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 (C)</p> Signup and view all the answers

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

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

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

<p>Dopamine receptors (C)</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 (D)</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 (C)</p> Signup and view all the answers

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

<p>Lurasidone (B)</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 (D)</p> Signup and view all the answers

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

<p>Iloperidone (C)</p> Signup and view all the answers

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

<p>Pregnant clients (C)</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 (D)</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 (B)</p> Signup and view all the answers

What characterizes akathisia as an extrapyramidal side effect?

<p>Continuous restlessness and fidgeting (C)</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 (D)</p> Signup and view all the answers

What defines agranulocytosis as a serious condition?

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

In which of the following conditions are typical antipsychotics contraindicated?

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

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

<p>Diabetic clients (A)</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 (C)</p> Signup and view all the answers

Which condition is a contraindication for atypical antipsychotics?

<p>Lactation (D)</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 (C)</p> Signup and view all the answers

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

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

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

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

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

<p>Amiodarone (A)</p> Signup and view all the answers

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

<p>Alcohol (A)</p> Signup and view all the answers

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

<p>Cimetidine (A)</p> Signup and view all the answers

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

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

Which CNS depressants can lead to increased effects of zolpidem?

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

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