CHAPTER 28: ANXIOLYTICS AND OTHER AGENTS USED TO TREAT PSYCHIATRIC CONDITIONS

CHAPTER 28: ANXIOLYTICS AND OTHER AGENTS USED TO TREAT PSYCHIATRIC CONDITIONS

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Buspirone has been prescribed for the client. The nurse knows the optimum therapeutic response should be achieved in:

a.	one to two days.	c.	one to two weeks
b.	two to four days.	d.	three to four weeks.

 

 

ANS:  D

 

	Feedback
A	Incorrect: Little response will be noted.
B	Incorrect: Some response might be noted.
C	Incorrect: A clinical response should be noted, but not optimal response.
D	Correct: This is the point of optimal response.

 

 

PTS:   1                    REF:   p. 635            OBJ:   Cognitive Level: Knowledge

 

2. The nurse understands which of the following is true regarding antidepressant drugs:

a.	higher initial doses are often required in elderly clients.
b.	the client should be started on a single, daily dose.
c.	antidepressants can cause constipation and urinary retention.
d.	antidepressant drugs do not exert both peripheral and central anticholinergic actions.

 

 

ANS:  C

 

	Feedback
A	Incorrect: Lower initial doses should be used in the elderly.
B	Incorrect: The client should be started on moderate daily divided doses.
C	Correct: The peripheral and central anticholinergic actions can cause these.
D	Incorrect: They can exert both peripheral and central anticholinergic actions.

 

 

PTS:   1                    REF:   p. 640            OBJ:   Cognitive Level: Comprehension

 

3. Antidepressant therapy should not be used on a p.r.n. basis because:

a.	undesirable side effects are more likely to occur.
b.	it is difficult to achieve client cooperation when dosing is irregular.
c.	therapeutic effects of therapy may not be evident for two to three weeks.
d.	clients may not know when they are needed.

 

 

ANS:  C

 

	Feedback
A	Incorrect: Both therapeutic and adverse effects will be later in coming.
B	Incorrect: This is not the rationale for no p.r.n. dosing.
C	Correct: P.R.N. dosing delays therapeutic effects.
D	Incorrect: This is not the rationale for no p.r.n. dosing.

 

 

PTS:   1                    REF:   p. 639            OBJ:   Cognitive Level: Comprehension

 

4. In addressing deficient knowledge about treatment of mental illness, the nurse should:

a.	suggest potential benefits of antipsychotic medications.
b.	inform the client that many people recover from mental illness.
c.	inform the client that most people achieve control of illness through use of medication.
d.	teach the client about the process of self-adjustment of medications.

 

 

ANS:  B

 

	Feedback
A	Incorrect: Many clients may not know how to respond to this information.
B	Correct: This is a true and appropriate statement.
C	Incorrect: This is not an appropriate teaching focus.
D	Incorrect: This is not an appropriate teaching focus.

 

 

PTS:   1                    REF:   p. 649            OBJ:   Cognitive Level: Application

 

5. In evaluating a client on anxiolytics for the presence of therapeutic effects, which of the following would indicate a positive response?

a.	decreased frequency of seizures	c.	improved muscular rigidity
b.	increased blood pressure	d.	decreased pulse rate

 

 

ANS:  A

 

	Feedback
A	Correct: This would indicate a therapeutic response.
B	Incorrect: Decrease in blood pressure would be a therapeutic response.
C	Incorrect: Decrease in muscle spasms would be a therapeutic response.
D	Incorrect: Although a possible therapeutic response, it is not the best answer.

 

 

PTS:   1                    REF:   p. 650            OBJ:   Cognitive Level: Evaluation