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NCLEX Psychiatric/Mental Health Drugs
A client has been taking 3 mg of risperidone twice a day for the past 8 days. At the follow-up appointment, the client reports tremors, shortness of breath, a fever, and sweating. What will the nurse do?
- Call 911 and have the client transported to the nearest psychiatric unit.
- Take the client's vital signs and arrange for immediate transfer to a hospital.
- Check the number of risperidone tablets left in the prescription bottle to see whether
- Request a prescription for 2 mg of intramuscular benztropine stat and assess the
there was an overdose.
client in 10 to 15 minutes for symptom relief.
Which drug is a high-potency medication used to treat schizophrenia?
- Loxapine
- Thioridazine
- Fluphenazine
- Perphenazine
Which drugs are considered typical antipsychotics? Select all that apply.
- Asenapine
- Lurasidone
- Aripiprazole
- Thioridazine
- Chlorpromazine
A client with the diagnosis of schizophrenia, paranoid type, has been receiving a phenothiazine drug. When the psychiatric daycare center plans a fishing trip, it will be important for the nurse to take which action?
- Provide the client with sunscreen.
- Caution the client to limit exertion during the trip.
- Give the client an extra dose of medication to take after lunch.
- Take the client's blood pressure before allowing participation in the outing.
A client is started on chlorpromazine. To prevent life-threatening complications from the administration of this medication to an anxious, restless client, it is important that the nurse take which action?
- Provide adequate restraint.
- Monitor the client's vital signs.
- Protect against exposure to direct sunlight.
- Watch the client for extrapyramidal side effects.
Which medications are used to treat generalized anxiety disorder (GAD)? Select all that apply.
- Duloxetine
- Venlafaxine
- Clonazepam
- Escitalopram
- Clomipramine
A young adult with a history of cognitive impairment and tonic-clonic seizures is admitted to a group home. Among the client's medications is a prescription for 125 mg of phenytoin by mouth three times a day. Phenytoin is supplied as an oral suspension of 25 mg/5 mL. How many milliliters of solution will the nurse administer for each dose?Record your answer as a whole number. ___ mL 25
Which is the adverse effect of haloperidol?
- Ataxia
- Asthenia
- Insomnia
- Gynecomastia
Which monoamine oxidase inhibitor is used to treat Parkinson disease?
- Selegiline
- Phenelzine
- Isocarboxazid
- Tranylcypromine
Which drug is contraindicated in clients with eating and seizure disorders?
- Bupropion
- Trazodone
- Amitriptyline
- Lithium citrate
Which statement is true regarding antipsychotic drugs?
- All first- and second-generation antipsychotics are equally effective.
- Second-generation antipsychotics pose a risk of extrapyramidal symptoms.
- First-generation antipsychotics pose a significant risk of metabolic side effects.
- Clozapine is more effective than other second-generation antipsychotics.
Which statement about psychotherapeutic drugs in elderly clients requires correction?
- Tricyclic antidepressants may increase anxiety in elderly clients.
- Normal dosage of lithium may result in lithium toxicity in elderly clients.
- Elderly clients on antipsychotic drugs are susceptible to orthostatic hypotension.
- Low serum levels of the drug are reported in elderly clients on psychotherapeutic
drugs.
Which drug worsens uncontrolled angle-closure glaucoma when used for the treatment of generalized anxiety disorder?
- Buspirone
- Duloxetine
- Chlorpromazine
- Lithium carbonate
A healthcare provider diagnoses attention deficit hyperactivity disorder (ADHD) in a 7- year-old child and prescribes methylphenidate. The nurse discusses the child's treatment with the parents. What does the nurse emphasize as important for the parents to do?
- Monitor the effect of the medication on their child's behavior.
- Increase or decrease the dosage, depending on the child's behavior.
- Avoid imposing too many rules, because this will frustrate the child.
- Point out to their child that behavior can be controlled.
Which drug is contraindicated in clients with blood dyscrasias?
- Duloxetine
- Bupropion
- Mirtazapine
- Chlorpromazine
Which drug most commonly causes extrapyramidal side effects (EPS)?
- Clozapine
- Haloperidol
- Risperidone
- Aripiprazole
A nurse notes that haloperidol is most effective for clients who exhibit which type of behavior?
- Depressed
- Overactive
- Withdrawn
- Manipulative
After assessing a client, the nurse suspects that the client has shift-work sleep disorder (SWSD). Which medication would be prescribed to the client?
- Caffeine
- Modafinil
- Atomoxetine
- Methylphenidate
Which condition is contraindicated for St. John's wort herbal therapy?
- Anxiety
- Seizures
- Dementia
- Cardiac disease
Which drug would the nurse administer transdermally to treat a client with major depression?
- Selegiline
- Phenelzine
- Isocarboxazid
- Tranylcypromine
Which medication is the first choice drug for the treatment of attention deficit hyperactivity disorder (ADHD)?
- Clonidine
- Guanfacine
- Atomoxetine
- Methylphenidate
The primary healthcare provider prescribes a neuroleptic drug to a client diagnosed with schizophrenia. On what basis would the primary healthcare provider choose the drug?
- Symptoms
- Side effects
- Therapeutic effects
- Underlying pathology
A client with a history of methamphetamine use is admitted to the medical unit. What clinical manifestation does the nurse expect when assessing the client?
- Constricted pupils
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