EDITION MEYER NURSING| EXAM QUESTIONS AND
ANSWERS| 100% PASS!!
1.What are the three primary neurotransmitters used by psychotropic medications to relieve physical or
behavioral symptoms? Select all that apply. - ANSWER serotonin
norepinephrine
dopamine
2. Sally describes some new side effects that she is having consistently with extrapyramidal symptoms.
What action should the nurse take next? - ANSWER Notify the health care provider.
3. Which statement is accurate about lithium? - ANSWER There is a narrow margin between the
therapeutic window and toxicity.
4. Which of the following is an accurate statement concerning medications used for mental health
conditions? - ANSWER Some drugs take days to weeks before they reduce symptoms.
5. Which item below may cause cultural variations in drug metabolism? - ANSWER Cytochrome p450
enzyme differences
6. John was prescribed a new medication by his psychiatrist. After taking it for several days, he noticed
muscular spasms in his neck, throat, and tongue. Which medication class is likely to cause this side
effect? - ANSWER Antipsychotic
7. John is an alcoholic who is attending the 12-step meetings. John is concerned that he might relapse
and does not want this to happen. Which medication would be most helpful for him? - ANSWER
disulfiram
8. Alice was given a hypnotic to help with insomnia. For which side effects should the nurse provide a
warning? - ANSWER Respiratory depression
,9. Evaluate each statement and mark it as true or false. Select only one answer for each row. - ANSWER
Drugs do not cure mental health alterations; they control symptoms. TRUE
Some drugs take days to weeks before they reduce symptoms. TRUE
A client may receive more than one drug for short-term and long-term treatment. TRUE
When on medication, counseling is not necessary. FALSE
Serotonin re-uptake inhibitors cause extrapyramidal symptoms. FALSE
Lithium therapy requires periodic lab testing. TRUE
10. Match the primary treatment diagnosis and symptoms of toxicity to the correct drug class. Drag the
items to the corresponding drop zone. - ANSWER SSRI: Primarily treats DEPRESSION, Symptoms of
Toxicity HYPERTENSION, TACHYCARDIA, DIAPHORESIS, AND MYDRIASIS
Mood Stabilizer: primarily treats BIPOLAR DISORDER, Symptoms of toxicity NAUSEA, VOMITING,
CONFUSION, AND AGITATION
Anxiolytic: primarily treats ANXIETY DISORDER, symptoms of toxicity RESPIRATORY DEPRESSION
Antipsychotic: primarily treats SCHIZOPHRENIA, symptoms of toxicity EXTRAPYRAMIDAL SYMPTOMS
Stimulants: primarily treats ADD, symptoms of toxicity RESTLESSNESS, ANOREXIA, AND INSOMNIA
11.Which of the following drug is safest in patients with cardiac conduction disorder and depression:
Mianserin
Phenelzine
Doxepine
Dotheipin - ANSWER Phenelzine
12. Which of the following is a direct pharmacological antagonist?
Morphine
Methadone
Disufiram
Naltrexone - ANSWER Naltrexone
13. Which of the following drug is indicated in refractory schizophrenia?
, Haloperidol
Thioridazine
Lithium
Clozapine - ANSWER Clozapine
14. Which of the following is an antagonist of benzodiazepines:
Flupenthixol
Naloxone
Flumazenil
N-acetyl cystine - ANSWER Flumazenil
15. The antipsychotic properties of Chlorpromazine was proposed by:
Delay and Deniker
Egaz Moniz
John Cade
John Cade - ANSWER Delay and Deniker
16.Which of the following is a tricyclic antidepressant?
Paroxetine
Venlafaxine
Amitryptylline
Escitalopram - ANSWER Amitryptylline
17. Dry mouth, blurred vision, constipation and urinary retention are side effects due to blockade of:
Muscarinic-cholinergic
5HT1 serotoninergic receptors
H1 histaminic receptors
Dopaminergic receptors - ANSWER Muscarinic-cholinergic