NRS 3016: CH. 11 - PSYCHOPHARMACOLOGY,
DIETARY SUPPLEMENTS, AND BIOLOGIC
INTERVENTIONS QUESTIONS
Psychiatric Medications: designated in certain conditions for specific - Answers -
symptoms
Same symptoms may be present in - Answers - several conditions
Many medications prescribed for different - Answers - diagnoses
All medications have both ___ and ___ effects - Answers - All medications have both
desirable and undesirable effects
Psychiatric Medications: Target symptoms - Answers - oSpecific, measurable, expected
to improve with treatment
oMonitor and document effect of medication on target symptoms
oMedications will affect more than just target symptoms resulting in unwanted side
effects or adverse reactions
oNurse monitors, documents, and reports side effects and/or adverse reactions
Psychiatric Medications: Side effects or discomfort - Answers - -Dry eyes
-Dry mouth and lips
-Constipation
-Urinary hesitancy or retention
-Nasal congestion
-Sinus tachycardia
-Decreased libido, anorgasmia, ejaculatory inhibition
-Postural hypotension
-Photosensitivity
-Dermatitis
-Impaired psychomotor functions
-Drowsiness or sedation
-Weight gain and metabolic changes
-Irregular menstruation or amenorrhea
-Vaginal dryness
Drug regulation and use: FDA responsible for ensuring - Answers - safety, efficacy, and
security of drugs
, -approves labeling after thorough review of data
Drug regulation and use: Nurse must know _____ before administering a medication -
Answers - labeling content
Drug regulation and use: Must be aware of any ____ and monitor for appearance of the
___ - Answers - Must be aware of any boxed warnings and monitor for appearance of
the adverse reactions
Comparatively ___ amount of medication can have a profound effect on individual -
Answers - small amount
Nurse must understand where and how drugs work - Answers - oPharmacodynamics
oClinical concepts
oPharmacokinetics
Receptors: Agonists - Answers - -Same response
-Selectivity, affinity, intrinsic activity
Receptors: Antagonists - Answers - -block response
-selectivity, affinity
Receptors: selectivity - Answers - specific drug for specific receptor
Receptors: Affinity - Answers - degree of attraction or strength of bond b/w drug and
biologic target
Receptors: Intrinsic activity - Answers - ability to produce response after attaching to
receptor
Efficacy - Answers - ability to produce response
Potency - Answers - dose needed for effect
-Can change with time
-Change in receptors
-Loss of receptors
-Exhaustion of neurotransmitter supply
-Increased metabolism of the drug
-Physiologic adaptation
Desensitization - Answers - rapid decrease in drug effects
Tolerance - Answers - gradual decrease in drug action
Toxicity - Answers - drug concentration harmful to body
DIETARY SUPPLEMENTS, AND BIOLOGIC
INTERVENTIONS QUESTIONS
Psychiatric Medications: designated in certain conditions for specific - Answers -
symptoms
Same symptoms may be present in - Answers - several conditions
Many medications prescribed for different - Answers - diagnoses
All medications have both ___ and ___ effects - Answers - All medications have both
desirable and undesirable effects
Psychiatric Medications: Target symptoms - Answers - oSpecific, measurable, expected
to improve with treatment
oMonitor and document effect of medication on target symptoms
oMedications will affect more than just target symptoms resulting in unwanted side
effects or adverse reactions
oNurse monitors, documents, and reports side effects and/or adverse reactions
Psychiatric Medications: Side effects or discomfort - Answers - -Dry eyes
-Dry mouth and lips
-Constipation
-Urinary hesitancy or retention
-Nasal congestion
-Sinus tachycardia
-Decreased libido, anorgasmia, ejaculatory inhibition
-Postural hypotension
-Photosensitivity
-Dermatitis
-Impaired psychomotor functions
-Drowsiness or sedation
-Weight gain and metabolic changes
-Irregular menstruation or amenorrhea
-Vaginal dryness
Drug regulation and use: FDA responsible for ensuring - Answers - safety, efficacy, and
security of drugs
, -approves labeling after thorough review of data
Drug regulation and use: Nurse must know _____ before administering a medication -
Answers - labeling content
Drug regulation and use: Must be aware of any ____ and monitor for appearance of the
___ - Answers - Must be aware of any boxed warnings and monitor for appearance of
the adverse reactions
Comparatively ___ amount of medication can have a profound effect on individual -
Answers - small amount
Nurse must understand where and how drugs work - Answers - oPharmacodynamics
oClinical concepts
oPharmacokinetics
Receptors: Agonists - Answers - -Same response
-Selectivity, affinity, intrinsic activity
Receptors: Antagonists - Answers - -block response
-selectivity, affinity
Receptors: selectivity - Answers - specific drug for specific receptor
Receptors: Affinity - Answers - degree of attraction or strength of bond b/w drug and
biologic target
Receptors: Intrinsic activity - Answers - ability to produce response after attaching to
receptor
Efficacy - Answers - ability to produce response
Potency - Answers - dose needed for effect
-Can change with time
-Change in receptors
-Loss of receptors
-Exhaustion of neurotransmitter supply
-Increased metabolism of the drug
-Physiologic adaptation
Desensitization - Answers - rapid decrease in drug effects
Tolerance - Answers - gradual decrease in drug action
Toxicity - Answers - drug concentration harmful to body
