The nurse observes that the patient's tongue is protruding and he has irregular movement of his limbs. The nurse should identify that the patient is exhibiting manifestations of which of the following?

Early symptoms of tardive dyskinesia

A nurse is collecting data from a patient who is taking chlorpromazine. Which of the following should the nurse identify as an extrapyramidal symptom? (Select all that apply)

Muscle contraction of the neck,Fidgeting behavior,Impaired gait

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

The patient reports his heart is “beating outside of his chest”

A nurse is caring for a patient who is taking fluphenazine for schizophrenia. Which of the following findings is the nurse's priority?

Tachycardia

A nurse is caring for a patient who has depression and a new prescription for bupropion. The nurse should collect data from the client regarding which of the following contraindications for taking this medication?

Recent head trauma

A nurse is reinforcing teaching with a client who is taking lithium carbonate. Which of the following dietary supplements should the nurse instruct the client to avoid?

St Johns wort

A nurse is reinforcing teaching with a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include?

Expect your mood to change in 1 to 3 weeks