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Questions and Answers
Which of the following is NOT a common side effect associated with Selective Serotonin Reuptake Inhibitors (SSRIs)?
Which of the following is NOT a common side effect associated with Selective Serotonin Reuptake Inhibitors (SSRIs)?
What is a significant dietary restriction that patients taking Monoamine Oxidase Inhibitors (MAOIs) must adhere to?
What is a significant dietary restriction that patients taking Monoamine Oxidase Inhibitors (MAOIs) must adhere to?
A patient is prescribed a Tricyclic Antidepressant (TCA). Which potential side effect requires caution in older adults, particularly those at risk of falls?
A patient is prescribed a Tricyclic Antidepressant (TCA). Which potential side effect requires caution in older adults, particularly those at risk of falls?
Which medication is contraindicated with concurrent use of other antidepressants?
Which medication is contraindicated with concurrent use of other antidepressants?
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A patient taking Trazodone reports prolonged and painful erections. Which side effect should the healthcare provider be aware of?
A patient taking Trazodone reports prolonged and painful erections. Which side effect should the healthcare provider be aware of?
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Which mood stabilizer carries a Black Box Warning for agranulocytosis?
Which mood stabilizer carries a Black Box Warning for agranulocytosis?
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Which medication used as a mood stabilizer has shown potential for aiding in weight loss?
Which medication used as a mood stabilizer has shown potential for aiding in weight loss?
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A patient on an antidepressant reports nausea and gastrointestinal upset. Which Selective Serotonin Reuptake Inhibitor (SSRI) side effect should the provider acknowledge and educate the patient about?
A patient on an antidepressant reports nausea and gastrointestinal upset. Which Selective Serotonin Reuptake Inhibitor (SSRI) side effect should the provider acknowledge and educate the patient about?
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When a client asks a personal question, what is the most appropriate response to maintain professional boundaries?
When a client asks a personal question, what is the most appropriate response to maintain professional boundaries?
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Which technique is most important when assessing suicide risk?
Which technique is most important when assessing suicide risk?
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During de-escalation in a mental health crisis, which of these approaches should be avoided?
During de-escalation in a mental health crisis, which of these approaches should be avoided?
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What is the primary focus when intervening during a mental health crisis?
What is the primary focus when intervening during a mental health crisis?
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In a Mental Status Examination (MSE), which item should be assessed?
In a Mental Status Examination (MSE), which item should be assessed?
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What is the purpose of the Cultural Formulation Interview (CFI)?
What is the purpose of the Cultural Formulation Interview (CFI)?
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What is the first step in the Holistic Nursing Process (ADOPIE)?
What is the first step in the Holistic Nursing Process (ADOPIE)?
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When promoting resilience, what strategy should be used?
When promoting resilience, what strategy should be used?
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A client appears withdrawn and reluctant to engage during a session. According to trauma-informed care principles, what action should the therapist prioritize?
A client appears withdrawn and reluctant to engage during a session. According to trauma-informed care principles, what action should the therapist prioritize?
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During a session, a client states, 'I haven't slept at all.' Which response is an example of a nontherapeutic reaction?
During a session, a client states, 'I haven't slept at all.' Which response is an example of a nontherapeutic reaction?
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What does the 'E' in the SOLER framework represent when actively listening to a client?
What does the 'E' in the SOLER framework represent when actively listening to a client?
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To build trust with a client, a therapist should use AIDET at the beginning of a session. What does 'D' stand for in this tool?
To build trust with a client, a therapist should use AIDET at the beginning of a session. What does 'D' stand for in this tool?
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Which action by the therapist is the BEST example of using an open-ended question?
Which action by the therapist is the BEST example of using an open-ended question?
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A client is sharing a difficult experience. Which action should the therapist AVOID?
A client is sharing a difficult experience. Which action should the therapist AVOID?
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A client who has been through traumatic experiences exhibits hypervigilance and is constantly scanning the room. What supportive technique would be MOST appropriate?
A client who has been through traumatic experiences exhibits hypervigilance and is constantly scanning the room. What supportive technique would be MOST appropriate?
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A client explains, “I feel really frustrated with my medication.” Which response would BEST show active listening and validation?
A client explains, “I feel really frustrated with my medication.” Which response would BEST show active listening and validation?
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Which of the following exemplifies a therapeutic response when a patient expresses concern about their insurance?
Which of the following exemplifies a therapeutic response when a patient expresses concern about their insurance?
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Using blanket statements is considered what type of communication barrier?
Using blanket statements is considered what type of communication barrier?
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When a patient is upset, which question is considered nontherapeutic?
When a patient is upset, which question is considered nontherapeutic?
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What does offering false reassurances do to a patient?
What does offering false reassurances do to a patient?
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Which of the following reflects a nontherapeutic approach of showing sympathy?
Which of the following reflects a nontherapeutic approach of showing sympathy?
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Which of these is an example of a passive/aggressive response?
Which of these is an example of a passive/aggressive response?
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When a patient feels people have been dishonest, what is the therapeutic communication technique?
When a patient feels people have been dishonest, what is the therapeutic communication technique?
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Which action exemplifies disapproving in a non-therapeutic way?
Which action exemplifies disapproving in a non-therapeutic way?
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Which of the following personality disorders is characterized by a pervasive pattern of social and interpersonal deficits?
Which of the following personality disorders is characterized by a pervasive pattern of social and interpersonal deficits?
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A key feature of Obsessive-Compulsive Personality Disorder is:
A key feature of Obsessive-Compulsive Personality Disorder is:
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Which of these is NOT generally considered a contributing factor to ADHD?
Which of these is NOT generally considered a contributing factor to ADHD?
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What is generally considered the first line of medication treatment for ADHD?
What is generally considered the first line of medication treatment for ADHD?
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A child who displays persistent uncooperative and hostile behaviors, especially between the ages of 8 and 12, may be exhibiting signs of:
A child who displays persistent uncooperative and hostile behaviors, especially between the ages of 8 and 12, may be exhibiting signs of:
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Which of these characteristics is most associated with Narcissistic Personality Disorder?
Which of these characteristics is most associated with Narcissistic Personality Disorder?
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Which of the following is NOT a typical symptom of ADHD?
Which of the following is NOT a typical symptom of ADHD?
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An individual with a strong fear of separation, who is indecisive and has a tendency to be clingy, likely has what type of personality disorder?
An individual with a strong fear of separation, who is indecisive and has a tendency to be clingy, likely has what type of personality disorder?
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What age is typically associated with the onset of separation anxiety?
What age is typically associated with the onset of separation anxiety?
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A patient displaying attention-seeking behaviours, emotional shallowness, and who might be described as 'theatrical', is most likely exhibiting symptoms of which personality disorder?
A patient displaying attention-seeking behaviours, emotional shallowness, and who might be described as 'theatrical', is most likely exhibiting symptoms of which personality disorder?
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Which medication used in the treatment of ADHD is considered a non-controlled substance but carries the risk of increased suicidal ideation?
Which medication used in the treatment of ADHD is considered a non-controlled substance but carries the risk of increased suicidal ideation?
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Which treatment approach is typically recommended for preschool-aged children (4-5 years old) diagnosed with ADHD before considering medication?
Which treatment approach is typically recommended for preschool-aged children (4-5 years old) diagnosed with ADHD before considering medication?
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Which of these is a common behavioral manifestation of ODD?
Which of these is a common behavioral manifestation of ODD?
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A core characteristic of ASD is:
A core characteristic of ASD is:
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Besides the benefit of improved academic productivity, what else is a benefit of ADHD treatment, as outlined in the content?
Besides the benefit of improved academic productivity, what else is a benefit of ADHD treatment, as outlined in the content?
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Which of the following is a common early sign of lithium toxicity?
Which of the following is a common early sign of lithium toxicity?
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A patient is prescribed a benzodiazepine for acute anxiety. What should the nurse emphasize regarding the use of this medication?
A patient is prescribed a benzodiazepine for acute anxiety. What should the nurse emphasize regarding the use of this medication?
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A patient taking clozapine requires frequent blood draws to monitor for which of the following?
A patient taking clozapine requires frequent blood draws to monitor for which of the following?
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Which of the following medications used for alcohol maintenance acts by causing an unpleasant reaction if alcohol is consumed?
Which of the following medications used for alcohol maintenance acts by causing an unpleasant reaction if alcohol is consumed?
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Which of the following is a beta-blocker's primary effect in treating anxiety?
Which of the following is a beta-blocker's primary effect in treating anxiety?
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What is a significant disadvantage of using first-generation antipsychotics?
What is a significant disadvantage of using first-generation antipsychotics?
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A patient is taking a second-generation antipsychotic. Which of the following lab result changes would be concerning?
A patient is taking a second-generation antipsychotic. Which of the following lab result changes would be concerning?
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Which of the following best describes the mechanism of action for buspirone in treating anxiety?
Which of the following best describes the mechanism of action for buspirone in treating anxiety?
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Which medication used for the treatment of opioid withdrawal acts by blocking the effects of opioids?
Which medication used for the treatment of opioid withdrawal acts by blocking the effects of opioids?
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What dietary recommendation should be given to a patient taking Lithium?
What dietary recommendation should be given to a patient taking Lithium?
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What is a major risk to consider when using a benzodiazepine for anxiety?
What is a major risk to consider when using a benzodiazepine for anxiety?
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Which of the following best characterizes Cluster B personality disorders?
Which of the following best characterizes Cluster B personality disorders?
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Which of the following accurately describes the onset and duration of buspirone's effect?
Which of the following accurately describes the onset and duration of buspirone's effect?
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Which of the following is the primary risk associated with stimulant medication use?
Which of the following is the primary risk associated with stimulant medication use?
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What is a symptom specific medication given for a alcohol withdrawal?
What is a symptom specific medication given for a alcohol withdrawal?
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Study Notes
Antidepressants
- SSRI (Selective Serotonin Reuptake Inhibitors): 2-4 weeks (initial dose), side effects include libido, nerve pain, insomnia, serotonin syndrome (younger adults), orthostatic hypotension, and GI upset.
- TCAs (Tricyclic antidepressants): side effects include insomnia, dizziness, arrhythmias, risk of falls.
- MAOIs (Monoamine Oxidase Inhibitors): side effects include hypertensive crisis (tyramine interaction), orthostatic hypotension.
- NDRI (Norepinephrine-Dopamine Reuptake Inhibitors): side effects include insomnia, orthostatic hypotension, and dry mouth.
- SNRI (Serotonin-Norepinephrine Reuptake Inhibitors): side effects include dry mouth, insomnia, orthostatic hypotension, and GI upset.
- SA/RIs (Serotonin and/or Norepinephrine Reuptake Inhibitors): side effects include orthostatic hypotension, sexual dysfunction, and GI upset.
Mood Stabilizers/Antiseizure Medication
- Lithium: 0.6-1.2 mEq/L (range), taken with food, 1.5-3 liters/day fluid intake, blood draws for monitoring, possible side effects that include lithium toxicity (early signs: nausea, vomiting, diarrhea, thirst, excessive urination).
- Valproic acid: 50-125 mg, side effects potentially include agranulocytosis and must be monitored.
- Carbamazepine: 4-12 mg; side effects include agranulocytosis and must be monitored.
- Lamotrigine: 2.5-15 mg, side effects include Stevens-Johnson syndrome.
- Topiramate: possible side effects include weight loss, visual disturbances, and fatigue.
- Oxcarbazepine: possible side effects include weight loss and visual disturbances.
Sleep Medications & Beta Blockers
- Benzodiazepines: short-term use, possible risk of dependence, side effects may include drowsiness.
- Z-drugs (zolpidem): short-term use, potential for drowsiness.
- Hydroxyzine: sedative effects, used for short-term physical symptoms like trembling.
- Beta-blockers: Not an explicit sleep aid but can help with anxiety.
Stimulants
- stimulants: may enhance focus, but have risk of misuse and dependence.
Maintenance/Detox
- Methadone: Opioid maintenance therapy.
- Naltrexone: Opioid and Alcohol maintenance therapy.
- Acamprosate: Alcohol maintenance therapy.
- Disulfiram: Alcohol maintenance therapy.
- Clonidine/Lofexidine: Opioid withdrawal.
- Flumazenil: Benzodiazepine withdrawal.
Other Medications
- Buspirone: Anti Anxiety, no effects on GABA, 2-4 week onset and is not PRN.
Clusters A, B, and C (Personality Disorders)
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Cluster A*: Odd, eccentric traits (Paranoid, Schizoid, Schizotypal).
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Cluster B*: Dramatic, emotional, erratic traits (Antisocial, Borderline, Histrionic, Narcissistic).
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Cluster C*: Anxious, fearful traits (Avoidant, Dependent, Obsessive-Compulsive).
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Different clusters showcase various personality traits.
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Specific characteristics distinguish each cluster.
ADHD
- Symptoms: inattention, hyperactivity, impulsivity.
- Causes for ADHD: brain injury, environmental factors, alcohol/tobacco during pregnancy, low birth weight.
- Treatments: behavioral therapy, medication (stimulants, SNRIs, alpha-2 adrenergic agonists).
Anxiety Disorders
- Mild, Moderate, Severe, and Panic Levels: these levels vary by symptoms, such as increased heart rate, respiration, and perspiration.
- Risk Factors: temperament, trauma, family history, medical conditions, substance use.
- Coping Mechanisms: problem-focused or emotion-focused strategies.
Other
- Specific diagnoses for each disorder, such as Agoraphobia, Social Anxiety Disorder, Separation Anxiety Disorder, Panic Disorder,or Generalized Anxiety Disorder, are detailed.
- Symptoms are distinct for each diagnosis.
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Description
This quiz covers the key information on various antidepressants including SSRIs, TCAs, MAOIs, NDRIs, SNRIs, and their side effects. Additionally, it includes details on mood stabilizers, specifically lithium. Test your knowledge on the use and impact of these medications on mental health.
