Pharmacology-Psychiatric/Mental Health Drugs- ADN 2B
Questions and Answers
A client on a psychiatric unit who has been hearing voices is receiving a neuroleptic
medication for the first time. The client takes the cup of water and the pill and stares at them.
What is the most therapeutic statement the nurse can make? Correct Ans-"This will help
you not to hear the voices. It will only work if you take it."
A client is hospitalized with social anxiety disorder. The client has a history of exhibiting
intense, irrational fear of being scrutinized by others. Which primary anxiolytic medications
would be prescribed to the client? Select all that apply. Correct Ans-Clonazepam
Alprazolam
Lithium carbonate, 600 mg by mouth three times a day, is prescribed for a client. The nurse
concludes that the teaching about its side effects is understood when the client says that the
primary healthcare provider will be notified immediately if what condition occurs? Correct
Ans-Fine hand tremor or slurred speech
A client who is taking lithium arrives at the mental health center for a routine visit. The client
has slurred speech, has an ataxic gait, and complains of nausea. What does the nurse know
,Pharmacology-Psychiatric/Mental Health Drugs- ADN 2B
Questions and Answers
about these signs and symptoms? Correct Ans-These effects may indicate a toxic level of
lithium.
On the first day of the month a primary healthcare provider prescribes an antipsychotic
medication for a client with schizophrenia. The initial dosage is 25 mg once a day, to be
titrated in increments of 25 mg every other day to a desired dosage of 175 mg daily. On what
day of the month will the client reach the desired daily dose of 175 mg? Correct Ans-day
13
A client is prescribed sertraline, an antidepressant. What does the nurse include when
preparing a teaching plan about the side effects of this drug? Correct Ans-agitation
A client is responding within 5 minutes of receiving naloxone to combat respiratory
depression from an overdose of heroin. Why will a nurse continue to closely monitor this
client's status? Correct Ans-Symptoms of the heroin overdose may return after the
naloxone is metabolized.
, Pharmacology-Psychiatric/Mental Health Drugs- ADN 2B
Questions and Answers
The nurse cares for a client with bipolar disorder who is receiving drug therapy. The
laboratory report reveals that the client's serum sodium level is 132 mEq/L (132 mmol/L).
Which drug might have led to this condition? Correct Ans-fluxotine
A client who is taking haloperidol has developed tardive dyskinesia. Which therapy is
beneficial for the client? Correct Ans-Administering benzodiazepines
The primary healthcare provider is concerned that one of the clients receiving haloperidol
may be developing neuroleptic malignant syndrome. When assessing the client for this
syndrome, for which clinical manifestations does the nurse monitor the client? Correct
Ans-Diaphoresis and hyperpyrexia
A client who is going to be discharged has been receiving 3 mg of risperidone three times a
day. What will the nurse teach the client about the medication? Correct Ans-May cause
sedation if taken concurrently with alcohol
A primary healthcare provider prescribes divalproex. What does the nurse consider an
appropriate indication for the use of this drug? Correct Ans-Management of manic
episodes of bipolar disorder
Questions and Answers
A client on a psychiatric unit who has been hearing voices is receiving a neuroleptic
medication for the first time. The client takes the cup of water and the pill and stares at them.
What is the most therapeutic statement the nurse can make? Correct Ans-"This will help
you not to hear the voices. It will only work if you take it."
A client is hospitalized with social anxiety disorder. The client has a history of exhibiting
intense, irrational fear of being scrutinized by others. Which primary anxiolytic medications
would be prescribed to the client? Select all that apply. Correct Ans-Clonazepam
Alprazolam
Lithium carbonate, 600 mg by mouth three times a day, is prescribed for a client. The nurse
concludes that the teaching about its side effects is understood when the client says that the
primary healthcare provider will be notified immediately if what condition occurs? Correct
Ans-Fine hand tremor or slurred speech
A client who is taking lithium arrives at the mental health center for a routine visit. The client
has slurred speech, has an ataxic gait, and complains of nausea. What does the nurse know
,Pharmacology-Psychiatric/Mental Health Drugs- ADN 2B
Questions and Answers
about these signs and symptoms? Correct Ans-These effects may indicate a toxic level of
lithium.
On the first day of the month a primary healthcare provider prescribes an antipsychotic
medication for a client with schizophrenia. The initial dosage is 25 mg once a day, to be
titrated in increments of 25 mg every other day to a desired dosage of 175 mg daily. On what
day of the month will the client reach the desired daily dose of 175 mg? Correct Ans-day
13
A client is prescribed sertraline, an antidepressant. What does the nurse include when
preparing a teaching plan about the side effects of this drug? Correct Ans-agitation
A client is responding within 5 minutes of receiving naloxone to combat respiratory
depression from an overdose of heroin. Why will a nurse continue to closely monitor this
client's status? Correct Ans-Symptoms of the heroin overdose may return after the
naloxone is metabolized.
, Pharmacology-Psychiatric/Mental Health Drugs- ADN 2B
Questions and Answers
The nurse cares for a client with bipolar disorder who is receiving drug therapy. The
laboratory report reveals that the client's serum sodium level is 132 mEq/L (132 mmol/L).
Which drug might have led to this condition? Correct Ans-fluxotine
A client who is taking haloperidol has developed tardive dyskinesia. Which therapy is
beneficial for the client? Correct Ans-Administering benzodiazepines
The primary healthcare provider is concerned that one of the clients receiving haloperidol
may be developing neuroleptic malignant syndrome. When assessing the client for this
syndrome, for which clinical manifestations does the nurse monitor the client? Correct
Ans-Diaphoresis and hyperpyrexia
A client who is going to be discharged has been receiving 3 mg of risperidone three times a
day. What will the nurse teach the client about the medication? Correct Ans-May cause
sedation if taken concurrently with alcohol
A primary healthcare provider prescribes divalproex. What does the nurse consider an
appropriate indication for the use of this drug? Correct Ans-Management of manic
episodes of bipolar disorder
