Psychiatric Mental Health Nursing by Videbeck

45

Chapter Study Guide

➤ MULTIPLE-CHOICE QUESTIONS

Select the best answer for each of the following
questions.

1. The nurse is teaching a client taking an MAOI
   about foods with tyramine that he or she should
   avoid. Which of the following statements indi-
   cates that the client needs further teaching?
   A. “I’m so glad I can have pizza as long as I don’t
   order pepperoni.”
   B. “I will be able to eat cottage cheese without
   worrying.”
   C. “I will have to avoid drinking nonalcoholic
   beer.”
   D. “I can eat green beans on this diet.”


2. A client who has been depressed and suicidal
   started taking a tricyclic antidepressant 2 weeks
   ago and is now ready to leave the hospital to go
   home. Which of the following is a concern for the
   nurse as discharge plans are finalized?
   A. The client may need a prescription for diphen-
   hydramine (Benadryl) to use for side effects.
   B. The nurse will evaluate the risk for suicide
   by overdose of the tricyclic antidepressant.
   C. The nurse will need to include teaching re-
   garding the signs of neuroleptic malignant
   syndrome.
   D. The client will need regular laboratory work
   to monitor therapeutic drug levels.


3. The signs of lithium toxicity include which of the
   following?
   A. Sedation, fever, restlessness
   B. Psychomotor agitation, insomnia, increased
   thirst
   C. Elevated WBC count, sweating, confusion
   D. Severe vomiting, diarrhea, weakness


4. Which of the following is a concern for children
   taking stimulants for ADHD for several years?
   A. Dependence on the drug
   B. Insomnia

C. Growth suppression

D. Weight gain

5. The nurse is caring for a client with schizophre-
   nia who is taking haloperidol (Haldol). The client
   complains of restlessness, cannot sit still, and
   has muscle stiffness. Of the following prn med-
   ications, which would the nurse administer?
   A. Haloperidol (Haldol) 5 mg p.o.
   B. Benztropine (Cogentin) 2 mg p.o.
   C. Propranolol (Inderal) 20 mg p.o.
   D. Trazodone 50 mg p.o.


6. Client teaching for lamotrigine (Lamictal) should
   include which of the following?
   A. Eat a well balanced diet to avoid weight gain.
   B. Report any rashes to your doctor immediately.
   C. Take each dose with food to avoid nausea.
   D. This drug may cause psychological depen-
   dence.


7. Which of the following physician orders would
   the nurse question for a client who has stated
   “I’m allergic to phenothiazines?”
   A. Haldol 5 mg p.o. bid
   B. Navane 10 mg p.o. bid
   C. Prolixin 5 mg p.o. tid
   D. Risperdal 2 mg bid


8. Clients taking which of the following types of
   psychotropic medications need close monitoring
   of their cardiac status?
   A. Antidepressants
   B. Antipsychotics
   C. Mood stabilizers
   D. Stimulants

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