NURSING 1950 Mental Health Module 2 (GRADED A+)

NURSING 1950 Mental Health Module 2 (GRADED A+) 11. A patient taking medication for mental illness develops restlessness and an uncontrollable need to be in motion. Which drug action causes these symptoms to develop? Dopamine-blocking effects Medication that blocks dopamine often produces disturbances of movement, such as akathisia, because dopamine affects neurons involved in both thought processes and movement regulation. Anticholinergic effects include dry mouth, blurred vision, urinary retention, and constipation. 12. A fearful patient has an increased heart rate and blood pressure. The nurse suspects increased activity of which neurotransmitter? Norepinephrine Norepinephrine is the neurotransmitter associated with sympathetic nervous system stimulation, preparing the individual for "fight or flight.” 13. A patient has acute anxiety related to an automobile accident 2 hours ago. The nurse should teach the patient about medication from which group? Benzodiazepines Benzodiazepines provide anxiety relief. 14. A patient is hospitalized for severe major depressive disorder. Of the medications listed below, the nurse can expect to provide the patient with teaching about sertraline Sertraline (Zoloft) is a selective serotonin reuptake inhibitor (SSRI). This antidepressant blocks the reuptake of serotonin, with few anticholinergic and sedating side effects. 15. A patient diagnosed with bipolar disorder displays aggressiveness, agitation, talkativeness, and irritability. The nurse expects the health care provider to prescribe a medication from which group? Mood stabilizers The symptoms describe mania, which is effectively treated by mood stabilizers, such as lithium, and selected anticonvulsants (carbamazepine, valproic acid, and lamotrigine). 16. A drug causes muscarinic receptor blockade. The nurse will assess the patient for dry mouth Muscarinic receptor blockade includes atropine-like side effects, such as dry mouth, blurred vision, and constipation. 17. A patient begins therapy with a phenothiazine medication. What teaching should the nurse provide related to the drug's strong dopaminergic effect? Report changes in muscle movement Phenothiazines block dopamine receptors in both the limbic system and basal ganglia. Movement disorders and motor abnormalities (extrapyramidal side effects), such as parkinsonism, akinesia, akathisia, dyskinesia, and tardive dyskinesia, are likely to occur early in the course of treatment. They are often heralded by sensations of muscle stiffness. Early intervention with antiparkinsonian medication can increase the patient's comfort and prevent dystonic reactions. 18. A patient tells the nurse, "My doctor prescribed paroxetine for my depression. I assume I'll have side effects like I had when I was taking imipramine." The nurse's reply should be based on the knowledge that paroxetine is a(n) SSRI Paroxetine is an SSRI and will not produce the same side effects as imipramine, a tricyclic antidepressant.