Psychotherapeutics

The nurse assesses for a therapeutic effect of ziprasidone by asking the client which question?

"Have you experienced an increase in concentration during daily activities?"

A client has been started on zolpidem. After instructing the client in how to obtain the maximal effect of zolpidem, the nurse determines that the client demonstrates understanding of correct administration of the medication by which statement?

"I need to swallow the medication whole with a full glass of water."

The nurse has given instructions to a client prescribed lithium carbonate. What statement by the client indicates that the client needs further information?

"I will decrease fluid intake while taking lithium."

A client is prescribed imipramine once daily. The nurse determines that additional teaching is needed on the basis of which statement by the client?

"I'll take the medication in the morning before breakfast."

The nurse is caring for a client who has been prescribed disulfiram. Which statement by the client indicates to the nurse the need for further teaching about this medication?

"As long as I don't drink alcohol, I'll be fine."

A client is brought into the emergency department for suspected tricyclic antidepressant overdose. Place the actions that the nurse should take in order of priority. All options must be used.

1. Check airway and maintain patency. 2. Administer oxygen. 3. Check and monitor vital signs. 4. Obtain an electrocardiogram. 5. Prepare gastric lavage with activated charcoal. 6. Prepare to administer prescribed medications.

The nurse is discussing the past week's activities with a client receiving amitriptyline hydrochloride. The nurse determines that the medication is most effective for this client if the client reports which information?

Ability to get to work on time each day

The mother of a child diagnosed with attention deficit hyperactivity disorder has been given instructions about how to administer methylphenidate. Which response by the mother shows she understands the information about the best way to administer the medication?

After breakfast

The nurse developing a teaching plan for a client being prescribed phenelzine sulfate should instruct the client to avoid which item?

Aged cheeses

A client's medication sheet contains a prescription for sertraline. To ensure safe administration of the medication, how should the nurse administer the dose?

At the same time each evening

A client is scheduled for discharge and will be taking phenobarbital for an extended period. The nurse would place highest priority on teaching the client which point that directly relates to client safety?

Avoid drinking alcohol while taking this medication

The nurse is providing a health promotion session to a group of teenagers and is discussing the abuse of barbiturates. The nurse should provide which information to the teenagers?

Barbiturate abuse is the cause of many drug overdose deaths

A client begins to experience extrapyramidal side effects from an antipsychotic medication. The nurse anticipates that the primary health care provider will prescribe which medication to treat this condition?

Benztropine

A client diagnosed with schizophrenia is taking haloperidol. The nurse understands that this medication will exert its therapeutic effect through which mechanism?

Blocking dopamine from binding to postsynaptic receptors in the brain

A client has a lithium level of 2.4 mEq/L. The nurse should immediately assess the client for which sign or symptom?

Blurred vision

When a client develops neuroleptic malignant syndrome, the nurse ensures that which medication is available on the unit to address this complication?

Bromocriptine

The nurse should monitor the client prescribed thioridazine hydrochloride carefully for which adverse effect?

Cardiac dysrhythmias

A client has begun taking phenelzine. At the initiation of therapy, the client is taught which foods are acceptable to consume? Select all that apply.

Carrots or radishes Sweet potatoes and squash

A client receiving tricyclic antidepressants arrives at the mental health clinic. Which observation would indicate that the client is following the medication plan correctly?

Client arrives at the clinic neat and appropriate in appearance

A hospitalized client is started on a monoamine oxidase inhibitor (MAOI) for the treatment of depression. The nurse should instruct the client that which foods are acceptable to consume while taking this medication? Select all that apply.

Crackers Tossed salad

A client diagnosed with an anxiety disorder is prescribed buspirone orally. The client tells the nurse that it is difficult to swallow the tablets. Which is the best instruction to provide the client?

Crush the tablets before taking them

What is the most serious risk associated with the use of benzodiazepine?

Dependence

The nurse is working with a client who shows signs of benzodiazepine withdrawal. The nurse should suspect that the client has suddenly discontinued taking which prescribed medication?

Diazepam

Buspirone hydrochloride is prescribed for a client with an anxiety disorder. The nurse plans to include which teaching point when reviewing this medication with the client?

Dizziness and nervousness may occur

A client is prescribed tranylcypromine. The nurse educating a client about tranylcypromine should instruct the client to avoid which activity?

Drinking any amount of wine

The nurse should provide instructions concerning which side effect to a client prescribed chlorpromazine?

Dry mouth

The nurse should assess for which toxic effect when managing the care of a client prescribed haloperidol?

Excessive salivation

A client gives the home health nurse a bottle of clomipramine. The nurse notes that the medication has not been taken by the client in 2 months. Which behavior observed in the client would validate noncompliance with this medication?

Frequent hand washing with hot, soapy water

The nurse suspects that a client prescribed clomipramine hydrochloride has been noncompliant with taking the medication as prescribed. Which client behavior would support the nurse's suspicion?

Frequently checking for the car key

A client diagnosed with depression and prescribed tranylcypromine sulfate has been instructed on the appropriate diet. The nurse determines that the client understands the diet if which foods are selected from the dietary menu?

Fried haddock, bake potato, and a cola drink

The nurse is performing a follow-up teaching session with a client discharged 1 month ago. The client is taking fluoxetine. Which information would be important for the nurse to obtain during this client visit regarding the side and adverse effects of the medication?

Gastrointestinal dysfunctions

The nurse is administering risperidone to a client with schizophrenia who is scheduled to be discharged. Before discharge, which instruction should the nurse provide to the client?

Get up slowly when changing positions

A client is prescribed a monoamine oxidase inhibitor. What is the primary reason the nurse needs to assess this client closely?

Headache, hypertension, and nausea and vomiting may indicate toxicity

Which assessment finding would the nurse anticipate when monitoring a client who is at risk for developing neuroleptic malignant syndrome?

Hyperpyrexia

The nurse is teaching a client who is being started on imipramine about the medication. The nurse should inform the client to expect maximum desired effects at which time period following initiation of the medication?

In 2 to 3 weeks

When should the nurse advise a client being prescribed fluoxetine hydrochloride for depression to take the medication?

In the morning on first arising

The nurse is describing the medication side and adverse effects to a client who is taking amitriptyline. Which information should the nurse incorporate in the discussion?

Increase fluids and bulk in the diet

The nurse is describing the medication side and adverse effects to a client who is taking oxazepam. Which information should the nurse incorporate in the discussion?

Increase fluids and bulk in the diet

The nurse gives a dose of diazepam to an assigned client. What is the most important action to be taken by the nurse before leaving the room?

Instituting safety measures

At what time of day does the nurse recommend that a child prescribed methylphenidate be given the last dose of the day of the medication?

Just before the noontime meal

A client diagnosed with schizophrenia has a new prescription for risperidone. Which baseline laboratory result should the nurse review before administering the first dose of this medication?

Liver function studies

The nurse instructs the client to be sure to take which action while taking newly prescribed lithium carbonate?

Maintain a fluid intake of 2 to 3 L/day

A client who is receiving lithium carbonate has a serum level of 1.8 mEq/L. Which intervention will the nurse implement in response to this diagnostic result?

Monitor the client for behaviors that suggest ataxia

The nurse is caring for a client who is taking a maintenance dosage of lithium carbonate. What nursing action should be included in the client's plan of care?

Monitoring intake and output

Which assessment findings suggest to the nurse that the client is experiencing tardive dyskinesia?

Movements of the mouth, tongue, and face that are both abnormal and involuntary

A client diagnosed with anxiety is starting therapy with lorazepam. Which factor in the client's history should prompt the nurse to consult with the primary health care provider before administering the medication?

Narrow-angle glaucoma

A client diagnosed with depression is prescribed amitriptyline hydrochloride. During the initial phases of treatment, the client's care plan should include which nursing intervention?

Obtain postural blood pressure prior to each medication administration

The primary health care provider is planning to prescribe a medication for a client with major depression. Which medication should the nurse expect to be prescribed?

Paroxetine hydrochloride

A client diagnosed with depression has a prescription for sertraline. The nurse should withhold the medication and question the prescription if the client has a history of which disorder?

Phenelzine sulfate use

A client prescribed thioridazine hydrochloride reports feeling faint when trying to get out of bed in the morning. The nurse recognizes this complaint as a symptom of which disorder?

Postural hypotension

A client receiving long-term therapy with lithium carbonate has a serum lithium level of 1.0 mEq/L. Which nursing intervention should the nurse be prepared to implement based on this result?

Provide positive support for the client's compliance with the therapy

A client who has been taking buspirone for 1 month returns to the clinic for a follow-up assessment. The nurse determines that the medication is effective if the absence of which manifestation has occurred?

Rapid heart rate or anxiety

A client reported to the nurse that he has been taking an extra dose of his tricyclic antidepressant for a week because he has been feeling more depressed than usual. Hearing this, the nurse knows which are the most appropriate actions to take? Select all that apply.

Re-educate the client because tricyclic antidepressant overdoses can be life threatening. Inform the client that if he experiences any symptoms of dysrhythmias, dry mouth, confusion, agitation, or hallucinations, he should seek medical attention right away.

When providing client education on the medication alprazolam, why is it essential to include the importance of avoiding abrupt discontinuation of the medication?

Rebound central nervous system excitation could cause seizure activity

A monoamine oxidase inhibitor is prescribed for a client. Which sign or symptom is indicative of toxicity?

Restlessness

To determine whether the client is experiencing akathisia as an adverse effect of the medication haloperidol, what should the nurse observe the client for?

Restlessness or constant generalized movement

The nurse is providing dietary instructions to a client who is prescribed tranylcypromine sulfate. The nurse emphasizes that it is important to avoid eating which food?

Salami

The nurse taking a medication history for a client who has been admitted to the nursing unit notes that the client is receiving olanzapine. The nurse interprets that this client most likely has a history of which disorder?

Schizophrenia

A client diagnosed with schizophrenia has been prescribed clozapine. The nurse should monitor the client for which side/adverse effects of this medication? Select all that apply.

Sedation Dry mouth Orthostatic hypotension Presence of a fixed stare

A hospitalized client has begun taking bupropion as an antidepressant agent. The nurse determines that which is an adverse effect, indicating that the client is taking an excessive amount of medication?

Seizure activity

The nurse gathers data from the client who was prescribed buspirone hydrochloride 1 month ago. The nurse interprets that the medication is effective when the client reports an absence of which event?

Severe anxiety

A client diagnosed with bipolar mood disorder has been given a prescription for carbamazepine. The nurse teaching the client about medication side and adverse effects instructs the client to notify the primary health care provider if which symptom develops?

Sore throat

The nurse notes that a client with schizophrenia and receiving an antipsychotic medication is moving her mouth, protruding her tongue, and grimacing as she watches television. The nurse determines that the client is experiencing which medication complication?

Tardive dyskinesia

A client prescribed chlorpromazine hydrochloride calls the mental health clinic to report urine that is much darker than usual. The client currently has no other urinary symptoms. What instructions should the nurse provide the client based on this information?

That this is an expected side effect of the medication

A client diagnosed with bipolar disorder is prescribed lithium carbonate. The nurse who administers the medication knows that lithium is used primarily to treat which condition?

The manic phase of bipolar disease

A client taking lithium reports vomiting, abdominal pain, diarrhea, blurred vision, tinnitus, and tremors. The lithium level is 2.5 mEq/L (2.5 mmol/L). The nurse plans care based on which representation of this level?

Toxic

An adolescent has been prescribed an amphetamine to help manage a diagnosis of attention deficient hyperactivity disorder. To best minimize the risk of abuse and/or overdose, the nurse expects that the medication will be administered via which method?

Transdermal patch

A client is prescribed fluphenazine daily. The nurse teaches the client to take which measure to minimize a common side/adverse effect of this medication?

Use hard sour candy or sugarless gum

Before giving the client the initial dose of disulfiram, what should the psychiatric home health nurse determine?

When the last alcoholic drink was consumed

A client has been prescribed clozapine. The nurse reviews the result of which laboratory study to detect a serious adverse effect associated with this medication?

White blood cell count

A client with schizophrenia has been started on medication therapy with clozapine. The nurse should assess the results of which laboratory study to monitor for adverse effects from this medication?

White blood cell count

Over the course of a few hours, a client receiving lithium carbonate reports being nauseous, then drowsy and "achy." What action should the nurse take when considering the client's next scheduled dose of lithium?

Withhold the next scheduled dose and notify the primary health care provider of the client's complaints