Mental Health Test 2 Pharm Review Questions

12.. The nurse is preparing to administer lithium (Eskalith), an antimania medication, to a client diagnosed with bipolar disorder. The lithium level is 1.4 mEq/L. Which intervention should the nurse implement? 1. Administer the medication. 2. Hold the medication. 3. Notify the health-care provider. 4. Verify the lithium level.

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17. The client with bipolar disorder is prescribed carbamazepine (Tegretol), an anticonvulsant. Which data indicates the medication is effective? 1. The client is able to control extremes between mania and depression. 2. The client's serum Tegretol level is within the therapeutic range. 3. The client reports a 3 on a depression scale of 1-10, with 10 indicating severely depressed. 4. The client has a decrease in delusional thoughts and hallucinations.

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38. The conscious client was admitted to the emergency department with an overdose of the anxiolytic alprazolam (Xanax). Which intervention should the nurse implement first? 1. Prepare to administer an emetic with activated charcoal. 2. Request a mental health consultation for the client. 3. Prepare to administer the antidote flumazenil (Romazicon) IV. 4. Determine why the client chose to overdose on the medication.

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5. 10. The client with major depressive disorder is suicidal. The client was prescribed the tricyclic antidepressant imipramine (Tofranil) 3 weeks ago. Which priority interven- tion should the nurse implement? 1. Determine if the client has a plan to commit suicide. 2. Assess if the client is sleeping better at night. 3. Ask the family if the client still wants to kill himself or herself. 4. Observe the client for signs of wanting to commit suicide.

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20. The client diagnosed with bipolar disorder is prescribed lithium (Eskalith), an anti mania medication. Which interventions should the nurse discuss with the client? Select all that apply. 1. Monitor serum therapeutic levels. 2. Maintain an adequate fluid intake. 3. Decrease sodium intake in diet. 4. Do not take medication if the radial pulse is <60. 5. Explain ways to prevent orthostatic hypotension.

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24. The client diagnosed with schizophrenia is prescribed clozapine (Clozaril), an atypical antipsychotic. Which information should the nurse discuss with the client concerning this medication? Select all that apply. 1. Discuss the need for regular exercise. 2. Instruct the client to monitor for weight gain. 3. Tell the client to take the medication with food. 4. Explain to the client the need to stop taking aspirin. 5. Encourage the client to quit smoking cigarettes.

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8. The client admitted to the psychiatric unit for major depressive disorder with an attempted suicide is prescribed an antidepressant medication. Which interventions should the psychiatric nurse implement? Select all that apply. 1. Assess the client's apical pulse and blood pressure. 2. Check the client's serum antidepressant level. 3. Monitor the client's liver function status. 4. Provide for and ensure the client's safety 5. Evaluate the effectiveness of the medication.

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31. The client diagnosed with a general anxiety disorder is prescribed alprazolam (Xanax), a benzodiazepine. Which information should the clinic nurse discuss with the client? Select all that apply. 1. Explain to the client this medication is for short-term use. 2. Inform the client that rage and excitement are expected side effects. 3. Tell the client to avoid foods that are high in vitamin K. 4. Discuss the importance of not driving due to drowsiness. 5. Instruct the client to take the medication with at least 8 ounces of water.

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26. Which information should the nurse discuss with the client diagnosed with schizophrenia who is prescribed an atypical antipsychotic medication? Select all that apply. 1. Drink decaffeinated coffee and tea. 2. Decrease the dietary intake of salt. 3.Eat six small, high-protein meals a day. 4. Report muscle spasms and rigidity. 5. Monitor glucose levels and lipid levels.

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14. The 24-year-old female client with bipolar disorder is prescribed valproic acid (Depakote), an anticonvulsant medication. Which question should the nurse ask the client? 1. "Have you ever had a migraine headache?" 2. "Are you taking any type of birth control?" 3. "When was the last time you had a seizure?" 4. "How long since you have had a manic episode?"

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15. The client diagnosed with bipolar disorder is taking lithium (Eskalith), an antimania medication. Which statement by the client warrants further clarification by the nurse? 1. "I will limit the amount of caffeine I drink." . 2. "I really enjoy playing soccer on weekends." 3. "I will drink at least 2000 mL of water a day." 4. "I need to call my HCP if I develop diarrhea."

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21. The client admitted to the psychiatric unit diagnosed with schizophrenia is pre scribed clozapine (Clozaril), an atypical antipsychotic. Which laboratory data should the nurse evaluate? 1. The client's clozapine therapeutic level. 2. The client's white blood cell count. 3. The client's red blood cell count. 4. The client's arterial blood gases.

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34.The client diagnosed with obsessive-compulsive disorder is prescribed the selective serotonin reuptake inhibitor (SSRI) sertraline (Zoloft). Which statement indicates the client understands the medication teaching? 1. "If I experience sexual dysfunction, I will not notify my HCP." 2. "It will take a couple of months before I see a change in my behavior." 3. "I need to be careful because SSRIs may cause physical addiction." 4. "I am glad I do not need to go to my psychologist's appointments."

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40. The client is having a CT scan and starts having a severe anxiety attack. The HCP prescribed the anxiolytic diazepam (Valium), intravenous push. Which intervention should the nurse implement? 1. Dilute the Valium with normal saline and administer IVP. 2. Do not dilute the Valium and inject in a port closest to the client. 3. Inject the Valium into a 50-mL normal saline bag and infuse. 4. Question the order because Valium should not be administered IV.

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7. The client with major depressive disorder is prescribed duloxetine (Cymbalta), an atypical antidepressant. The client tells the nurse, "I am going to take my medication at night instead of in the morning." Which statement is the nurse's best response? 1. "You really should take the medication in the morning for the best results." 2. "It is all right to take the medication at night. It may help you sleep at night." 3. "The medication should be taken with food so you should not take it at night." 4. "Have you discussed taking the medication at night with your psychiatrist?"

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16. The client with bipolar disorder who is taking lithium (Eskalith), an antimania medication, has a lithium level of 3.1 mEq/L. Which treatments should the nurse expect the health-care provider to prescribe? Select all that apply. 1. No treatment because this is within the therapeutic range. 2. Initiate intravenous therapy with isotonic sodium chloride. 3. Prepare the client for immediate hemodialysis. 4. Administer the antidote for lithium toxicity. 5. Monitor the client's cardiac status on telemetry.

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11. Which statements indicate the client diagnosed with bipolar disorder who is taking lithium (Eskalith), an antimania medication, understands the medication teaching? Select all that apply. 1. "I must monitor my daily lithium level." 2. "I will make sure I do not get dehydrated." 3."I need to taper the dose if I quit taking it." 4. "I should take the medication with food." 5. "I will not eat foods high in tyramine."

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13. To which client should the nurse question administering lithium (Eskalith), an antimania medication? 1. The 54-year-old client on a 4-g sodium diet. 2. The 23-year-old client taking an antidepressant medication. 3. The 42-year-old client taking a loop diuretic. 4. The 30-year-old client with a urine output of 40 mL/hour.

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18. The client with bipolar disorder who is prescribed lithium (Eskalith), an antimania medication, is admitted to the psychiatric unit in an acute manic state. Which intervention should the nurse implement first? 1. Determine the client's serum lithium level. 2. Assess why the client quit taking the lithium. 3. Implement care for the client's physiological needs. 4. Administer a stat dose of lithium to the client.

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22. The client admitted to the psychiatric unit experiencing hallucinations and delusions is prescribed risperidone (Risperdal), an atypical antipsychotic. Which intervention should the nurse implement? 1. Provide the client with a low tyramine diet. 2. Assess the client's respiration for 1 full minute. 3. Instruct the client to change positions slowly. 4. Monitor the client's intake and output.

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25. The client with paranoid schizophrenia is prescribed aripiprazole (Abilify), a dopamine system stabilizer (DDS). Which statement best describes the scientific rationale for administering this medication? 1. It decreases the anxiety associated with hallucinations and delusions. 2. It increases the dopamine secretion in the brain tissue to improve speech. 3. It reduces positive symptoms of schizophrenia and improves negative symptoms. 4. It blocks the cholinergic receptor sites in the diseased brain tissue.

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32. The female client taking lorazepam (Ativan), a benzodiazepine, for panic attacks tells the clinic nurse that she is trying to get pregnant. Which intervention should the nurse implement first? 1. Tell the client to inform the obstetrician she is taking Ativan. 2. Instruct the client to quit taking the medication. 3. Determine how long the client has been taking the medication. 4. Encourage the client to stop taking Ativan prior to getting pregnant.

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33. The nurse is preparing to administer the benzodiazepine alprazolam (Xanax) to a client who has a generalized anxiety disorder. Which intervention should the nurse implement prior to administering the medication? 1. Assess the client's apical pulse. 2. Assess the client's serum potassium level. 3. Assess the client's anxiety level. 4. Assess the client's blood pressure.

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36. The elderly client diagnosed with a panic attack disorder is in the busy day room of a long-term care facility and appears anxious, is starting to hyperventilate, is trembling, and is sweating. Which intervention should the nurse implement first? 1. Administer the benzodiazepine alprazolam (Xanax). 2. Assess the client's vital signs. 3. Remove the client from the day room. 4. Administer the selective serotonin reuptake inhibitor (SSRI) sertraline (Zoloft).

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9. The client diagnosed with major depression who attempted suicide is being dis charged from the psychiatric facility after a 2-week stay. Which discharge intervention is most important for the nurse to implement? 1. Provide the family with the phone number to call if the client needs assistance. 2. Encourage the client to keep all follow-up appointments with the psychiatric clinic. 3. Ensure the client has no more than a 7-day supply of antidepressants. 4. Instruct the client not to take any over-the-counter medications without consulting with the HCP.

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The client diagnosed with paranoid schizophrenia has been taking haloperidol (Haldol), a conventional antipsychotic, for several years. Which statement indicates the client needs additional teaching concerning this medication? 1. "I know that if I have any rigidity or tremors I must call my HCP." 2. "I eat high-fiber foods and drink extra water during the day." 3. "I am more susceptible to colds and the flu when taking this medication." 4. "This medication will make my hallucinations and delusions go away."

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10. The client prescribed an antidepressant 1 week ago tells the psychiatric clinic nurse, "I really don't think this medication is helping me." Which statement by the psychiatric nurse is most appropriate? 1. "Why do you think the medication is not helping you?" 2. "You think your medication is not helping you." 3. "You need to come to the clinic so we can discuss this." 4. "It takes about 3 weeks for your medication to work."

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19. Which information should the nurse discuss with the client diagnosed with bipolar disorder who is taking the anticonvulsant carbamazepine (Tegretol)? 1. Instruct the client to use a soft-bristled toothbrush. 2. Encourage the client to get ophthalmic examinations annually. 3. Teach the client to monitor the blood pressure daily. 4. Tell the client to avoid hazardous activities.

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23. The male client diagnosed with schizophrenia is prescribed ziprasidone (Geodon), an atypical antipsychotic. Which statement to the nurse indicates the client understands the medication teaching? 1. "I need to keep taking this medication even if I become impotent." 2. "I should not go out in the sun without wearing protective clothing." 3. "This medication may cause my breast size to increase." 4. "I may have trouble sleeping when I take this medication."

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27. The nurse is discussing the prescribed antipsychotic medication with a family member of a client diagnosed with schizophrenia. Which information should the nurse discuss with the family member? 1. Explain the need for the family member to give the client the medication. 2. Encourage the family member to learn cardiopulmonary resuscitation (CPR). 3. Discuss the need for the client to participate in a community support group. 4. Teach the family member what to do in case the client has a seizure.

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28. Which assessment data indicates the atypical antipsychotic quetiapine (Seroquel) is effective for the client diagnosed with paranoid schizophrenia? 1. The client does not exhibit any tremors or rigidity. 2. The client reports a 2 on an anxiety scale of 1-10. 3. The family reports the client is sleeping all night. 4. The client denies having auditory hallucinations. .

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30. The 43-year-old female client diagnosed with schizophrenia has been taking the con ventional antipsychotic medication chlorpromazine (Thorazine) for 20 years. Which assessment data warrants discontinuing the medication? 1. The client has had menstrual irregularities for the past year. 2. The client has to get up very slowly from a sitting position. 3. The client complains of having a dry mouth and blurred vision. 4. The client has fine, wormlike movements of the tongue.

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35. The client who returned from the war 1 month ago is diagnosed with posttraumatic stress disorder (PTSD) and prescribed paroxetine (Paxil), an SSRI. The client asks the nurse, "Will this medication really help me? I don't like feeling this way." Which statement is the nurse's best response? 1. "The medication will make you feel better within a couple of days." 2. "Why do you think the medication won't help you feel better?" 3. "Nothing really helps PTSD unless you go to counseling weekly." 4. "Because the traumatic event was within 1 month, the Paxil should be helpful." .

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37. The client with an anxiety disorder is prescribed the anxiolytic alprazolam (Xanax). The client calls the clinic and reports a dizzy, weak feeling when getting out of the chair. Which intervention should the nurse implement? 1. Instruct the client to quit taking the medication. 2. Make an appointment for the client to come to the clinic. 3. Determine if the client is drinking enough fluids. 4. Discuss ways to prevent orthostatic hypotension

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39. The client is receiving the anxiolytic alprazolam (Xanax) for a generalized anxiety disorder. Which assessment data best indicates the medication is effective? 1. The client reports not feeling anxious. 2. The client's pulse is not greater than 100. 3. The client's respiratory rate is not greater than 22. 4. The client reports a 1 on a 1-10 anxiety scale.

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6. The client with major depressive disorder has been taking amitriptyline (Elavil), a tricyclic antidepressant, for more than 1 year tells the psychiatric clinic nurse the client wants to quit taking the antidepressant. Which intervention is most important for the nurse to discuss with the client? 1. Ask questions to determine if the client is still depressed. 2. Ask the client why he or she wants to stop taking the medication. 3. Tell the client to notify the HCP before stopping medication. 4. Explain the importance of tapering off the medication.

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