MH Psych Pharm Practice Test 1 2020

A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a client who is taking chlorpromazine. Which of the following findings should the nurse recognize as EPS? (select all that apply)

- muscle spasms - fidgeting behavior - tremors of the hands

A nurse is reviewing the medical histories of 4 clients. Which of the following clients may develop extrapyramidal symptoms from medication therapy?

A client who has schizophrenia and is taking antipsychotic medication

A nurse is preparing to administer selegiline for a client who is admitted with major depression. Which of the following actions should the nurse take?

Apply to dry skin on the client's upper thigh

A nurse is planning care for a client who is scheduled to receive electroconvulsive therapy (ECT). Which of the following medications should the nurse anticipate administering prior to the procedure?

Atropine

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

Avoid becoming overheated while taking this medication.

A nurse is teaching a client about adverse effects of zolpidem. Which of the following adverse effects should the nurse include in the teaching?

Daytime sleepiness

A nurse is assessing a client who is taking bupropion. The nurse should recognize which of the following findings as an indication that the medication is effective?

Decreased urge to smoke

A nurse is caring for a client who reports an upset stomach chlorpromazine. Which of the following responses should the nurse make?

Drink a glass of milk with each dose of your medication

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

I may have a dry mouth while taking this medication

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

I may not feel like eating as much

A nurse is teaching a client who has depression about a new prescription for fluoexetine 20 mg daily. Which of the following statements by the client indicates understanding of the teaching?

I should notify my provider if I develop a skin rash

A nurse is reinforcing teaching with an older adult client who has major depressive disorder and a prescription for nortriptyline 25 mg daily. Which of the following client statements indicates an understanding of the teaching?

I should sit on the side of the bed before standing up in the morning

A nurse is providing teaching for a client who has binge-eating disorder and is morbidly obese. The client has been prescribed orlistat. Which of the following statements indicates to the nurse that the client understands the teaching?

I will take my dose of orlistat every morning an hour before breakfast

A client is providing teaching for a client who has schizophrenia and a new prescription for risperidone. Which of the following statements should the nurse include in the teaching?

Increase caloric intake to prevent weight loss

A nurse is planning to administer olanzapine 10 mg IM to a client who has schizophrenia. Which of the following actions should the nurse take?

Monitor the client for at least 3 hr after the injection

A nurse is developing a care plan for a client who has schizophrenia and is taking chlorpromazine. Which of the following actions should the nurse include in the plan?

Monitor the client's respirations every 4 hr.

A nurse is assessing a client who has schizophrenia and is taking aripiprazole. The nurse should notify the provider of which of the following findings?

Muscle stiffness

A nurse is teaching a female client who is experiencing alcohol withdrawal about chlordiazepoxide. Which of the following information should the nurse include in the teaching?

Notify the provider if pregnancy is desired or suspected

A nurse is teaching a client who has bipolar disorder about lithium. Which of the following statements should the nurse include in the teaching?

Notify your provider if you experience vomiting or diarrhea

A nurse is providing teaching to a client who has schizophrenia about thioridazine.Which of the following instructions should the nurse include in the teaching?

Report any sign of infection to the provider immediately

A nurse is providing discharge teaching to a client with a new prescription for phenelzine. The nurse should instruct the client to avoid which of the following foods when taking this medication?

Salami

A nurse is caring for a client who has a new prescription for risperidone. Which of the following rating scales should the nurse complete prior to administering the first dose of risperidone?

The abnormal involuntary movement scale

A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse should teach the client that which of the following factors puts her at risk for lithium toxicity?

The client runs 4 miles outdoors every afternoon

A nurse reviews the laboratory report for a client who is receiving lithium 3 times daily PO. The clients current blood lithium level is 1.8 mEq/L. The nurse identifies that this lab value is which of the following?

The lithium level is at the toxic level

A nurse is teaching a male client who has depressive disorder about sertraline. Which of the following information should the nurse include in the teaching?

This medication may cause an inability to orgasm

A nurse is providing teaching to the parents of an adolescent who has depressive disorder with a new prescription for trazodone. Which of the following information should the nurse include in the teaching?

Trazodone can cause suicidal thoughts in adolescents

A nurse is teaching a female client who has anxiety disorder about alprazolam. Which of the following information should the nurse include in the teaching?

Use a reliable form of contraception while taking this medication

A nurse is reviewing the medical record of a client who has a new prescription for clozapine for the treatment of schizophrenia. Which of the following findings indicates a contraindication of clozapine?

WBC count 3,300mm3

A nurse is teaching a client who has bipolar disorder about lithium. Which of the following statements should the nurse include in the teaching?

We will monitor your lithium levels closely while you are taking this medication

A nurse is developing a plan of care for a client who has depressive disorder and is taking amitriptyline. Which of the following actions should the nurse include in the plan of care?

Weigh the client

A nurse is reviewing the medical record of a client who has schizophrenia and is receiving olanzapine. Which of the following findings should the nurse identify as an adverse effect of olanzapine?

Weight gain of 3 lbs in 2 weeks

A nurse is caring for a client who has bipolar disorder and is taking lithium. The client reports blurry vision and ataxia. Which of the following actions should the nurse take?

Withhold the medication

A nurse is teaching a client who has depressive disorder about fluoexetine. Which of the following information should the nurse include in the teaching?

You may experience a decreased sex drive while taking this medication

A nurse is providing teaching to a client who has schizophrenia and is to begin taking haloperidol. Which of the following information should the nurse include in the teaching?

You may experience dizziness upon standing while taking this medication

A nurse is teaching a client who plans to take St. John's wort to treat her depression. Which of the following information should the nurse include in the teaching?

You may experience vivid dreams while taking St. John's wort

A nurse in the emergency department is planning care for a client who is admitted for an overdose of phencyclidine (PCP). Which of the following actions should the nurse plan to take?

administer ammonium chloride

A nurse is reviewing medications for a newly admitted client who has bipolar disorder and is experiencing mania. Which of the following prescriptions should the nurse realize is expected to reduce the client's mania?

carbamazepine

A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects?

dysrhythmias

A nurse is teaching the parents of a achool-aged child who has ADHD about atomoxetine. Which of the following instructions should the nurse include in the teaching?

give the dose in the morning to help prevent insomnia

A nurse is caring for a client who is taking amitriptyline. The nurse should monitor for which of the following adverse effects?

orthostatic hypotension

A nurse is caring for a client who has generalized anxiety disorder and is taking buspirone. Which of the following adverse effects should the nurse report to the provider?

sweating

A nurse is assessing a client who has schizophrenia and is taking risperidone. Which of the following findings should the nurse expect?

weight gain