Chapter 16: Psychotherapeutic Drugs

Chapter 16: Psychotherapeutic Drugs

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse reads in the patient’s medication history that the patient is taking buspirone (BuSpar). The nurse interprets that the patient may have which disorder?

a.	Anxiety disorder
b.	Depression
c.	Schizophrenia
d.	Bipolar disorder

 

 

ANS:  A

Buspirone is indicated for the treatment of anxiety disorders, not depression, schizophrenia, or bipolar disorder.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 253

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

2. Before beginning a patient’s therapy with selective serotonin reuptake inhibitor (SSRI) antidepressants, the nurse will assess for concurrent use of which medications or medication class?

a.	Aspirin
b.	Anticoagulants
c.	Diuretics
d.	Nonsteroidal anti-inflammatory drugs

 

 

ANS:  B

Use of selective serotonin reuptake inhibitor (SSRI) antidepressants with warfarin results in an increased anticoagulant effect. SSRI antidepressants do not interact with the other drugs or drug classes listed. See Table 16-6 for important drug interactions with SSRIs.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 258

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

 

3. When a patient is receiving a second-generation antipsychotic drug, such as risperidone (Risperdal), the nurse will monitor for which therapeutic effect?

a.	Fewer panic attacks
b.	Decreased paranoia and delusions
c.	Decreased feeling of hopelessness
d.	Improved tardive dyskinesia

 

 

ANS:  B

The therapeutic effects of the antipsychotic drugs include improvement in mood and affect, and alleviation or decrease in psychotic symptoms (decrease in hallucinations, paranoia, delusions, garbled speech). Tardive dyskinesia is a potential adverse effect of these drugs. The other options are incorrect.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 272

TOP:   NURSING PROCESS: Evaluation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

4. A patient has been taking haloperidol (Haldol) for 3 months for a psychotic disorder, and the nurse is concerned about the development of extrapyramidal symptoms. The nurse will monitor the patient closely for which effects?

a.	Increased paranoia
b.	Drowsiness and dizziness
c.	Tremors and muscle twitching
d.	Dry mouth and constipation

 

 

ANS:  C

Extrapyramidal symptoms are manifested by tremors and muscle twitching, and the incidence of such symptoms is high during haloperidol therapy. The other options are incorrect.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 264

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

5. A patient has been taking the monoamine oxidase inhibitor (MAOI) phenelzine (Nardil) for 6 months. The patient wants to go to a party and asks the nurse, “Will just one beer be a problem?” Which advice from the nurse is correct?

a.	“You can drink beer as long as you have a designated driver.”
b.	“Now that you’ve had the last dose of that medication, there will be no further dietary restrictions.”
c.	“If you begin to experience a throbbing headache, rapid pulse, or nausea, you’ll need to stop drinking.”
d.	“You need to avoid all foods that contain tyramine, including beer, while taking this medication.”

 

 

ANS:  D

Foods containing tyramine, such as beer and aged cheeses, should be avoided while a patient is taking an MAOI. Drinking beer while taking an MAOI may precipitate a dangerous hypertensive crisis. The other options are incorrect.

 

DIF:    COGNITIVE LEVEL: Analyzing (Analysis)                     REF:   p. 258

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Safe and Effective Care Environment: Safety and Infection Control