Exam 12: Introduction to Psychotropic Drugs

An outpatient diagnosed with schizophrenia has been omitting doses of medication.Which questions should the clinic nurse ask to determine the reasons for the problem? (Select all that apply.)

A nurse assesses a newly hospitalized patient with a long history of serious and persistent mental illness.What is the priority assessment information should the nurse obtain to minimize any risk associated with medication safety?

A patient takes a psychotropic medication that affects norepinephrine receptors.The patient reports, "It feels like my heart is pounding in my chest." What effect is the drug having on the norepinephrine receptors?

Bearing in mind the function of the blood-brain barrier, what is the danger associated with administering large doses of water-soluble drugs?

Bioavailability of orally administered drugs is initially associated with which physiologic phenomenon?

Studies demonstrate the need to focus on what nursing diagnosis to support the psychiatric patients' understanding of psychopharmacology?

A novice nurse asks, "What is the role of psychopharmacology in the psychotherapeutic management model?" What response should the mentor provide concerning the role of psychopharmacology?

Which patient would be most at risk for adverse reactions when administered a highly protein bound medication?

A patient takes a psychotropic medication that affects acetylcholine receptors.The patient reports dry mouth and constipation.What effect is the drug having on the acetylcholine receptors?

When discussing treatment of an aggressive patient diagnosed with psychosis, a health care provider says, "I plan to prescribe the original antipsychotic drug." Which medication is relevant to the statement?

A week after beginning fluoxetine, a patient reports, "I still feel so depressed all the time." Based on knowledge of the medication's pharmacodynamics, what is the nurse's most effective intervention?

A patient takes a psychotropic medication that affects serotonin receptors.The patient complains of anxiety, insomnia, and loss of appetite.What effect is the drug having on the serotonin receptors?

What is a realistic patient-focused outcome of patient teaching regarding psychotropic medications?

Which historical event marked the beginning of the evolution of psychotropic medications?

The parent of a teen diagnosed with schizophrenia asks, "What is the most likely factor causing this disorder?" The nurse's reply would be based on understanding?

A patient taking a psychotropic medication reports, "This medicine isn't working right for me.It's causing side effects." Select the nurse's best comment to further assess the scenario.

A patient taking clozapine reports, "I get plenty of vitamin C by drinking 8 ounces of grapefruit juice each morning." How should the nurse respond?

A nurse administering a selective serotonin reuptake inhibitor (SSRI) antidepressant should carefully observe the patient for symptoms related to what possible reaction?

The primary mechanisms of action of certain antidepressants result from neurotransmitter inactivation by enzyme-based metabolism and what other event?

What information should the nurse include in patient teaching about psychotropic medication? (Select all that apply.)