A depressed client is prescribed citalopram hydrobromide. Six days later the client tearfully says
to the nurse, "I'm taking an antidepressant, but it's not working. I'm hopeless." What is the best
response by the nurse? - ANS "It takes 2 or 3 weeks before it begins to relieve depression."
What drug does a nurse anticipate that the primary healthcare provider will prescribe for a client
demonstrating clinical manifestations associated with an opioid overdose? - ANS Naloxone
A nurse is administering medications to clients on a psychiatric unit. What does the nurse
identify as the reason that so many psychiatric clients are given the drug benztropine or
trihexyphenidyl in conjunction with the phenothiazine-derivative neuroleptic medications? - ANS
They combat the extrapyramidal side effects of the neuroleptic drug.
A client asks the nurse how psychotropic medications work. How does the nurse reply? - ANS
"These medications affect the chemicals used in communication between nerve cells."
Which client condition is contraindicated for prescribing clozapine? - ANS Bone marrow
depression
A nurse is counseling a client who abuses cocaine. The nurse recognizes that this drug is
representative of which drug category? - ANS A stimulant
Which toxic effect would the nurse find in a client who has overdosed on isocarboxazid? - ANS
Circulatory collapse
A client who has been taking a conventional antipsychotic for several days comes to the clinic
complaining of neck spasms. The figure illustrates the client's physical status observed by the
nurse. What extrapyramidal side effect has the client developed? - ANS Torticollis
Which condition contraindicates the use of ginseng herbal therapy? - ANS Pregnancy
A client has been taking 3 mg of risperidone twice a day for the past 8 days. At the follow-up
appointment, the client reports tremors, shortness of breath, a fever, and sweating. What will the
nurse do? - ANS Take the client's vital signs and arrange for immediate transfer to a hospital
Which adverse effect is least likely to occur in a client who is prescribed clozapine? - ANS
Myocarditis
, A client with schizophrenia is started on a regimen of chlorpromazine. After 10 days a shuffling
gait, tremors, and some rigidity are apparent. Benztropine mesylate 2 mg by mouth daily is
prescribed. What does the nurse remember when administering these medications together? -
ANS Both medications have a cholinergic-blocking action.
Which drug is a high-potency medication used to treat schizophrenia? - ANS Fluphenazine
A nurse is caring for several clients with major thought disorders such as schizophrenia. They
are all being treated with neuroleptic drugs. How do these drugs act in the body to promote
mental health? - ANS By blocking access to dopamine receptors at the postsynaptic receptor
site
Which is a second-generation antidepressant drug? - ANS Citalopram
An antianxiety medication is prescribed for an extremely anxious client. The client says, "I'm
afraid to take this medication because I heard they're addictive." The nurse teaches the client
that antianxiety medications have what properties? - ANS Have the potential for physiologic and
psychological dependence
Which medication is the first choice drug for the treatment of attention deficit hyperactivity
disorder (ADHD)? - ANS Methylphenidate
A 45-year-old client who recently completed alcohol detoxification reports plans to begin using
disulfiram (Antabuse) as part of the alcoholism treatment regimen. What important client
teaching does the nurse share regarding this drug? - ANS Foods, medications, and any topical
preparation containing alcohol should be avoided.
A client who has been taking the prescribed dose of zolpidem for 5 days returns to the clinic for
a follow-up visit. When interviewing the client, the nurse identifies that the medication has been
effective when the client makes which statement? - ANS "I have been sleeping better."
Which food should be avoided by a client who is prescribed monoamine oxidase inhibitors
(MAOIs)? - ANS Bologna
A client with a history of schizophrenia who responds poorly to medication is now being treated
for acute depression. In light of the information elicited from the medication list and laboratory
results, what does the nurse advise? - ANS Come in for weekly blood tests to monitor for
drug-induced agranulocytosis.
Which drug may lead to bruxism? - ANS Levomilnacipran
Which statement about psychotherapeutic drugs in elderly clients requires correction? - ANS
Low serum levels of the drug are reported in elderly clients on psychotherapeutic drugs.
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