Chapter 4 - Psychopharmacology
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When used in combination with anxiolytic medication, alcohol leads to
_____________ effects, and caffeine leads to _______________ effects.
1. increased; increased
2. increased; decreased
3. decreased; decreased
4. decreased; increased
Ans: 2. increased; decreased
Anxiolytic medications work through depression of certain
central nervous system (CNS) functions. Alcohol, which is a CNS
depressant, would increase/potentiate their effects. Caffeine,
which is a CNS stimulant, would decrease/inhibit their effects.
A client was recently admitted to the inpatient unit after a suicide
attempt. He has been placed on a tricyclic antidepressant. In terms of
medication, what steps should be taken to maintain the client's safety
when he is discharged?
1. Provide a 6-month supply to ensure long-term compliance.
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2. Provide a 1-week supply of medication, with refills authorized only
after he visits his provider.
3. Encourage him to increase fluid intake to counteract the common
side effect of diarrhea.
4. Educate him not to eat foods that contain tyramine.
Ans: 2. Provide a 1-week supply of medication, with refills
authorized only after he visits his provider.
To prevent suicide through overdose on antidepressant
medication, a limited supply should be given at discharge.
Clients with a history of depression who have a lifting of mood
may have an increased risk for suicide. Giving the client a larger
supply of antidepressant medication increases the chances of
overdose.
A client was recently admitted to the inpatient unit after a suicide
attempt and is prescribed a selective serotonin reuptake inhibitor
(SSRI). The nurse teaches the client about serotonin syndrome. Which
of the following is a symptom of serotonin syndrome?
1. Change in mental status
2. Myoclonus
3. Blood pressure lability
4. Priapism
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