Wk. 15 - Psychopharmacology Practice Questions

Which of the following side effects is most commonly associated with first-generation antipsychotics? A. Hyperglycemia B. Extrapyramidal symptoms (EPS) C. Hypertension D. Hepatotoxicity

B

A nurse is monitoring a client on Clozapine. Which lab result is most important to review regularly? A. Hemoglobin B. Platelet count C. White blood cell count D. Serum calcium

C

A client prescribed fluoxetine reports tremors, fever, and confusion. Which condition should the nurse suspect? A. Neuroleptic Malignant Syndrome B. Serotonin Syndrome C. Lithium Toxicity D. EPS

B

A client on lithium reports nausea and tremors. Which action should the nurse take first? A. Withhold the dose and notify the provider B. Administer antiemetics C. Encourage hydration D. Reassure the patient that this is expected

A

What is a common target symptom for antipsychotic medications? A. Tardive dyskinesia B. Hallucinations C. Weight gain D. Constipation

B

Atypical antipsychotics are more likely to cause which of the following compared to typical antipsychotics? A. Tardive dyskinesia B. Anticholinergic toxicity C. Metabolic syndrome D. Parkinsonism

C

Which of the following is an appropriate nursing intervention for a client taking SSRIs? A. Limit fluid intake B. Encourage a high-sodium diet C. Educate on delayed therapeutic effects D. Monitor for agranulocytosis

C

Which neurotransmitter is primarily increased by SSRIs? A. Dopamine B. Acetylcholine C. Serotonin D. GABA

C

A client taking lorazepam long-term is at risk for which of the following? A. Hyperactivity B. Visual hallucinations C. Dependence and withdrawal seizures D. Agranulocytosis

C

What is the mechanism of action of buspirone? A. Dopamine receptor blocker B. GABA receptor enhancer C. Serotonin partial agonist D. Norepinephrine reuptake inhibitor

C

Which symptoms are signs of serotonin syndrome? (Select all that apply) A. Confusion B. Bradycardia C. Hyperreflexia D. Hypothermia E. Tremors

A,C,E

Which interventions should the nurse include when caring for a client taking lithium? (Select all that apply) A. Monitor renal function tests B. Encourage high water intake C. Limit sodium intake D. Monitor for signs of toxicity E. Check thyroid levels regularly

A,B,D,E

What are side effects of benzodiazepines? (Select all that apply) A. Sedation B. Tremors C. Dizziness D. Cognitive slowing E. Agranulocytosis

A,C,D

Which nursing considerations apply when administering Clozapine? (Select all that apply) A. Weekly WBC monitoring B. Educate about metabolic side effects C. Monitor for EPS D. Check for signs of agranulocytosis E. Encourage high caffeine intake

A,B,D

What are nursing strategies to manage sexual side effects of SSRIs? (Select all that apply) A. Encourage patient communication B. Taper the dose quickly C. Explore medication changes D. Offer reassurance E. Refer to counseling if distressing

A,C,D,E

True or False: Anticholinergic side effects include constipation, dry mouth, and blurred vision.

True

True or False: SSRIs work immediately to improve depressive symptoms.

False

True or False: The "start low, go slow" approach is essential when prescribing psychotropics to older adults.

True

True or False: EPS is more likely with second-generation antipsychotics than with first-generation ones.

False

True or False: Buspirone has a high abuse potential similar to benzodiazepines.

False

Which medication requires monitoring for elevated blood pressure as a common side effect? A. Fluoxetine B. Lithium C. Venlafaxine D. Lorazepam

C

A client on long-term antipsychotic therapy develops lip-smacking and grimacing. What condition should the nurse assess for? A. Akathisia B. Tardive dyskinesia C. Neuroleptic Malignant Syndrome D. Serotonin Syndrome

B

What physiological change in older adults increases medication sensitivity? A. Increased hepatic function B. Enhanced renal clearance C. Reduced protein binding D. Slower drug metabolism

D

Which lab values are priority when monitoring lithium therapy? A. WBC and hemoglobin B. Sodium and creatinine C. Glucose and A1C D. Potassium and chloride

B

Which antidepressant class is best avoided in patients with uncontrolled hypertension? A. SSRIs B. SNRIs C. TCAs D. MAOIs

B

What are common nursing interventions for managing EPS? (Select all that apply) A. Administer diphenhydramine or benztropine B. Taper antipsychotic slowly C. Assess using the AIMS scale D. Increase antipsychotic dosage E. Monitor for rigidity and restlessness

A,C,E

What physiological changes in older adults affect psychopharmacology? (Select all that apply) A. Decreased renal clearance B. Enhanced liver enzyme activity C. Altered protein binding D. Higher CNS sensitivity E. Increased total body water

A,C,D

What factors can increase the risk of lithium toxicity? (Select all that apply) A. Dehydration B. Diuretic use C. Excessive caffeine intake D. Low sodium diet E. Antacid use

A,B,D

True or False: SSRIs can cause suicidal ideation, especially in adolescents.

True

True or False: Metabolic monitoring is unnecessary for patients on atypical antipsychotics unless they are obese.

False