Mental Health Ex.3
Mental Health Quiz: Test Your Knowledge
Welcome to the Mental Health Quiz! This quiz consists of 78 questions focused on various aspects of mental health medications, disorders, and treatments. It's designed for anyone interested in how mental health is managed, whether you're a student, professional, or just curious.
Key features:
- Comprehensive questions covering multiple mental health topics
- Multiple-choice format for ease of answering
- Ideal for self-assessment and learning
To which client would the nurse question administering lithium (Eskalith), an antimania medication?
The 23-year-old client taking an antidepressant medication.
The 54-year-old client on a 4-g sodium diet.
The 42-year-old client taking a loop diuretic.
The 30-year-old client with a urine output of 40 mL/hour.
The nurse caring for a client administers sertraline (Zoloft) (an SSRI) for which of the following disorders?
Brief reactive psychosis
Major depressive disorder
Abnormal movement disorder
Schizophrenia
A client recently stopped taking Thorazine (chlorpromazine). The nurse notices that the client is smacking his lips, moving his tongue outside of his mouth, and seems to be making some unusual facial expressions. The nurse would document these finding as most likely being which of the following conditions?
Tardive dyskinesia
Neuroleptic malignant syndrome
Discontinuation syndrome
Generalized anxiety disorder
The client diagnosed with insomnia is scheduled for sleep studies. Which medication should the nurse instruct the client not to take?
The ACE inhibitor captopril.
The antihistamine diphenhydramine.
The thyroid medication levothyroxine.
The loop diuretic furosemide.
The 24-year-old female client with bipolar disorder is prescribed Lithium (eskalith). She is still experiencing negative side effects after 2 months of taking the drug. After tapering off the Lithium, which drugs would the nurse expect to be prescribed for this patient?
Duloxetine (Cymbalta) and maprotiline (Ludiomil)
Asenaphine (Saphris) and carbamazapine (Tegretol)
Valproic acid (Depakote) and lamotrigine (Lamictal)
Alprazolam (Xanax) and clonazepam (Klonopin)
In discharge teaching, the nurse should emphasize that which of the following is a common side effect of clozapine (Clozaril) therapy?
Extreme salivation
Dry mouth
Dry skin
Rhinitis
The risk of experiencing serotonin syndrome when SSRIs are given with monoamine oxidase inhibitors such as phenelzine (Nardil). Serotonin syndrome is best characterized in which of the following?
A productive cough and bradycardia
Hypotension and urinary retention
Muscle rigidity and high fever
Tea-colored urine and constipation
A client with depression who has been taking amitriptyline for three months returns to the clinic for a follow-up. The nurse observes the client in which of the following symptoms?
Lack of energy
Suicidal thoughts
Loss of interest in personal appearance
Neglect of responsibilities
A client arrives in the emergency room with a tricyclic antidepressant overdose. Which of the following measures should the nurse do, except?
Maintain a patent airway
Administration of an antipyretic
Administration of sodium bicarbonate
Gastric lavage with activated charcoal
Obtain an electrocardiogram
A newly admitted client has started taking bupropion (Wellbutrin). The nurse monitors which of the following side effects would indicate an overdosage of the medication?
Insomnia
Dizziness
Constipation
Seizure.
A nurse is giving discharge instructions to a client who is prescribed with isocarboxazid (Marplan). The nurse will tell the client to anticipate which of the following side effects of this medication?
Weight loss
Dry skin
Dizziness
Fever
A client with depression is taking phenelzine (Nardil). The nurse advises the client to avoid consuming which foods while taking the medication?
Crackers
Vegetable salad
Oatmeal
Yogurt
Patients taking MAOIs have the tendency to experience hypertensive crisis especially during an interaction with other drugs such as epinephrine. Which of the following is a sign of hypertensive crisis?
Orthostatic hypotension
Diplopia
Delay in ejaculation
Hair loss
A client taking lithium carbonate (Lithobid) started complaining of nausea, vomiting, diarrhea, drowsiness, muscle weakness, tremor, blurred vision, and ringing in the ears. The lithium level is 2 mEq/L. The nurse interprets this value as:
Normal level
Toxic level
Below normal level
Above normal level
A client who has just started taking valproic acid (Depakote) an Anticonvulsant Mood Stabilizer, will need education on the medication. What must the nurse educate the client about?
WBC and granulocyte count
Serum sodium and potassium
AST and ALT
Creatinine and BUN
A nurse is taking care of a patient with chronic depression who has found relief by taking an MAOI. The nurse should inform the client that his diet may include which of the following foods?
Cottage cheese and fresh fruit
Beer and salami
Yogurt
Chicken soup and crackers
A Ruben on sourdough bread
Steak and mashed potatoes
Chocolate pie
Which client is a good candidate to take benzodiazepines?
A client needing short term help with anxiety
A client who frequently drinks alcohol.
A client who is not pregnant with anxiety issues.
A client with a previous addiction to benzodiazepines.
A client who works in construction operating heavy equipment.
My dogs who have anxiety during fireworks celebrations. (off label)
A nurse is giving instructions to a client receiving lithium citrate. The nurse tells the client to do which of the following to prevent lithium toxicity:
Avoid becoming dehydrated during exercise.
Instruct the client to change positions slowly.
Restrict salt intake in the diet.
Limit fluid intake.
Which of the following symptoms is classified as a mild lithium toxicity:
Confusion and ataxia
Muscle fasciculations and oliguria
Tinnitus and blurred vision
Apathy and Lethargy
A nurse is giving instructions to a client taking risperidone (Risperdal) (Atypical antipsychotic) The nurse advises the client to do which of the following?
Take it on an empty stomach
Change position slowly
Get a daily source of sunlight
Discontinue medication once the symptoms went away
A nurse notes that a client with schizophrenia and receiving an antipsychotic medication is having uncontrolled movement of the lips and tongue. The nurse determines that the client is experiencing?
Hypertensive crisis
Parkinsonism (You won't have to know this one.)
Tardive dyskinesia
Neuroleptic malignant syndrome
A client with schizophrenia has been started on medication therapy with clozapine (Clozaril). A nurse assesses the results of which laboratory study to monitor for adverse effects related to this medication?
White blood cell
Platelet count
Random blood sugar
Liver function studies
A client who has been taking buspirone (BuSpar) for two months returns to the clinic for a follow-up. The nurse determines that the medication is effective if there is an absent display of?
Feelings of panic, fear, and uneasiness
Thought broadcasting or delusions
Paranoid and suicidal thought process
Alcohol withdrawal symptoms
When administering antianxiety medications to an elderly client, which of the following actions by the nurse is essential?
Monitor vital signs
Suggest reduced doses
Taper dose before stopping
Implement a fall prevention protocol
When monitoring a client who is taking benzodiazepines, the nurse should be alert for which CNS side effects?
Blurred vision, anorexia, dysarthria
Seizures, tremors, diaphoresis
Ataxia, sedation, dizziness
Libido changes, edema, dystonia
Sheila who has been on a low-potency antipsychotic for 2 weeks has shown minimal response. The most probable explanation is:
The client probably has refractory illness
The client needs a stronger medication
It is too early to see a full therapeutic response
The client is definitely not taking the medication
Ansherina who is receiving a traditional antipsychotic agent complains that she is gaining weight. The nurse would:
Be aware that this is probably delusional thinking because these agents cause weight loss.
Encourage the client to follow a healthy diet and use diet soda to help stabilize her weight.
Discuss a switch to a high-potency agent so the weight gain will not be a problem.
Establish a contract with the client to carefully follow her high-calorie diet.
A nurse is discussing routine follow-up needs with a client who has a new prescription for valproic acid. The nurse should inform the client of the importance of routine monitoring of what lab values?
WBC
Liver enzymes, ALT, AST, and LDH
CBC
Blood glucose
Which antipsychotics treat both negative and positive symptoms of schizophrenia?
2nd Gen atypicals
1st Gen typicals
What do we call mild to severe twitching, shaking, or jerking in the hands, feet, and/or face?
Tardive Dyskinesis (TD)
NMS
Serotonin Syndrome
Ataxia
Sally began taking (Paxil) and forgot to tell her MD that she also takes St. John's wort over the counter. What will most likely happen to Sally?
Serotonin Syndrome
NMS
Ataxia
TD
When administering an orally disintegrating tablet, the nurse must do what action first?
Wear mask
Wear gloves
Crush tablet
Wash mouth
What class of medications most commonly cause TD?
Typical Antipsychotics
Atypical Antipsychotics
Blood pressure should be monitored for which class of medications?
Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
Selective Serotonin Reuptake Inhibitors (SSRIs)
A client takes lithium carbonate (lithobid) begins to complain of nausea, vomiting, diarrhea, drowsiness, muscle weakness, tremor, blurred vision, and ringing in the ears. The lithium level is 2mEq/L. The nurse interrupts the value as:
Toxic level
Therapeutic level
Insufficient level
Name a beta blocker sometimes given to help with anxiety.
Propranolol
Prozac
Amitriptyline
Fluoxetine
What foods cannot be eaten while on MAOIs?
Fresh fruit
SourKraut
Oatmeal
Crackers
What food may be eaten while on MAOIs?
Fresh fruit and vegetables
Yogurt
Sausage
Cake
Which group of medications requires a special diet with tyramines?
MAOIs
SSRIs
SNRIs
What is a rare drug induced blood disorder that is characterized by a severe reduction in the number of white blood cells (WBCs)?
Thrombocytopenia
Agranulocytosis
Anemia
Leukocytosis
Take this antipsychotic with food.
Lurasidone, Latuda
Tranylcypromine, Parnate
Temazepam, Restoril
Trihexyphenidyl, Artane
Which class of drugs may be administered to help with acute mania and treat of bipolar conditions?
Anticonvulsant mood stabilizers
Antianxietys
Antidepressants
Antipsychotics
The condition could indicate that a patient has agranulocytosis.
Sore throat
Headache
Nausea
Confusion
The abbreviation stands for a route that could help increase compliance with medication regimen.
ALT
AST
LAI
BNP
Why are SSRIs always given before 1500 hours?
They can cause insomnia
They can cause nausea
Which vital sign should be monitored in SNRIs?
Blood glucose
Blood pressure
Respirations
Oxygen saturation
This neurotransmitter is increased in schizophrenia.
Dopamine
Serotonin
What type of symptoms of schizophrenia are hallucinations and illusions?
Positive
Negative
What type of symptoms of schizophrenia are a lack of grooming, avolition, and apathy?
Negative
Positive
All abnormal movements fall under this heading.
EPS (Extrapyramidal side effects)
Akathisia: restlessness
Dystonia: muscles contract involuntarily.
Parkinsonism: Parkinsonβs disease symptoms caused by medication.
Tardive dyskinesia: facial movements happen involuntarily.
A class of medications often used to relieve or decrease inflammation, not compatible with lithium.
NSAIDs
Antacids
Acetaminophen
TCAs
Which classes of medications work quickly?
SSRIs
Benzodiazepines
SNRI
Antipsychotics
Name a side effect that should be especially watched after in young adults when first beginning the medication (MAOI or TCA) or when changing dosages.
High blood pressure
Suicidal thoughts or ideation, also abbreviated as SI.
Tachycardia
Fatigue
Two symptoms of high blood pressure.
Headache and diplopia
Fever and nausea
The OTC medications cannot be taken with Monoamine oxidase inhibitors (MAOIs).
Antacids and/or acetaminophen
NSAIDs
Benzo
Decreased activity, guilt, and lack of concentration are symptoms of what disorder?
Depression
Anxiety
Bipolar
Guilt
Patients should avoid this drink when taking Benzodiazepine:
Alcohol
Milk
Grape juice
Coffee
Name an antidepressant used for smoking cessation of weight loss.
Bupropion, Wellbutrin
Buspirone (BuSpar)
Early signs of lithium toxicity:
N.V. lethargy, and called the MD because N.V. Deplete fluids.
Seizure
Headache
Diplopia
What can a nurse offer for dry mouth?
Ice chips, gum
Water
Juice
Milk
This medication is used to manage EPS.
Trazodone, Desyrel
Fluoxetine, Prozac
Trihexyphenidyl, Artane
Aripiprazole, Abilify
What OTC supplements contain serotonin and therefore cannot be combined with many psychotropic medications?
Vitamins
St. John's wort (depression), SAMe. (OA pain)
Antiacids
NSAIDs
What action/intervention should occur if a patient has a sore throat while taking Clozaril/Clozapine, or has suicidal thoughts while on antidepressant, or has a rash while on an anticonvulsant mood stabilizer?
Notify provider/MD
High-fowler position
Stop taking medicine
What is another name for quetiapine (generic name)?
Seroquel
Artane
Buspirone (BuSpar) considerations . (NDRI)
Used when patients have history of substance abuse.
Anti-anxiety agent that is non-habit forming.
Orthostatic hypertension is a common side effect of many psychotropic medications. What is an intervention that can help counteract their side effects?
Have patient change position or rise slowly
Roll over quick
Jump up
What is another name for anti-parkinsonian agents?
Anticholinergics
Antianxiety
Antidepressant
MAOI
Tetracyclic antidepressants need to be taken at what time?
Bedtime
Morning
Afternoon
What are two late signs of lithium toxicity?
Seizures, EKG, abnormalities
Apathy and lethargy
What is the therapeutic level of lithium?
0.6 1.2 mEq/L
0.5 1.1 mEq/L
When using mood stabilizers, lithium, benzos, and TCAs, what must the nurse educate women of child-bearing age to be cautious about?
Vitamins
Contraceptives and pregnancy
Antidepressants
Name the benzodiazepine that is famous for treating alcohol withdrawal?
Ativan, Lorazepam
Trihexyphenidyl, Artane
Isocarboxazid, Marplan
Fluoxetine, Prozac
What would be a common nursing diagnosis for the elderly taking many of the psychotropic medications?
Risk of falls
Dehydration
Confusion
Dizziness
What is a reaction to any antipsychotic medication or lithium? The syndrome is characterized by fever, muscular, rigidity, altered mental status and dysfunction of the nerves.
NMS
Serotonin syndrome
Benzodiazepines must be used cautiously by the elderly?
True
False
The diet when taking MAOIs should start how long before a patient begins taking the medications?
2 weeks
3 weeks
1 week
4 weeks
What is the term called when a patient requires a higher dosage over time to achieve the same effect from a medication?
Tolerance-patient requires higher dosage
Resistant
Overdose
Take double doses
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