Mental Health Psychopharmacology

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 client's caregiver, which of the following statements is the priority to report to the provider?

"Current medications include furosemide for congestive heart failure"

A nurse is preparing a teaching plan for a client who has bipolar disorder and a new prescription for carbamazepine. Which of the following instructions should the nurse include in the teaching? Select all that apply.

"Eliminate grapefruit juice from your diet" "You will need to have a complete blood count and carbamazepine levels drawn periodically." "Notify your provider if you develop a rash" "Avoid driving for the first few days after starting this medication."

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 my medication"

A nurse is teaching a client who has a new prescription for escitalopram for treatment of generalize anxiety disorder. Which of the following statements by the client indicates understanding of the teaching?

"I need to discontinue this medication slowly"

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

"I will be careful not to gai too much weight while taking this medication"

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

"I will need to discontinue this medication slowly"

A nurse is teaching a client who has obsessive-compulsive disorder and has a new prescription for paroxetine. Which of the following instructions should the nurse include?

"It can take several weeks before you feel like the medication is helping"

A nurse is providing instructions to a client who has a new prescription for zolpidem. Which of the following instructions should the nurse include?

"Notify the provider if you plan to become pregnant."

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 nurse is providing teaching to a client who has a new prescription for buspirone to treat anxiety. Which of the following information should the nurse include?

"This medication has a low risk for dependency"

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

"This medication increases the release of serotonin and norepinephrine"

A nurse is providing discharge teaching to a client who has a new prescription for fluoxetine for posttraumatic stress disorder. Which of the following statements should the nurse include in the teaching?

"You can have a decreased desire for intimacy while taking this medication"

A nurse is providing discharge teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching?

"You should have your white blood cell count monitored every week"

A nurse is providing teaching for a client who is to begin taking risperidone. Which of the following instructions should the nurse include?

"notify the provider if you have abnormal growth of breast or glandular tissue"

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 routine monitoring of which of the following?

AST/ALT and LDH

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? Select all that apply.

Administer the medication in the morning Monitor for weight loss while taking this medication This medication blocks the synaptic reuptake of serotonin in the brain

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

Administer the next dose of lithium carbonate as scheduled

A nurse is teaching the guardians and their school aged child about a new prescription for lisdexamfetamine. Which of the following information should the nurse include in the teaching? Select all that apply.

An adverse effect of this medication is CNS stimulation Monitor blood pressure while taking this medication This medication raises the levels of dopamine in the brain.

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 medications? Select all that apply.

Aripiprazole Clozapine Asenapine

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? Select all that apply.

Auditory hallucinations Delusions of grandeur Severe agitation

A nurse 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 gum

A nurse is providing teaching to a client who has a new prescription for amitriptyline for treatment of depression. Which of the following should the nurse include in the teaching? Select all that apply.

Change positions slowly to minimize dizziness Chew sugarless gum to prevent dry mouth

A nurse is teaching a client, who has schizophrenia, strategies to cope with anticholinergic effects of fluphenazine. Which of the following should the nurse suggest to the client to minimize anticholinergic effects?

Chew sugarless gum to moisten the mouth

A nurse is assessing a client who takes lithium carbonate for treatment of bipolar disorder. The nurse should identify which of the following findings is a possible indication of toxicity to this medication?

Coarse tremors

A nurse is caring for a client who takes paroxetine to treat posttraumatic 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 client's bruxism? Select all that apply.

Concurrent administration of buspirone Use of a mouth guard Changing to a different class of antianxiety medication

A nurse is caring for a client who takes paroxetine to treat posttraumatic stress disorder and reports that they grind their teeth during the night. The nurse should identify which of the following interventions to manage bruxism? Select all that apply.

Concurrent administration of buspirone Use of a mouth guard Changing to a different class of antidepressant medication

What must the admission nurse always assess prior to administration of any medication? Select all that apply.

Current health status Food and drug allergies Use of herbal teas

A nurse is providing teaching for a client who is withdrawing from alcohol and has a new prescription for propranolol. Which of the following information should the nurse include in the teaching?

Decreases cravings

A nurse is following up with a client who takes chlorpromazine for the treatment of schizophrenia. The nurse should expect to find the greatest improvement in which of the following manifestations? Select all that apply.

Disorganized speech Bizarre behavior Hallucinations

A nurse is assisting in the discharge planning for a client following alcohol detoxification. The nurse should expect prescriptions for which of the following medications to promote long-term abstinence from alcohol? Select all that apply.

Disulfiram Naltrexone Acamprosate

A nurse is caring for a client who has depression and a new prescription for venlafaxine. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication? Select all that apply.

Dizziness Decreased libido Hypotension Cough

A nurse is assessing a client who is currently taking perphenazine. Which of the following findings should the nurse identify as an extrapyramidal symptom? Select all that apply.

Drooling Involuntary arm movements Continual pacing

A nurse is teaching a client who has a new prescription for clonidine to assist with maintenance of abstinence from opioids. The nurse should instruct the client to monitor for which of the following adverse effects?

Dry mouth

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 caring for a client who has been taking sertraline for the past 2 days. Which of the following assessment findings should alert the nurse to the possibility that the client is developing serotonin syndrome?

Fever

A nurse is caring for a client who is receiving moderate sedation with diazepam IV. The client is oversedated. Which of the following medications should the nurse expect to administer?

Flumazenil

A nurse is teaching a client who has a new prescription for ramelteon. The nurse should instruct the client to avoid which of the following foods at a time of medication administration?

Fried chicken

A nurse is assessing a client 4 hours after receiving an initial dose of fluoxetine. Which of the following findings should the nurse report to the provider as indications of serotonin syndrome? Select all that apply.

Hallucinations Diaphoresis Agitation

A nurse is teaching a client who has tobacco use disorder about nicotine replacement therapy. Which of the following statements by the client indicates understanding of the teaching?

I should avoid eating right before I chew a piece of nicotine gum

A nurse working in an emergency department is caring for a client who has benzodiazepine toxicity. Which of the following actions is the nurse's priority?

Identify the client's level of orientation

A nurse is providing instructions to a client who has been experiencing insomnia and has a new prescription for temazepam. The nurse should inform the client that which of the following manifestations are adverse effects of temazepam? Select all that apply.

Incoordination Sleep driving Amnesia

What education should we include for clients taking benzodiazepines? Select all that apply.

Keep medication secure to reduce risk of abuse Taper off medication when discontinuing drug Take benzodiazepines with food to decrease GI upset Warn the client about potential development of drug dependency and addiction

A nurse is teaching the caregiver of a school aged child about transdermal methylphenidate. Which of the following instructions should the nurse include?

Leave the patch on for 9 hours

A nurse is caring for a client who has a new prescription for lithium carbonate. When teaching the client about ways to prevent lithium toxicity, the nurse should advise the client to do which of the following?

Limit aerobic activity in hot weather

A nurse is caring for a school-aged kid who has a new prescription for atomoxetine. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication?

Liver damage

A charge nurse is planning a staff education session to discuss medications used during the care of a client experiencing alcohol withdrawal. Which of the following medications should the charge nurse include in the discussion? Select all that apply.

Lorazepam Diazepam

A nurse is discussing the use of methadone with a newly licensed nurse. Which od the following statements by the newly licensed nurse indicates an understanding of the teaching? Select all that apply.

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 dispensed by an approved treatment center

What interventions should the nurse prepare for with Neuroleptic Malignant Syndrome? Select all that apply.

Monitor vital signs Stop anitpsychotic Medications Apply cooling blankets Administer antipyretic medications to decrease fever

A nurse is assessing a client who recently began taking haloperidol. Which of the following findings is the priority to report to the provider?

Neck spasms

A nurse in an acute mental health facility is caring for a client who is experiencing withdrawal from opioid use and has a new prescription for clonidine. Which of the following actions should the nurse identify as priority?

Obtain baseline vital signs

A nurse is caring for a client who has a new prescription for phenelzine for the treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication?

Orthostatic hypotension

A nurse is caring for a client who is taking phenelzine. Which of the following manifestations should the nurse monitor as an adverse effect of this medication? Select all that apply.

Orthostatic hypotension Hypomania

A nurse is reviewing laboratory findings and notes that a client's lithium level is 2.1 mEq/L. Which of the following is an appropriate action by the nurse?

Perform immediate gastric lavage

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? Select all that apply.

Polyuria Muscle weakness

A nurse is caring for a school age child who has conduct disorder and 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 9 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 and exhibits a lack of grooming and a flat affect. The nurse should expect a prescription for which of the following medications?

Risperidone

A nurse is caring for a client who is to undergo a surgical procedure. Which of the following preexisting conditions can be a contraindication for the use of ketamine as an intravenous anesthetic?

Schizophrenia

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? Select all that apply.

Seizures Agitation Irregular pulse

A nurse is teaching the guardians of a child who has a new prescription for desipramine. The nurse should include that which of the following adverse effects is the priority to report to the provider?

Suicidal thoughts

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 to report to the provider?

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

A nurse is providing teaching to a client who has alcohol use disorder and 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 caring for a client who has a new prescription for valproic acid. The nurse should instruct the client to have which of the following blood laboratory tests completed periodically? Select all that apply.

Thrombocyte count Amylase Liver function tests

What legal practice guidelines should the registered nurse always take? Select all that apply.

Validates drug dosages Maintain skill competency Monitors the client for adverse reactions Safeguard medications

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? Select all that apply.

Void just before taking this medication Wear sunglasses when outside Chew sugarless gum

A nurse is teaching an adolescent client who has a new prescription for clomipramine for OCD. Which of the following instructions should the nurse include to minimize an adverse effect of this medication?

Wear sunglasses when outdoors

A nurse is evaluating a client's 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 providing teaching to an adolescent client who is to begin taking atomoxetine for ADHD. The nurse should instruct the client to monitor for which of the following adverse effects? Select all that apply.

Yellowing skin Fever Malaise