Drugs for Depression, Anxiety, and Psychosis

Which statement about depression is true?

Which statement about psychiatric disorders is true?

Which characteristic is typical of bipolar disorder?

A patient with depression has all of the following symptoms. For which symptom is he or she likely to receive treatment at an inpatient facility rather than as an outpatient?

Which theory about the cause of depression is supported by research?

A patient who was prescribed citalopram (Celexa) 1 week ago for depression reports feeling no different now from 1 week ago and wants to stop taking the drug. What is the nurses best response?

A patient is prescribed bupropion (Wellbutrin SR) 100 mg twice daily. It is time for the second dose today and the drug sent up from the pharmacy is Wellbutrin 100 XL. What is the nurses best action?

Which statement by a patient with chronic depression who is prescribed fluoxetine (Prozac) indicates to the nurse the need for additional teaching?

Which assessment is most important for the nurse to measure or perform before administering the first dose of amitriptyline (Elavil) to a patient?

The parents of a 12-year-old who was prescribed fluoxetine (Prozac) inform the nurse that their child is having trouble sleeping. What is the nurses best response?

A patient has been taking mirtazapine (Remeron) for the last 3 months. Which blood laboratory result from the patient does the nurse report to the prescriber?

Which precaution is most important for the nurse to teach a patient who is prescribed any antidepressant drug?

Although serotonin reuptake inhibitors (SSRIs) are used more commonly now to treat anxiety disorders than are benzodiazepines, for which patient situation does the nurse expect a benzodiazepine to be prescribed instead of an SSRI?

A patient who has been prescribed clonazepam (Klonopin) for the last 3 months tells the nurse that he wants to stop this drug because he constantly feels like he is in a fog. What is the nurses best response?

Which statement about a common anxiety disorder is accurate?

What is the advantage of treating a patient with anxiety with a benzodiazepine drug rather than a selective serotonin reuptake inhibitor (SSRI)?

What type of medication could be prescribed for a patient who experiences anxiety when speaking before a group?

A patient asks the nurse why the prescriber is changing his anxiety medication from lorazepam (Ativan) to sertaline (Zoloft). What is the nurses best response?

On admission to the acute care unit a patient tells the nurse that she stopped taking her prescribed clonazepam (Klonopin) 2 days ago. What is the nurses best first action?

A patient who has been prescribed diazepam (Valium) reports taking the as-needed (PRN) drug more often to keep anxiety symptoms under control and does not want the prescriber to stop prescribing it. What is the nurses best interpretation of this information?

A female patient who has been prescribed diazepam (Valium) for anxiety tells the nurse that she and her husband are planning to have a child. What is the nurses best response?

How do the major antipsychotic drugs exert their effects to reduce psychotic episodes?

The family of a patient who was prescribed chlorpromazine (Thorazine) report that the patient continually rolls his tongue and smacks his lips. What is the nurses best action?

An older patient taking lithium carbonate (Eskalith) for 2 months has all of the following conditions. Which symptom does the nurse report to the prescriber as a possible side effect that may require a change of drug or drug dosage?

Four hours after receiving risperidone (Risperdal), the patient on the psychiatric unit has a temperature elevation of 2 F. What is the nurses best action?

Which food or beverage does the nurse teach a patient who is prescribed quietiapine (Seroquel) to avoid?

Which safety precaution is most important for the nurse to teach an older adult who is prescribed chlorpromazine (Thorazine)?

A patient who has been prescribed prochlorperazine (Compazine) calls the clinic and reports pink-tinged urine. What is the nurses best action?

[Multiple Response] Which are common treatment methods for depression? (Select all that apply.)
a. Counseling
b. Surgery
c. Group meetings
d. Psychotherapy
e. Shock therapy

[Multiple Response] A patient has been prescribed amitriptyline (Elavil). What does the nurse plan to include in the teaching plan for this patient? (Select all that apply.)
a. Smoking cigarettes can decrease the effectiveness of amitriptyline in treating your depression.
b. Check your pulse every day and report any irregular rhythms to your prescriber right away.
c. Amitriptyline should help to improve your depression symptoms within 7 to 14 days.
d. Avoid driving or operating dangerous equipment until you know how the drug will affect you.
e. Be sure to include foods with lots of fiber in your diet to prevent the side effect of constipation.

[Multiple Response] Which are common anxiety disorders? (Select all that apply.)
a. Dysthymia
b. Panic disorder
c. Bipolar disorder
d. Phobic disorder
e. Obsessive-compulsive disorder

[Multiple Response] A patient with anxiety is prescribed oxazepam (Serax). What safety measures must the nurse be sure to include in this patients plan of care? (Select all that apply.)
a. Call for help when getting out of bed.
b. Use a walker for ambulation.
c. Assess gait for steadiness.
d. Change positions slowly.
e. Take two tablets whenever a dose is missed.

[Multiple Response] A patient with anxiety is prescribed oxazepam (Serax). What safety measures must the nurse be sure to include in this patients plan of care? (Select all that apply.)
a. Call for help when getting out of bed.
b. Use a walker for ambulation.
c. Assess gait for steadiness.
d. Change positions slowly.
e. Take two tablets whenever a dose is missed.

A patient is prescribed 30 mg of chlorpromazine (Thorazine) intramuscularly. The drug available is 25 mg per 1 mL. How many milliliters does the nurse draw into the syringe? _____ mL