Chapter 16: Psychotherapeutic Drugs - Nurselytic

Questions 18

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Pharmacology and the Nursing Process 10th Edition Test Bank

Chapter 16 : Psychotherapeutic Drugs Questions

Question 1 of 5

Which statements are true regarding the selective serotonin reuptake inhibitors (SSRIs)?

Correct Answer: C,D

Rationale: During SSRI therapy, therapeutic effects may not be seen for 4 to 6 weeks.
To prevent the potentially fatal pharmacodynamic interactions that can occur between the SSRIs and the MAOIs, a 2- to 5-week washout period is recommended between uses of these two classes of medications. The other options apply to other classes of psychotherapeutic drugs, not SSRIs.

Question 2 of 5

A patient is to receive an intravenous dose of lorazepam. The order reads, -Give lorazepam, 1 mg, IV push, now. Identify how many milliliters the nurse will administer for this dose. The medication vial contains 2 mg/mL.

Correct Answer: 0.5 mL

Rationale: 2 mg : 1 mL :: 1 mg : x mL; (2 * x) = (1 * 1); 2x = 1; x = 0.5 mL.

Question 3 of 5

The nurse reads in the patient's medication history that the patient is taking buspirone. The nurse interprets that the patient may have which disorder?

Correct Answer: A

Rationale: Buspirone is indicated for the treatment of anxiety disorders, not depression, schizophrenia, or bipolar disorder.

Question 4 of 5

Before beginning a patient's therapy with selective serotonin reuptake inhibitor (SSRI) antidepressants, the nurse will assess for concurrent use of which medications or medication class?

Correct Answer: B

Rationale: Use of selective serotonin reuptake inhibitor (SSRI) antidepressants with warfarin results in an increased anticoagulant effect. SSRI antidepressants do not interact with the other drugs or drug classes listed.

Question 5 of 5

When a patient is receiving a second-generation antipsychotic drug, such as risperidone, the nurse will monitor for which therapeutic effect?

Correct Answer: B

Rationale: The therapeutic effects of the antipsychotic drugs include improvement in mood and affect, and alleviation or decrease in psychotic symptoms (decrease in hallucinations, paranoia, delusions, garbled speech). Tardive dyskinesia is a potential adverse effect of these drugs. The other options are incorrect.

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