CHAPTER 29: CENTRAL NERVOUS SYSTEM STIMULANTS USED TO TREAT ATTENTION-DEFICIT HYPERACTIVITY DISORDER AND AGENTS USED TO TREAT ALZHEIMER'S DISEASE

CHAPTER 29: CENTRAL NERVOUS SYSTEM STIMULANTS USED TO TREAT ATTENTION-DEFICIT HYPERACTIVITY DISORDER AND AGENTS USED TO TREAT ALZHEIMER’S DISEASE

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The use of anorectic drugs is contraindicated in clients:

a.	with hypotension.
b.	with bradycardia.
c.	who take monoamine oxidase (MAO) inhibitors.
d.	who are overweight.

 

 

ANS:  C

 

	Feedback
A	Incorrect: These can cause hypertension.
B	Incorrect: These can cause tachycardia.
C	Correct: Their use is contraindicated in clients who use MAO inhibitors.
D	Incorrect: This is a use for anorectic agents.

 

 

PTS:   1                    REF:   p. 667            OBJ:   Cognitive Level: Knowledge

 

2. A child is prescribed atomoxetine HCl. The nurse instructs the mother to monitor her child for:

a.	increased hunger.	c.	polyuria.
b.	increased thirst.	d.	increased attention span.

 

 

ANS:  D

 

	Feedback
A	Incorrect: This is not related to methylphenidate.
B	Incorrect: This is not related to methylphenidate.
C	Incorrect: This is not related to methylphenidate.
D	Correct: This agent is used to treat ADHD and this observation would indicate its effectiveness.

 

 

PTS:   1                    REF:   p. 666            OBJ:   Cognitive Level: Comprehension

 

3. The nurse identifies Nutrition altered, more than body requirements related to obesity as the nursing diagnosis for a client taking an anorexiant. A successful outcome of this diagnosis would be that the client:

a.	loses two to four pounds per month until desired weight is obtained.
b.	joins an exercise group.
c.	verbalizes a 1500-calorie-per-day diet plan.
d.	weighs self daily.

 

 

ANS:  A

 

	Feedback
A	Correct: This is a measurable outcome for this nursing diagnosis.
B	Incorrect: This does not measure the outcome.
C	Incorrect: This does not measure the outcome.
D	Incorrect: This does not measure the outcome.

 

 

PTS:   1                    REF:   p. 671            OBJ:   Cognitive Level: Evaluation

 

4. While teaching the mother of a child receiving atomoxetine HCl about the drug, the mother asks the nurse what norepinephrine is. The nurse’s best response would be:

a.	“It’s a neurotransmitter in the brain that decreases excitability.”
b.	“It is a chemical that regulates what a person thinks and how he or she reacts.”
c.	“It is a chemical in the brain that helps focus attention and organize thoughts.”
d.	“It is the opposite of dopamine, the chemical that causes Parkinson’s disease.”

 

 

ANS:  C

 

	Feedback
A	Incorrect: This is not the best answer because of the technical language in the response.
B	Incorrect: This is not an appropriate response.
C	Correct: This explains norepinephrine in client-friendly terms.
D	Incorrect: This is not an appropriate response.

 

 

PTS:   1                    REF:   p. 666            OBJ:   Cognitive Level: Application

 

5. After client teaching about methylphenidate HCL, which statement by the client would indicate further teaching is necessary?

a.	“I should take this medication early in the day.”
b.	“I should ask my doctor about my anticoagulant medication.”
c.	“This medication may cause physical dependence.”
d.	“This medication is safe to take with my MAO inhibitor.”

 

 

ANS:  D

 

	Feedback
A	Incorrect: This is a CNS stimulant, so this remark indicates client understanding.
B	Incorrect: This drug can result in serious drug-drug interactions with anticoagulant therapy, so this response indicates client understanding.
C	Incorrect: This indicates client understanding.
D	Correct: This drug can result in serious drug-drug interactions with MAO inhibitor therapy. so this response indicates the client needs more teaching.

 

 

PTS:     1          REF:    p. 669  OBJ:    Cognitive Level: Evaluation