Mental Health Ch.4
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Questions and Answers

Which of the following is NOT an indication for the use of antipsychotics?

  • Treatment of intractable hiccoughs
  • Treatment of bipolar mania
  • Treatment of schizophrenia
  • Treatment of hypertension (correct)
  • Which type of antipsychotics has a higher risk for extrapyramidal side effects like acute dystonias?

  • Second-generation antipsychotics
  • All antipsychotics have the same risk
  • Typical antipsychotics (correct)
  • Atypical antipsychotics
  • What do typical antipsychotics primarily block to exert their action?

  • Adrenergic receptors
  • Dopamine receptors (correct)
  • Cholinergic receptors
  • Serotonin type 2A receptors
  • Which receptors do atypical antipsychotics primarily antagonize?

    <p>Serotonin type 2A receptors</p> Signup and view all the answers

    In which disorder are antipsychotics used to control tics and vocal utterances?

    <p>Tourette's disorder</p> Signup and view all the answers

    What do atypical antipsychotics have lower affinity for compared to typical antipsychotics?

    <p>Dopamine receptors</p> Signup and view all the answers

    Which of the following antipsychotic drugs is contraindicated in patients with a history of clozapine-induced agranulocytosis?

    <p>Clozapine</p> Signup and view all the answers

    In which group of patients should caution be taken when administering antipsychotic drugs?

    <p>Patients with a history of seizures</p> Signup and view all the answers

    Which antipsychotic drug is contraindicated in patients with concurrent use of strong CYP3A4 inducers?

    <p>Lurasidone</p> Signup and view all the answers

    In which patients should caution be taken when administering antipsychotic drugs?

    <p>Patients with a history of hypotension</p> Signup and view all the answers

    Which of the listed antipsychotic drugs is contraindicated in patients with uncontrolled epilepsy?

    <p>Iloperidone</p> Signup and view all the answers

    Which group of patients is safety not established for when administering antipsychotic drugs?

    <p>Pregnant clients</p> Signup and view all the answers

    What is the purpose of the risk evaluation and mitigation strategy (REMS) program for clozapine?

    <p>To monitor, manage, and report the risk for agranulocytosis</p> Signup and view all the answers

    Which patient population is identified as being most at risk for developing pseudoparkinsonism as an extrapyramidal side effect?

    <p>Women</p> Signup and view all the answers

    What characterizes akathisia as an extrapyramidal side effect?

    <p>Continuous restlessness and fidgeting</p> Signup and view all the answers

    What happens when dystonia, an extrapyramidal side effect, progresses untreated?

    <p>It can cause laryngospasms and be fatal</p> Signup and view all the answers

    What defines agranulocytosis as a serious condition?

    <p>Low absolute neutrophil count (ANC)</p> Signup and view all the answers

    When do symptoms of akinesia typically appear following initiation of antipsychotic medication?

    <p>1 to 5 days after therapy begins</p> Signup and view all the answers

    In which of the following conditions are typical antipsychotics contraindicated?

    <p>Patients with acid reflux</p> Signup and view all the answers

    Which group of patients should caution be taken when administering typical antipsychotics?

    <p>Diabetic clients</p> Signup and view all the answers

    What is a significant risk associated with atypical antipsychotics in the elderly population?

    <p>Metabolic disturbances like weight gain</p> Signup and view all the answers

    Which condition is a contraindication for atypical antipsychotics?

    <p>Lactation</p> Signup and view all the answers

    What is a common side effect associated with typical antipsychotics in the elderly population?

    <p>Increased risk of falls</p> Signup and view all the answers

    Which of the following is NOT a contraindication for typical antipsychotics?

    <p>Diabetic patients</p> Signup and view all the answers

    What are the common CYP3A4 inducers that may decrease the effects of zaleplon?

    <p>Rifampin and phenytoin</p> Signup and view all the answers

    Which medication can lead to life-threatening cardiac arrhythmias when used concomitantly with zolpidem?

    <p>Amiodarone</p> Signup and view all the answers

    What is a substance that can increase the effects of zolpidem?

    <p>Alcohol</p> Signup and view all the answers

    Which medication, when used concurrently with zaleplon, can lead to increased effects of zaleplon?

    <p>Cimetidine</p> Signup and view all the answers

    What are the substances that can lead to increased effects of ramelteon?

    <p>Rifampin and ketoconazole</p> Signup and view all the answers

    Which CNS depressants can lead to increased effects of zolpidem?

    <p>Selective serotonin reuptake inhibitors</p> Signup and view all the answers

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