Psychobiology and Psychopharmacology

Clozapine (Clozaril) has been prescribed for a client with psychosis. It is important for the client to have frequent blood test for which possible complication? A) Agranulocytosis B) Thrombocytopenia C) Hemophilia D) Anemia

A) Agranulocytosis

A client with a family history of diabetes is concerned a out eh effect of psychiatric medication on the endocrine system. which psychotropic medication is most likely to cause metabolic syndrome? A) Olanzapine (Zyprexa) B) Diazepam (Valium) C) Thioridazine (Mellaril) D) Loxapine (Adusave)

A) Olanzapine (Zyprexa)

Certain foods and drugs are known to cause serious adverse effect when used in combination with monoamine oxidase inhibitors (MAOIs) Which adverse effect could occur in client? A) Serious increase in blood pressure B) Serious drop in blood pressure C) Significant increase in liver enzymes D) Significant increase in cholesterol levels

A) Serious increase in blood pressure

Which drug is used to treat both generalized anxiety disorder and depression? A) Lithium (Lithobid) B) Duloxetine (Cymbalta) C) Buproprion (Wellbutrin) D) Mirtazapine (Remeron)

B) Duloxetine (Cymbalta)

A nurse is caring for a client with a tumor of the cerebellum. What clinical manifestation does the nurse expect the client to exhibit? A) Change in level of consciousness B) Inability to execute coordinated movements C) Absence of knee-jerk reflex D) Inability to execute voluntary movements

B) Inability to execute coordinated movements

The nurse discusses basic neurotransmitter theory with students during their mental health rotation. Education will be deemed successful if student identify that a decreased in gamma-amnobuty acid (GABA) will result in which outcome? A) Schizophrenia B) Depression C) Anxiety D) Dementia

C) Anxiety

Which cerebral lobe includes the speech area that allows the client to process words into coherent thoughts? A) Occipital lobe B) Frontal lobe C) Temporal lobe D) Parietal lobe

C) Temporal lobe

The nurse manager at a mental health facility is conducting an in-service on first generation anti-psychotic medications. Which statement by a nurse indicates the need for further education? A) "Because these medications block several neurotransmitters, there are lots of other potential side effects including substantial weight gain, ejaculatory dysfunction and sedation." B) "Haloperidol (Haldol) is an example of a first generation anti-psychotic" C) "EPS is the most significant side effect seen in client receiving first generation anti-psychotics." D) "First generation anti-psychotic target positive and negative symptom of schizophrenia"

D) "First generation anti-psychotic target positive and negative symptom of schizophrenia"

A 30-year-old who began lithium carbonate therapy 3 weeks ago is having blood drawn for a lithium drug level. Which range will the nurse recognize as therapeutic? A) 2.0-2.3 mEq/L B) 1.5-1.9 mEq/L C) 0.1-0.3 mEq/L D) 0.4-1.3 mEq/L

D) 0.4-1.3 mEq/L

A nurse is teaching a client about SSRIs. Which potential side effect does the nurse include? A) Headache B) Tachycardia C) Orthostatic hypotension D) Sexual dysfunction

D) Sexual dysfunction