ATI RN
Psychotherapeutic Drugs Quiz Questions
Question 1 of 5
A patient is taking tranylcypromine sulfate for depression. What advice should the nurse include in the teaching plan for this medication?
Correct Answer: B
Rationale: The correct answer is B: Instruct the patient to avoid beer and cheddar cheese. Tranylcypromine sulfate is a monoamine oxidase inhibitor (MAOI), and consuming foods high in tyramine, such as beer and cheddar cheese, can lead to a hypertensive crisis due to the interaction with MAOIs. It is crucial for the nurse to advise the patient to avoid these foods to prevent serious complications. Incorrect choices: A: Warn the patient about severe hypotension - This is incorrect because MAOIs are known to cause hypertensive crises, not hypotension. C: Encourage the patient to take ginseng and ephedra - This is incorrect because ginseng and ephedra can interact with MAOIs and lead to an increased risk of hypertensive crisis. D: Encourage the patient to eat fruit such as bananas - This is incorrect because while a healthy diet is important, there is no specific indication for bananas
Question 2 of 5
When a patient is taking an antidepressant, what should the nurse do? (Select all that apply.)
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Antidepressants can initially worsen suicidal thoughts in some patients. 2. Monitoring for suicidal tendencies allows early intervention. 3. Suicide risk assessment is essential during antidepressant therapy. 4. Prompt identification of suicidal ideation can prevent self-harm. Summary: - B: Orthostatic hypotension is a common side effect but not directly related to monitoring antidepressant therapy. - C: Taking the drug with food is for gastrointestinal distress, not specific to antidepressant monitoring. - D: Information about drug effectiveness does not address the critical need to monitor for suicidal tendencies.
Question 3 of 5
A patient is taking lithium. The nurse should be aware of the importance of which nursing intervention(s)? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Observe the patient for motor tremors. Motor tremors are common side effects of lithium therapy, indicating toxicity. By observing for tremors, the nurse can detect early signs of lithium toxicity and take necessary actions. Monitoring for hypotension (choice B) and orthostatic hypotension (choice D) are not related to lithium therapy. Drawing lithium blood levels immediately after a dose (choice C) is not necessary as lithium levels are usually checked before the next dose.
Question 4 of 5
The nurse is assessing a patient who is complaining of hearing voices. What is this patient experiencing?
Correct Answer: D
Rationale: Hallucinations are false sensory perceptions that are experienced without an external stimulus but seem real to the patient. Auditory hallucinations are prominent in a schizophrenic patient. Additional sensory hallucinations include those of touch, sight, smell, and body sensation. Delusions are false beliefs that persist despite evidence to the contrary. Flight of ideas is characterized by rapid changes in thought from one topic to another. Disorganized thinking is commonly associated with psychoses and consists of a flight of ideas during which the individual jumps from one idea or topic to another one.
Question 5 of 5
A patient with schizophrenia has been nonadherent with his home medication regimen. He requires frequent admissions to the intensive psychiatric unit for treatment of acute psychotic episodes. Which medication regimen would be appropriate for this patient?
Correct Answer: C
Rationale: Depot antipsychotic medications are long-acting injections that may be used with noncompliant patients and may assist in avoiding repeated hospital admissions. Daily home nursing visits are not an efficient way to ensure medication compliance. Continuous inpatient hospitalization is not an efficient way to ensure medication compliance. Subcutaneous medication administration is not an option for this patient.