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WorksheetsQuiz 2 Practice 2
Total questions: 10
Worksheet time: 14mins
Which drug group calls for nursing assessment for development of abnormal movement disorders among individuals who take therapeutic dosages?
SSRIs
antipsychotics
benzodiazepines
tricyclic antidepressants
A nurse reviews an order for a CYP450 test. He explains to his patient from Thailand that the test will determine how the antidepressant will be:
Metabolized
Absorbed
Administered
Excreted
Psychotropic drugs have been used for more than half a century. What statement regarding their current status is true?
Only one classification of psychotropic drugs exists.
The Food and Drug Administration no longer approves new antidepressants.
We do not know exactly how they work.
Chlorpromazine (Thorazine), the first psychotropic, continues to be the treatment of choice with hallucinations.
The nurse administers each of the following drugs to various patients. The patient who should be assessed for fluid and electrolyte imbalance is the one receiving: Select all that apply.
lithium (Eskalith)
clozapine (Clozaril)
diazepam (Valium)
amitriptyline
A psychiatric nurse is reviewing prescriptions for a patient with major depression at the county clinic. Since the patient has a mild intellectual disability, the nurse would question which classification of antidepressant drugs: Select all that apply.
Selective serotonin reuptake inhibitors
Monoamine oxidase inhibitors
Serotonin and norepinephrine reuptake inhibitors
norepinephrine reuptake inhibitors
Which patient statement supports a diagnosis of narcolepsy? Select all that apply.
“My wife tells me I snore at night.”
“I sleepwalk several nights a week.”
“I have no control over when I fall asleep.”
“My legs feel funny, and that keeps me awake.”
"I can fall on my own."
Madelyn, a 29-year-old patient recently diagnosed with depression, comes to the mental health clinic complaining of continued difficulty sleeping. One week ago she was started on a selective serotonin reuptake inhibitor (SRRI), fluoxetine (Prozac), for her depressive symptoms. When educating Madelyn your response is guided by the knowledge that:
SSRIs such as fluoxetine more commonly cause hypersomnolence as opposed to difficulty sleeping.
The sleep problem is caused by the depression and is unrelated to the medication.
The neurotransmitters involved in sleep and wakefulness are the same neurotransmitters targeted by many psychiatric medications and the problem may be temporary.
The medication should be discontinued since sleep is the most important element to her recovery.
Light projected into the retina is believed to trigger changes in sleep patterns and quality of sleep. Therefore the nurse should suggest:
Not reading within an hour of bedtime
Exercising before bedtime in a darkened environment
Limiting use of electronic devices in the hour before bedtime
Dimming the screen on cellphones and computers in the evening
Sleep disturbances are often overlooked or undiagnosed due to: Select all that apply.
A lack of formal nurse and physician training in sleep disturbances
Patients not often accurately describing sleep disturbance patterns
The belief that sleep disturbance is a necessary part of hospitalization
Patients hiding the fact that they have issues with sleep
Many people allow life circumstances to dictate their amount of sleep instead of recognizing sleep as a priority. Which statement will the nurse recognize as progress in the patient’s sleep hygiene program?
“I go to bed even if I am not sleepy, hoping I will fall asleep.”
“I have one glass of red wine at bedtime each night.”
“I take a nap each day to ‘catch up’ on my sleep
“I have removed the television from my bedroom.”
