# Psych Final - Tested Material

1. Which patient would be most at risk for adverse reactions when administered a highly protein bound medication?
b. A 76-year-old patient with malnutrition
c. A woman in the second trimester of pregnancy
d. An adult with a fractured femur from a sporting accident
Click the card to flip 👆
1 / 718
Terms in this set (718)
A novice nurse asks, "What is the role of psychopharmacology in the psychotherapeutic management model?" What response should the mentor provide concerning the role of psychopharmacology?
a. Making it possible to use the least restrictive treatment alternatives.
b. Preventing violence against nurses and family members.
c. Assisting in the identification and achievement of desirable outcomes.
d. Facilitating in the determination of the responsible psychopathology.
The parent of a teen diagnosed with schizophrenia asks, "What is the most likely factor causing this disorder?" The nurse's reply would be based on understanding?
a. Glutamate is present in higher than normal quantities resulting in the observable symptoms.
b. There is a decrease in norepinephrine causing the basic symptoms.
c. There is an increase in dopamine resulting in the classic symptoms.
d. A decrease in GABA causes the psychotic symptoms.
The primary mechanisms of action of certain antidepressants result from neurotransmitter inactivation by enzyme-based metabolism and what other event?
a. Electrochemical stimulation
b. Stimulation of natural precursors
c. Extraction of precursors from the bloodstream
d. Reuptake into the presynaptic storage vesicles
A nurse assesses a newly hospitalized patient with a long history of serious and persistent mental illness. What is the priority assessment information should the nurse obtain to minimize any risk associated with medication safety?
a. Adverse reactions to drugs taken previously
b. History of drug compliance and noncompliance
c. Level of support available from significant others
d. Length of time on various psychotropic medic
Studies demonstrate the need to focus on what nursing diagnosis to support the psychiatric patients' understanding of psychopharmacology?
a. Deficient knowledge related to drug therapy
b. Impaired memory related to drug side effects
c. Impaired decision-making related to drug dependency
d. Disturbed thought processes related to anticipation of side effects
8. What is a realistic patient-focused outcome of patient teaching regarding psychotropic medications?
a. Understanding physiologic responses to drug therapy
b. Assessing effectiveness of prescribed drugs in controlling symptoms
c. Describing onset, peak, and duration of action of each drug prescribed.
d. Stating the purpose, dose, and significant side effects of each drug prescribed.
A week after beginning fluoxetine, a patient reports, "I still feel so depressed all the time." Based on knowledge of the medication's pharmacodynamics, what is the nurse's most effective intervention?
a. Administering the medication when the patient's stomach is empty
b. Advising the health care provider that the drug is ineffective.
c. Reassessing the expected outcomes of antidepressant therapy
d. Educating the patient that the drug needs more time to be effective
Bearing in mind the function of the blood-brain barrier, what is the danger associated with administering large doses of water-soluble drugs?
a. Rapid development of tolerance
b. High risk of adverse systemic effects
c. Liver's inability to metabolize water-soluble drugs
d. Rapid passage into the brain increasing the risk of overdose