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WorksheetsCNS drugs part 2 Pharmacology 3
Total questions: 37
Worksheet time: 28mins
Benzodiazepines are most commonly used to treat _____________, but are also used to treat seizures, insomnia, can be used as anesthesia, and sedation
ADHD
anxiety
psychosis
depression
The drug stem for a benzodiazepine might be
-lith
-azolam/azepam
-phenidate
gab-
Which is a benzodiazepine is treat seizures?
Dilantin
Tegretol
Klonopin
Depakote
What is the generic name for Xanax?
clonazepam
midazolam
alprazolam
lorazepam
Which of the following can increase in the first few days or weeks of initiating treatment with an SSRi?
appetite
suicidal thoughts
tremors
palpitations
Major depressive disorder involves 5 symptoms within the same 2 week period. Examples of these symptoms are:
diminished interest or pleasure in almost activities of the day
insomnia or hypersomnia nearly every day
fatigue or loss of energy nearly every day
all of the above
Fluoxetine (Prozac) works by inhibiting the reuptake of ______ in the presynaptic neuron.
Dopamine
GABA
Serotonin
Monoamine
Fluoxetine (Prozac) is in which class of antidepressants?
Monoamine oxidase inhibitors
Selective serotonine reuptake inhibitors
Biguanides
Tricyclic antidepressants
Which of the following is NOT used in the management of depression?
psychotherapy
fluoxetine (SSRi)
St John's wort
metformin
Which of the following antidepressant medications can also be used to help with smoking cessation?
Paroxetine
Bupropion
Fluoxetine
Imipramine
What are the mechanism of actions for antidepressants ?
Work by binding to and affecting certain receptors and neurotransmitters in the brain
Cholinesterase inhibitors
Exact mechanism unknown, appear to increase neurotransmitters in the brain
Bind to specific receptors within the brain and depress certain parts of the CNS to cause pain relief, respiratory depression, decreased GI motility, and suppression of cough
Which drug is an antidepressant?
Diazepam (Valium), Legend Drug, Schedule IV
Fluoxetine (Prozac), Legend Drug
Benzphetamine (Didrex), Legend Drug, Schedule III
Methylphenidate (Ritalin), Legend Drug, Schedule II
All of the following are SSRI class of antidepressants, except
Celexa
Zoloft
Cymbalta
Paxil
All of the following drugs can treat both depression and anxiety, EXCEPT
Pristiq
Celexa
Zoloft
Prozac
Trigger factors for migraine headache include:
bright lights
alcohol
insufficient sleep
skipping meals
all of the above
Serotonin receptor agonists (triptans) are available in all of the following dosage forms except:
Intranasal spray
Orally disintegrating tablet
Rectal suppository
Subcutaneous injection
Which of the statement(s) about selective serotonin receptor/reuptake inhibitors (SSRI's) is true?
Block the reuptake of norepinephrine
Block the reuptake of serotonin to make more serotonin available
Block reuptake of both serotonin and norepinephrine
Blocks the receptor site so that more serotonin can be produced
Lithium is an antidepressant that specifically treats which depressive disorder?
OCD
Bipolar disorder
PTSD
None of the above
Which antidepressant also treats diabetic neuropathy?
Lexapro
Paxil
Effexor
Cymbalta
The generic name for Celexa is
Fluoxetine HCL
Citalopram
Sertraline HCL
Paroxetine HCL
The generic name for Zoloft is
Citalopram
Fluoxetine HCL
Sertraline HCL
Paroxetine HCL
The generic name for Prozac is
Fluoxetine HCL
Citalopram
Sertraline HCL
Paroxetine HCL
Josh is worried that he might get his dogs sick if he doesn't feed them three scoops with three different scoopers of dog food before he goes to sleep. He has 5 dogs and loses sleep because of this.
Phobia
Obsessive-Compulsive
Panic
PTSD
Janet was in a car accident three years ago. Every time she passes that spot, she starts to rage and tries to break a window in the car. Her family and friends always try to avoid that spot, but it isn't always possible.
Phobia
Obsessive-Compulsive
Panic
PTSD
How would a nurse differentiate a client diagnosed with panic disorder from a client diagnosed with generalized anxiety disorder (GAD)?
GAD is acute in nature, and panic disorder is chronic.
Chest pain is a common GAD symptom, whereas this symptom is absent in panic disorders.
Hyperventilation is a common symptom in GAD and rare in panic disorder.
Depersonalization is commonly seen in panic disorder and absent in GAD.
A client diagnosed with panic disorder states, "When an attack happens, I feel like I am going to die." Which is the most appropriate nursing reply?
"I know it's frightening, but try to remind yourself that this will only last a short time."
"Death from a panic attack happens so infrequently that there is no need to worry."
"Most people who experience panic attacks have feelings of impending doom."
"Tell me why you think you are going to die every time you have a panic attack."
A nursing instructor is teaching about the medications used to treat panic disorder. Which student statement indicates that learning has occurred?
"Clonazepam (Klonopin) is particularly effective in the treatment of panic disorder."
"Clozapine (Clozaril) is used off-label in long-term treatment of panic disorder."
"Doxepin (Sinequan) can be used in low doses to relieve symptoms of panic attacks."
"Buspirone (BuSpar) is used for its immediate effect to lower anxiety during panic attacks."
A client is experiencing a severe panic attack. Which nursing intervention would meet this client's immediate need?
Teach deep breathing relaxation exercises
Place the client in a Trendelenburg position
Provide a calm environment and offer reassurance of safety
Administer the ordered prn buspirone (BuSpar)
A college student is unable to take a final examination due to severe test anxiety. Instead of studying, the student relieves stress by attending a movie. Which priority nursing diagnosis should a campus nurse assign for this client?
Noncompliance R/T test taking
Ineffective role performance R/T helplessness
Altered coping R/T anxiety
Powerlessness R/T fear
A nurse is providing discharge teaching to a client taking a benzodiazepine. Which client statement would indicate a need for further follow-up instructions?
"I will need scheduled blood work in order to monitor for toxic levels of this drug."
"I won't stop taking this medication abruptly because there could be serious complications."
"I will not drink alcohol while taking this medication."
"I won't take extra doses of this drug because I can become addicted."
A client is prescribed alprazolam (Xanax) for acute anxiety. What client history should cause a nurse to question this order?
History of alcohol dependence
History of personality disorder
History of schizophrenia
History of hypertension
Kelli's provider has just prescribed alprazolam. The nurse knows that the patient must be educated on the following. Select all that apply
Alprazolam may cause nausea and vomiting
Alprazolam can be highly addictive and for short term use only
Alprazolam may cause drowsiness and alcohol and other depressants should be avoided
Alprazolam may cause seizures and muscle spasms.
The order reads "diazapam 1.2 mg/IV one hour prior to CT scan."The supply on hand is 5mg/1mL. How many mLs will you administer? (You will have to show your work on an exam!)
0.3 mL
0.2 mL
0.24 mL
0.4mL
What is the most prevalent non-pharmacological choice for treating anxiety disorders
Scream Therapy
Aversion Therapy
Behavior Modification
See a therapist
