ATI RN
Psychotherapeutic Drugs Quiz Questions
Question 1 of 5
A patient is prescribed lorazepam. What does the nurse know to be true regarding lorazepam?
Correct Answer: A
Rationale: The correct answer is A: It is used to treat anxiety. Lorazepam is a benzodiazepine that is commonly prescribed for anxiety disorders due to its anxiolytic properties. It acts by enhancing the effects of GABA in the brain, leading to a calming effect. Choice B, status epilepticus, is incorrect as lorazepam is also used for acute management of seizures, but not specifically for status epilepticus. Choice C, insomnia, is incorrect as lorazepam is not typically prescribed for insomnia. Choice D, sedation induction, is incorrect as lorazepam is more commonly used for anxiety and not specifically for sedation induction.
Question 2 of 5
A patient appears to have had an overdose of phenothiazines. The nurse anticipates that which intervention(s) may be used to treat phenothiazine overdose? (Select all that apply.)
Correct Answer: C
Rationale: Correct Answer: C - Maintaining an airway Rationale: 1. Priority in phenothiazine overdose is airway management to prevent respiratory distress. 2. Maintaining airway ensures adequate oxygenation and ventilation. 3. Gastric lavage is not recommended due to the risk of aspiration. 4. Adequate hydration may be needed, but not a primary intervention. 5. Fluphenazine is a phenothiazine and not a treatment for overdose.
Question 3 of 5
A patient is admitted with bipolar affective disorder. The nurse acknowledges which medication as one used to treat this disorder for some patients in place of lithium?
Correct Answer: D
Rationale: The correct answer is D: Divalproex. Divalproex, also known as valproic acid, is commonly used to treat bipolar affective disorder as a mood stabilizer. It helps control manic episodes and prevent future episodes. Thiopental (A) is a short-acting barbiturate used for anesthesia, not bipolar disorder. Ginkgo biloba (B) is an herbal supplement with no proven efficacy in treating bipolar disorder. Fluvoxamine (C) is an antidepressant used for treating depression, not specifically for bipolar disorder. In summary, divalproex is the correct choice due to its established effectiveness in managing bipolar symptoms, while the other options lack evidence or are not indicated for this condition.
Question 4 of 5
The nurse realizes that some complementary and alternative therapies interact with selective serotonin reuptake inhibitors. Which complementary and alternative therapy interactions may cause serotonin syndrome? (Select all that apply.)
Correct Answer: C
Rationale: Rationale: St. John's wort can cause serotonin syndrome when combined with selective serotonin reuptake inhibitors due to its serotonin-enhancing effects. St. John's wort increases serotonin levels, leading to potentially dangerous levels when combined with SSRIs. Feverfew, Ma-huang, and Ginkgo biloba do not directly affect serotonin levels, making them unlikely to cause serotonin syndrome when combined with SSRIs.
Question 5 of 5
A selective serotonin reuptake inhibitor is prescribed for a patient. The nurse knows that which drug is a selective serotonin reuptake inhibitor?
Correct Answer: A
Rationale: The correct answer is A: Paroxetine. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) that works by increasing serotonin levels in the brain. It is commonly used to treat depression, anxiety disorders, and other conditions. Amitriptyline (B) is a tricyclic antidepressant, not an SSRI. Divalproex sodium (C) is an anticonvulsant used for epilepsy and bipolar disorder, not an SSRI. Bupropion hydrochloride (D) is an atypical antidepressant that works on dopamine and norepinephrine, not serotonin. Therefore, the correct choice is A as it is the only SSRI in the options provided.