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Psych Chapter 2

Terms in this set (23)

Abnormalities in which of the following lobes is associated with schizophrenia?
Frontal
An older adult complaining of anxiety is prescribed diazepam (Valium) by a family physician. The physician asks the office nurse to explain the problematic side effects of this medication to the client. Which instruction would be most important for the nurse to emphasize about this drug?
"You may feel dizzy and be prone to falls after taking this medication."''

**Keyword: Older Adult
The difference between traditional and atypical antipsychotics is that
Atypical antipsychotics work on dopamine receptors and serotonin receptors, thus affecting both positive and negative symptoms of schizophrenia
Two nursing students are giving an oral presentation on the limbic system. What should they include as actions of the limbic system?
Behavior
After testing, it is determined that a mental health client has low levels of serotonin. What symptoms would this client most likely experience?
Depression and impulsivity
Benzodiazepines work by the following mechanism of action
They act directly on GABA receptors and are thought to increase the amount of GABA available.
A client has been prescribed clozapine for treatment of schizophrenia. Which of the following would the nurse include in the education plan for this client and family?
"You may experience noticeable weight gain while taking this medication."
When haloperidol (Haldol) is given as a depot injection, it has an effectiveness of which duration?
4 weeks
A client in the operating room goes into malignant hyperthermia due to an abnormal reaction to the anesthetic. The nurse knows that the area of the brain that regulates body temperature is which of the following?
hypothalamus
A client begins taking 40 mg of fluoxetine (Prozac) daily. The next day the client calls complaining of restlessness. Which of the following interventions should the nurse implement?
Decrease the dosage
A nurse administers a prescribed dose of lithium at 8 PM. The nurse would schedule a specimen to be obtained for a blood level at which time?
8am
blood levels should be drawn 12hrs after last given dose
A 71-year-old client with a complex medical history has recently been prescribed an SSRI for the treatment of depression. Which of the following components of the client's medical treatment may contraindicate the use of an SSRI?
The client takes warfarin (Coumadin) due to her history of atrial fibrillation.
**carefulbecause you chose NSAIDS because of personal experience

"Caution is needed when SSRIs are prescribed concurrently with anticoagulants. Diuretics, NSAIDs, and vitamin supplements are not normally contraindicated."
Which of the following are controlled by the extrapyramidal motor system? Select all that apply.
• Muscle tone
• Common reflexes
• Automatic voluntary motor functioning
*you originally didn't select reflexes
Antidepressants are considered the treatment of choice for major depression; however, they should be used most cautiously in clients with a history of ...
cardiac or seizure disorders
A client with paranoid delusions and aggressive behavior has been administered Haloperidol (Haldol). The nurse finds that after administering the drug, the client has started having jerky and involuntary movements of the head and arms. Which drug should the nurse expect to be ordered for this client?
Benztropine (Cogentin)
(an anticholinergic/ antiparkisonian) think cog, as in cognition, as in parkinson's
A client diagnosed with bipolar disorder is receiving a treatment regimen of lithium. Client education related to this drug includes which of the following?
Do not decrease dietary salt.

-The client should not decrease dietary salt intake unless instructed to do so by the physician because it increases the risk of adverse effects due to lithium
The therapeutic level of lithium range includes what?
1 to 1.5 mEq/L
Therapeutic levels in acute mania range from 0.8 to 1.4 mEq/L. Therapeutic maintenance doses range from 0.4 to 1 mEq/L.
A nurse is caring for a child with attention deficit hyperactivity disorder (ADHD). The nurse is teaching about effective administration of methylphenidate (Ritalin) to the parents. What education given by the nurse is appropriate?
"Administer the drug early in the morning."
Insomnia is a common side effect associated with methylphenidate (Ritalin). The drug should be administered early in the morning to combat insomnia.
The nurse is assessing a client who is on a psychotropic drug. The client has gained weight, feels sleepy and has hypotension after taking the drug. Which action of the drug would have caused these effects?
The drug blocks histamine uptake.
When administering an antipsychotic medication to a female client diagnosed with schizophrenia, the nurse should do which of the following? Select all that apply.
• Monitors the client for neuroleptic malignant syndrome for up to 2 months after initiating the drug
• Encourages the client to use an effective form of birth control
• Advises the client to report weight gain and skin rashes to the physician immediately
• Uses the Abnormal Involuntary Movement Scale (AIMS) to assess for neurologic adverse effects

*you got all except birth control
Which of the following would a nursing instructor identify when describing the area of the brain involved with verbal language function, including areas for both receptive and expressive speech?
Left hemisphere
Antianxiety agents are helpful for short-term anxiety and for generalized anxiety disorder (GAD). Which of the following statements is true about antianxiety agents?
Larger doses of antianxiety medications may be used to promote sleep.
Serotonin plays a role in which of the following areas? Select all that apply.
• Emotion
• Cognition
• Sensory perceptions
**you didn't have sensory perceptions
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