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chapter 2 MH
Terms in this set (48)
Which correctly describes the primary effect of a SSRI?
Its ability to block the reuptake of serotonin
• The brain stem consists of which structure?
• The structure of the brain associated with emotional control, memory, and learning is what?
o Limbic system
• Benzodiazepines and buspirone are included in which therapeutic category?
• Which structures ascomponents of the brain stem
• A client who is receiving phenelzine needs to avoid
o Tap beers
• Identify which neurotransmitter primarily involved with schizophrenia
• The client cannot remember anything before an accident yesterday. Which brain structure might be injured?
• Benzodiazepines increase which neurotransmitter function?
• A nursing assessment of a client who has been diagnosed with NMS would most likely reveal which signs?
o Hyperpyrexia, severe hypertension, and diaphoresis
• The prescription of clozapine requires weekly blood samples for which time frame?
o 6 months
• What is the difference between traditional and atypical antipsychotics?
o Atypical work on dopamine-receptor and serotonin receptor blockade
o Traditional work on dopamine receptor blockade
• Antipsychotics function by blocking receptors of which neurotransmitter?
• During the stabilization phase of drug therapy for a client who is hospitalized with a psychiatric disorder, which action would be most appropriate?
o Assessing the client for target symptoms and side effects
• Clients diagnosed with myasthenia gravis have a decrease in which receptor?
• A drug that is an antagonist functions to do what?
o Prevent natural or other substances from activating cell function
• Which is the most commonly seen adverse side effect of typical antipsychotics
o Extrapyramidal symptoms and tardive dyskinesia
• A client has developed deficits involving the senses of smell and hearing. The nurse would correlate this sensory dysfunction with which cerebral lobe?
• A nurse administers haloperidol to a client to promote de-escalation. The nurse finds that after administrating the drug, the client has started having jerky and involuntary movements of the head and arms. Which med would be useful in treating this problem?
• When haloperidol is given as a depot injection, it has an effectiveness of which duration?
• The use of psychopharmacologic agents in the treatment of mental illness comes from which domain of the bio psychosocial model?
• What medication classification blocks serotonin reuptake?
• Though the client does not exhibit any signs or symptoms of depression, a client's physician has prescribed a low dose of the antidepressant mirtazapine. What is the most likely rationale for the physician's action?
o To make use of an off label application of the medication
• A neuroimaging technique used to examine brain functioning, including metabolism, blood flow, and neurotransmitter receptor activity, is known as what?
• A nurse is assessing a client with a diagnosis of autism spectrum disorder. The child has severe uncontrollable temper outbursts and relatedly bangs the head on the wall or door. When considering medication for treatment, the nurse knows which will be the most effective?
• The nurse is assessing a client who is on a psychotropic drug. The client primarily complains about gaining weight and feeling sleepy. Which action of the drug would most likely have causes these effects?
the drug block histamine uptake
• Increased activity in which neurotransmitter is implicated in increased impulsivity and violent behavior?
• What are neuroleptic medications used to treat?
• Anticonvulsant agents used to treat bipolar disorder
• Antianxiety medications
which is not an action expected of a benzodiazepine?
what are expected actions of a benzodiazepine?
Anticonvulsant, muscle relaxant, anti anxiety
A decrease is which neurotransmitter has been implicated in seizure disorders?
What are examples of MAOIs?
What can place a client at a greater risk for tardive dyskinesia?
history of depression
Examples of an atypical antipsychotic
A college student wakes up and notices a racing heart and dilated pupils. The student is scheduled to write an exam later that morning. Which system is responsible for this physiological response?
Sympathetic nervous system
When educating an African-American client regarding newly prescribed antipsychotic medication, it is vital that the nurse address which care issue? Choose the best answer.
Early recognition of extrapyramidal symptoms
A group of nurses is reviewing the role of serotonin in psychiatric disorders. The group demonstrates a need for additional study when they identify which disorder as being associated with its dysfunction?
which antidepressant is potentially lethal in overdose?
A nurse is preparing a continuing education presentation about various psychopharmacologic agents for a group of psychiatric-mental health nurses. The nurse is planning to discuss selective serotonin reuptake inhibitors. Which agents would the nurse include in this group?
what side effect is associated with SSRIs
which reason do clients cite most frequently as the cause for seld discontinuation of medication
intolerable side effects
A nurse is caring for a client who has experienced damage to the parietal lobes of the brain. The nurse anticipates that the client will have difficulty with what activity?
calculating a math problem
A client exhibiting an uncoordinated gait has presented at the clinic. The nurse knows that what brain structure has the function of balance and coordination?
A nursing instructor is reviewing the various biologic theories related to the etiology of depression. Which would the instructor most likely include as being involved when describing psychoneuroimmunology?
A client who has been taking paroxetine for 3 years for depression abruptly discontinues the drug. For which signs and symptoms should the nurse monitor the client?
diarrhea and agitation
A nurse is studying the positron emission tomography (PET) report of a client with Alzheimer's disease. What findings should the nurse expect to find in the report? Select all that apply.
Decreased blood flow to the brain
Presence of amyloid plaques and tangles
Decreased glucose metabolism in the brain
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