ATI RN
Psychotherapeutic Drugs Quiz Questions
Question 1 of 5
An atypical antipsychotic is prescribed for a patient with psychosis. The nurse understands that this category of medications includes which drugs? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Clozapine. Clozapine is an atypical antipsychotic known for its efficacy in treating refractory psychosis. It is typically used when other antipsychotics have failed. Fluphenazine (B) and Haloperidol (C) are typical antipsychotics, not atypical. Olanzapine (D) is also an atypical antipsychotic but is not the best choice in this scenario as clozapine is more specifically associated with treating psychosis that has not responded to other medications.
Question 2 of 5
A patient is receiving aripiprazole. Which nursing intervention(s) will the nurse include in the patient’s care plan? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Remain with the patient until medication is swallowed. This intervention is important to ensure medication compliance and prevent cheeking or hoarding of the medication. By staying with the patient until the medication is swallowed, the nurse can confirm that the full dose is taken, reducing the risk of treatment failure. Choice A is incorrect because aripiprazole can be taken with or without food, so administering it before meals on an empty stomach is not necessary for absorption. Choice C is incorrect because while monitoring vital signs is important when administering aripiprazole, it is primarily to detect side effects such as tachycardia rather than orthostatic hypotension specifically. Choice D is incorrect because while assessing for neuroleptic malignant syndrome is important with antipsychotic medications, it is not a specific nursing intervention related to aripiprazole administration.
Question 3 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 4 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 5 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.