ATI: Pharmacology- Mental Health
A nurse is providing medication teaching for a client who has a new prescription of pheneizine (Nardil), a MAOI. Which of the following should the nurse include in the teaching?
" you should change positions slowly which taking this medication."
A nurse is reinforcing teaching with a client who has a prescription for nortriptyline (Aventyl). Which of the following client statements indicates understanding of the teaching?
"I should sit on the side of the bed before standing up in the morning."
A nurse is teaching a client who has depression about a new prescription for fluoxetine (Prozac). Which of the following statements by the clients indicates understanding of the teaching?
"I should watch my diet to prevent an expected weight gain."
A nurse is teaching a client who is morbidly obese and has been prescribed orlistat (Xenical). The nurse should recognize that the client has a good understanding of the medication if the client states which of the following?
"I will take Xenical three times a day, just before each meal."
A nurse is discussing antidepressant medications with a newly licensed nurse. Which of the following statements indicates an understanding of the selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs)?
"TCAs are more lethal in overdose."
A nurse is providing teaching for a client who has a new prescription for clozapine (Clozaril). Which of the following client statements indicates a need for further teaching?
"This medication will help prevent seizures."
A nurse is caring for a client who is receiving chlorpromazine (Thorazine) and is given a pass to attend a family outing on a sunny day. Which of the following is the most important for the nurse to include in the client's teaching about the side effects of chlorpromiazine?
"Wear a hat and a long-sleeved shirt."
A nurse is providing medication teaching for a client who has depression and who is to begin taking a monoamine oxidase inhibitor (MAOI) instead of a selective serotonin reuptake inhibitor (SSRI). Which of the following nursing statements is appropriate to include in the teaching?
"You will need to be off the SSRI for a period of time before starting the MAOI."
A nurse in the emergency department is caring for a client who is receiving treatment for an overdose of phencyclidine piperidine (PCP). Which of the following interventions is appropriate?
Administer ammonium chloride.
A nurse in a mental health clinic is caring for a client who has a lithium (Lithane) level of 1.6 mEq/L. The nurse should expect to observe which of the following?
Adverse effects related to a mildly elevated lithium level
A nurse is completing discharge teaching to a client with a new prescription for pheneizine (Nardil). The nurse instructs the client to avoid which of the following foods when taking this medication?
Age Cheese
A nurse is caring for a client who receives a new prescription for clozapine (Clozaril). Which of the following is a contraindication to this medication?
Bone marrow depression
A nurse is assessing a client who has been receiving treatment for schizophrenia with the typical antipsychotic ...for 12 months. The nurse observes that the client has fine, fasciculating tongue movements. The nurse currectly associates this finding with which of the following?
Early symptoms of tardive dyskinesia (TD)
A nurse is caring for a client who has bipolar disorder and is hospitalized for a severe depressive episode. The client has been taking citalopram( Celexa) for 2 weeks and reports sleeping better and having an improved appetite, but the client stills feels hopeless. Which of the following is an appropriate nursing action?
Explain that antidepressants often take several weeks to be fully effective
A nurse is caring for a client who has been hospitalized for treatment of bipolar and will be discharged with a prescription for lithium. The nurse's discharge teaching should include information cautioning against which of the following behavior that may cause lithium toxicity?
Fasting
A nurse is caring for a client who has a prescription for alprazolam (Xanax). Which of the following averse effects should the nurse closely monitor ?
Inability to recall events
A nurse is admitting a client who has a diagnosis of bipolar disorder and is experiencing an acute depressive episode. Which of the following prescriptions should the nurse anticipate receiving from the provider?
Lithium carbonate (Eskalith)
A unrse is caring for a client who is hospitalized with bipolar disorder. The client's prescribes valproate (Depakote). Which of the following instructions should the nurse give the client about the use of this medication?
Liver function and complete blood cell counts must be monitored.
A nurse is assessing for a the presence of extrapyramidal side effects (EPSs) in a client who is taking chlorpromazine (Thorazine). Which of the following findings should the nurse recognize as EPSs. (Select all that apply)
Muscle contractions of the neck Fidgeting behavior Impaired gait
A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications. Findings include muscle rigidity, hyerpyrexia, and diaphoresis. The nurse should recognize that which of the following adverse effects may be occurring?
Neuroleptic malignant syndrome
A nurse is caring for several clients who have bipolar disorder. The nurse should recognize that which of the following medications are appropriate for the teaching this condition? (Select all that apply)
Paroxetine (Paxil) Lithium (Lithane) Valproic acid (Depakote) Carbamazepine (Tegretol)
A nurse is caring for a client who is exhibiting signs of serotonin syndrome. Which of the following is the priority nursing intervention?
Preparing for artificial ventilation
A nurse is providing teaching for a client who has a new prescripting for clozapine (Clozaril). Which discussing adverse effects, which of the following should the nurse state is the most common?
Tachycardia
A nurse reviews the laboratory report for a client who is receiving lithium carbonate (Eskalith). The client's blood lithium level is 1.8 mEq/L. The nurse identifies that this lab value indicates which of the following?
The Eskalith level is at the toxic level
A nurse is caring for a client who has a prescription for alprazolam (Xanax) 0.25 mg PO every 8 hr PRN anxiety. Which of the following is an appropriate situation to administer alprazolam to this client?
The client states, " MY heart is pounding out of my chest."
A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol (Haldol). the nurse should suspect that the client may be experiencing tardive dyskinesia as an adverse reaction when the client exhibits which of the following? (select all that apply)
Tongue thrusting and lip smacking Facial grimacing and eye blinking Repetitive involuntary movements
A nurse is caring for a client who receives a prescription for a benzodiazepines. Which of the following is a contraindication to this medication?
alcohol abuse
A nurse is caring for a hospitalized client who is bipolar and will be discharged on lithium (Lithane). The nurse understands that lithium toxicity can occur if the client
engages in strenuous exercise.
