Mental Health Pharmacology practice questions

A nurse is providing teaching to a client who has a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching?

" I may feel drowsy for a few weeks after starting this medication."

A nurse is providing discharge, teaching for a client who has schizophrenia in a new prescription for iloperidone. Which of the following client statements indicates understanding of teaching?

" I will be careful not to gain too much weight will taking this medication."

A nurse is admitting a client who has a new diagnosis of bipolar disorder and is scheduled to begin lithium therapy. When collecting a medical history from the clients caregiver, which of the following statements is the priority to report to the provider?

" current medication's include furosemide for congestive heart failure."

A nurse is assisting in the discharge planning for a client following alcohol detoxification the nurse should expect prescriptions for which of the following medication's to promote long-term abstinence from alcohol?

" disulfiram, naltrexone, acamprosate.

A nurse is discussing the use of methadone with a newly licensed nurse, which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

" methadone is a replacement for physical dependence to opioids." " methadone reduces the unpleasant effects associated with abstinence syndrome." " methadone can be used during opioid withdrawal and to maintain abstinence." " methadone must be prescribed and dispense buy an approved treatment center."

A nurse is caring for a client who is prescribed lithium therapy. The client tells of the plan to take ibuprofen for osteoarthritis pain relief. Which of the following statements should the nurse make?

" regular aspirin, would be a better choice than ibuprofen."

A charge nurse is discussing mirtazapine with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding?

" this medication increases the release of serotonin and norepinephrine."

A nurse is providing teaching to a client who has alcohol use disorder in a new prescription for carbamazepine, which of the following information should the nurse include in the teaching?

" this medication will help prevent seizures during alcohol withdrawal."

A nurse is evaluating a clients understanding of a new prescription for clonidine for the treatment of opioid use disorder, which of the following statements by the client indicates an understanding of the teaching?

" while taking this medication, I should keep a pack of sugarless gum"

A nurse is caring for a client who is to begin taking fluoxetine for treatment of panic disorder. Which of the following is statements indicates the client understands the use of this medication?

"I will need to discontinue this medication slowly"

A nurse is discussing routine follow-up needs with a client who has a new prescription for valproate. The nurse should inform the client of the need for a routine monitoring of which of the following?

AST/ALT and LDH

A nurse is caring for a client who is experiencing extreme mania due to bipolar disorder. Prior to administration of lithium carbonate, the clients lithium blood level is 1.2. Which of the following actions should the nurse take?

Administer the next dose of lithium carbonate as scheduled.

A nurse is teaching a child who has intermittent explosive disorder about a new prescription for fluoxetine. Which of the following information should the nurse provide?

Administer this medication in the morning, monitor for weight loss, while taking this medication, this medication blocks the synaptic reuptake of serotonin in the brain.

A charge nurse is discussing manifestations of schizophrenia with a newly licensed nurse, which of the following manifestations should the charge nurse identify as being effectively treated by first generation antipsychotics?

Auditory hallucinations, delusions of Grandeur, severe agitation.

A nurse is teaching a client who has tobacco use disorder about the use of nicotine gum, which of the following information should the nurse include in the teaching?

Avoid eating 15 minutes prior to chewing a gum.

A nurse is caring for a client who takes paroxetine to treat post traumatic stress disorder. The client states, "I grind my teeth during the night which causes pain in my mouth." The nurse should identify which of the following interventions as possible measures to manage the clients bruxism?

Concurrent administration of buspirone, use of mouth guard, changing to a different class of anti anxiety medication.

A nurse is assessing a client who is currently taking perphenazine which of the following findings should the nurse identify as an extra pyramidal symptom (EPS)?

Drooling, involuntary arm, movements, continual pacing.

A nurse is providing teaching to an adolescent client who has a new prescription for clomipramine for OCD which of the following information should the nurse provide?

Eat a diet high in fiber.

A nurse is assessing a client 4 hrs after receiving an initial dose of fluoxetine. Which of the following finding should the nurse report to the provider as indications of serio in syndrome?

Hallucinations, diaphoresis, and agitation.

A nurse working in the emergency department is caring for a client who has benzodiazapine toxicity. Which of the following actions is the nurses priority?

Identify the clients level of orientation.

A nurse is caring for a client who takes ziprasidone. The client reports difficulty swallowing the oral medication and becomes extremely agitated with injectable administration. The nurse should contact the provider to discuss a change to which of the following medication's?

Olanzapine, aripiprazole, clozapine, asenapine.

A nurse is caring for a client who is taking phenelzine. For which of the following manifestations, should the nurse monitor as an adverse effect of this medication?

Orthostatic hypotension, hypomania.

A nurse is discussing early indications of toxicity with a client who has a new prescription for lithium carbonate for bipolar disorder. The nurse should include which of the following manifestations in the teaching?

Polyuria, muscle weakness.

A nurse is caring for a school-age child who has conduct disorder in a new prescription for methylphenidate transdermal patches. Which of the following information should the nurse provide about the medication?

Remove the patch each day after nine hours.

A nurse is teaching a client who has a new prescription for alprazolam for generalized anxiety disorder . Which of the following information should the nurse provide ?

Report confusion as a potential indication of toxicity .

A nurse is caring for a client who has schizophrenia an exhibit a lack of grooming in a flat affect. The nurse should expect a prescription for which of the following medication's?

Risperidone

A nurse is teaching the guardians of a child who has autism spectrum disorder about indications of imipramine toxicity. Which of the following should the nurse include in the teaching?

Seizures, agitation, irregular pulse.

A nurse is reviewing the medical record of a client who has a new prescription for bupropion for depression. Which of the following findings is the priority for the nurse report to the provider?

The client had a motor vehicle crash last year and sustained a head injury.

A nurse is teaching a client who has a new prescription for imipramine how to minimize anticholinergic effects. Which of the following instructions should the nurse include in the teaching?

Void just before taking the medication, where sunglasses when outside, chew sugarless gum.

A nurse is providing teaching to an adolescent client who is taking atomoxetine for ADHD. The nurse should instruct the client to monitor for which of the following adverse effects.

Yellowing skin, fever, malaise.