Test Bank Solution Manual for Psychopharm Already Passed
https://www.youtube.com/watch?v=l8pObJTzRzY - Answers SUCH A GOOD VIDEO AND WHERE GOT
MEMORY IDEAS
A client with acute mania is prescribed lithium. During this time, the nurse would anticipate obtaining
blood concentrations how often? - Answers twice a week
A client taking lithium for bipolar disorder comes to the clinic and reports symptoms which the nurse
interprets as consistent with moderate lithium toxicity. Which action should the nurse perform? Select
all that apply. - Answers Withhold additional doses of lithium, Obtain a blood sample for lithium level,
Push fluids, Contact the physician.
A client with bipolar disorder is receiving lithium therapy. The nurse is reviewing the client's serum
plasma drug levels and determines that the client's level is therapeutic based on what? - Answers 1.0
mEq/L
Once a client's condition is stabilized on lithium, serum levels should be monitored every ... - Answers 2
months
Both valproate and carbamazepine may be lethal if high doses are ingested. Toxic symptoms appear in 1
to 3 hours and include what? - Answers neurological disturbances
Concomitant use of antidepressants with monoamine oxidase inhibitors (MAOIs) can cause which life-
threatening drug interaction? - Answers hypertension crisis
Which client is most likely to be at risk for drug dependence and difficulties with withdrawal?
-A client who has recently begun treatment with propranolol for the treatment of social phobia
-A client with generalized anxiety disorder who has responded well since beginning treatment with
fluoxetine earlier in the year -A woman who has been taking lorazepam for several months after
witnessing a traumatic motor vehicle accident
-A man whose obsessive-compulsive disorder is being treated long term with paroxetine - Answers A
woman who has been taking lorazepam for several months after witnessing a traumatic motor vehicle
accident
The potential for dependence and difficulties with withdrawal is much higher with benzodiazepines than
with beta-blockers or SSRIs.
Which medication classification has most commonly been used to treat social phobia? - Answers
Selective serotonin reuptake inhibitors (SSRIs)
,A client asks how the client's prescribed alprazolam helps the client's anxiety disorder. The nurse
explains while teaching the client about medications that antianxiety medications such as alprazolam
affect the function of which neurotransmitter that is believed to be dysfunctional in anxiety disorders? -
Answers Gamma-aminobutyric acid (GABA)
After teaching a client about possible side effects of benzodiazepines, the nurse determines that
additional teaching is needed when the client identifies which h of the following as a possible side effect
of the drug? - Answers metallic taste
A male combat veteran with a diagnosis of post-traumatic stress disorder has been prescribed prazosin.
What outcome would most clearly indicate the effectiveness of this treatment? - Answers The client
reports fewer and less intense nightmares.
A client with post-traumatic stress disorder (PTSD) has just been prescribed sertraline by her primary
care provider. What topic should the nurse include during health education? - Answers The importance
of avoiding alcohol use during treatment
A client with post-traumatic stress disorder has just been prescribed sertraline. When teaching the client
about this medication, which information would the nurse most likely stress? - Answers Taking the
medication once per day
A client is prescribed lorazepam for anxiety experienced with the death of a parent. Which instruction
should the nurse provide related to the medication? - Answers orthostatic hypotension
A client with posttraumatic stress disorder (PTSD) has been prescribed lorazepam 1 mg SL q6h PRN.
What assessment finding indicates that treatment is having the desired effect? - Answers reduced
anxiety
meds for AN and BN - Answers No evidence SSRIs are effective for AN symptoms
SSRIs may be helpful in reducing BN symptoms
Lisdexaphetamine (Vyvanse) used for? - Answers binge eating disorder (BED)
tx for BN (bulimia nervosa) - Answers CBT and SSRI Fluoxetine for BN sx
tx eating disorders - Answers SSRIs, Vitamin and Potassium replacement, Proton-pump inhibitors
(decrease gastric acid secreation, decrease metabolic acidosis and conserve potassium)
approved for BN - Answers Prozac is FDA approved for treatment, but efficacy varies and many people
do not find it useful to reduce purging
what is contraindicated in AN/BN - Answers Wellbutrin
med tx for AN - Answers No FDA approved medications; Zyprexa is sometimes used to promote weight
gain and decrease ruminative thoughts.
, which meds are avoided in AN and BN - Answers TCAs avoided just as with frail elders
med tx for very agitated elderly - Answers atypical antipsychotics has black box warning for pts with
dementia (risk for sudden death increased)
if going to use anti psychotics need to use conventional first generation drugs like haloperidol
Sertraline (SSRI) - Answers - often used for older adults because least affect of drug-drug interactions
- wash out is 48h so use if not sure if bipolar or not
- bad side effect when stop abruptly
- CAN GIVE in pregnancy
Fluoxetine (SSRI) - Answers - highest drug-drug interactions so avoided in elderly
- 3-4 weeks to flush out (so not for if not sure if bipolar or not)
- SE longer with stop abruptly
- only one approved for bulimia
- "flu" you throw up, so used to tx Bulimia
Paroxetine (SSRI) - Answers - CONTRAINDICATED in pregnancy (not good for a "PAIR")
- rapidly absorbed so worse withdrawal if stop abruptly
Citalopram (SSRI) - Answers - at higher doses, need yearly EKGs
Escitalopram (SSRI) - Answers - version of Citalopram
Fluvoxamine - Answers - only approved for OCD
- NOT approved MD
"flu-OC-amine"
1st, 2nd, and 3rd line tx of MD - Answers - 1. SSRIs
- 2. SNRIs
- 3. NDRI- (Bupropion)
SSRIs - Answers Citalopram (Celexa)
Escitalopram (Lexapro)
Fluoxetine (Prozac)
https://www.youtube.com/watch?v=l8pObJTzRzY - Answers SUCH A GOOD VIDEO AND WHERE GOT
MEMORY IDEAS
A client with acute mania is prescribed lithium. During this time, the nurse would anticipate obtaining
blood concentrations how often? - Answers twice a week
A client taking lithium for bipolar disorder comes to the clinic and reports symptoms which the nurse
interprets as consistent with moderate lithium toxicity. Which action should the nurse perform? Select
all that apply. - Answers Withhold additional doses of lithium, Obtain a blood sample for lithium level,
Push fluids, Contact the physician.
A client with bipolar disorder is receiving lithium therapy. The nurse is reviewing the client's serum
plasma drug levels and determines that the client's level is therapeutic based on what? - Answers 1.0
mEq/L
Once a client's condition is stabilized on lithium, serum levels should be monitored every ... - Answers 2
months
Both valproate and carbamazepine may be lethal if high doses are ingested. Toxic symptoms appear in 1
to 3 hours and include what? - Answers neurological disturbances
Concomitant use of antidepressants with monoamine oxidase inhibitors (MAOIs) can cause which life-
threatening drug interaction? - Answers hypertension crisis
Which client is most likely to be at risk for drug dependence and difficulties with withdrawal?
-A client who has recently begun treatment with propranolol for the treatment of social phobia
-A client with generalized anxiety disorder who has responded well since beginning treatment with
fluoxetine earlier in the year -A woman who has been taking lorazepam for several months after
witnessing a traumatic motor vehicle accident
-A man whose obsessive-compulsive disorder is being treated long term with paroxetine - Answers A
woman who has been taking lorazepam for several months after witnessing a traumatic motor vehicle
accident
The potential for dependence and difficulties with withdrawal is much higher with benzodiazepines than
with beta-blockers or SSRIs.
Which medication classification has most commonly been used to treat social phobia? - Answers
Selective serotonin reuptake inhibitors (SSRIs)
,A client asks how the client's prescribed alprazolam helps the client's anxiety disorder. The nurse
explains while teaching the client about medications that antianxiety medications such as alprazolam
affect the function of which neurotransmitter that is believed to be dysfunctional in anxiety disorders? -
Answers Gamma-aminobutyric acid (GABA)
After teaching a client about possible side effects of benzodiazepines, the nurse determines that
additional teaching is needed when the client identifies which h of the following as a possible side effect
of the drug? - Answers metallic taste
A male combat veteran with a diagnosis of post-traumatic stress disorder has been prescribed prazosin.
What outcome would most clearly indicate the effectiveness of this treatment? - Answers The client
reports fewer and less intense nightmares.
A client with post-traumatic stress disorder (PTSD) has just been prescribed sertraline by her primary
care provider. What topic should the nurse include during health education? - Answers The importance
of avoiding alcohol use during treatment
A client with post-traumatic stress disorder has just been prescribed sertraline. When teaching the client
about this medication, which information would the nurse most likely stress? - Answers Taking the
medication once per day
A client is prescribed lorazepam for anxiety experienced with the death of a parent. Which instruction
should the nurse provide related to the medication? - Answers orthostatic hypotension
A client with posttraumatic stress disorder (PTSD) has been prescribed lorazepam 1 mg SL q6h PRN.
What assessment finding indicates that treatment is having the desired effect? - Answers reduced
anxiety
meds for AN and BN - Answers No evidence SSRIs are effective for AN symptoms
SSRIs may be helpful in reducing BN symptoms
Lisdexaphetamine (Vyvanse) used for? - Answers binge eating disorder (BED)
tx for BN (bulimia nervosa) - Answers CBT and SSRI Fluoxetine for BN sx
tx eating disorders - Answers SSRIs, Vitamin and Potassium replacement, Proton-pump inhibitors
(decrease gastric acid secreation, decrease metabolic acidosis and conserve potassium)
approved for BN - Answers Prozac is FDA approved for treatment, but efficacy varies and many people
do not find it useful to reduce purging
what is contraindicated in AN/BN - Answers Wellbutrin
med tx for AN - Answers No FDA approved medications; Zyprexa is sometimes used to promote weight
gain and decrease ruminative thoughts.
, which meds are avoided in AN and BN - Answers TCAs avoided just as with frail elders
med tx for very agitated elderly - Answers atypical antipsychotics has black box warning for pts with
dementia (risk for sudden death increased)
if going to use anti psychotics need to use conventional first generation drugs like haloperidol
Sertraline (SSRI) - Answers - often used for older adults because least affect of drug-drug interactions
- wash out is 48h so use if not sure if bipolar or not
- bad side effect when stop abruptly
- CAN GIVE in pregnancy
Fluoxetine (SSRI) - Answers - highest drug-drug interactions so avoided in elderly
- 3-4 weeks to flush out (so not for if not sure if bipolar or not)
- SE longer with stop abruptly
- only one approved for bulimia
- "flu" you throw up, so used to tx Bulimia
Paroxetine (SSRI) - Answers - CONTRAINDICATED in pregnancy (not good for a "PAIR")
- rapidly absorbed so worse withdrawal if stop abruptly
Citalopram (SSRI) - Answers - at higher doses, need yearly EKGs
Escitalopram (SSRI) - Answers - version of Citalopram
Fluvoxamine - Answers - only approved for OCD
- NOT approved MD
"flu-OC-amine"
1st, 2nd, and 3rd line tx of MD - Answers - 1. SSRIs
- 2. SNRIs
- 3. NDRI- (Bupropion)
SSRIs - Answers Citalopram (Celexa)
Escitalopram (Lexapro)
Fluoxetine (Prozac)
