Psychotherapeutic Drug Therapy

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Which of the following is a major mental disorder that can be treated with antipsychotic medications?

Bipolar disorder

Which of the following can hinder the absorption of antipsychotic medications into the bloodstream?

Antacids

Which class of medications is often used to treat obsessive-compulsive disorder?

Antidepressants

Which of the following is an example of an SSRI antidepressant?

Fluvoxamine

What class of medications is used to treat people with ADHD?

Stimulants

What is an important role for nurses and those who administer psychotherapeutic drugs?

Coordinate care

What should nurses provide to clients in terms of information about their diagnosis and treatment plan?

Written information

What are clients who are taking psychotropic drugs at risk for developing?

Tardive dyskinesia

What is noncompliance in the context of treatment programs?

An informed decision not to follow the prescribed treatment program

What does the Patient Self-Determination Act state?

Clients have the right to accept or refuse care

Which class of psychotherapeutic drugs is mainly used to decrease anxiety?

Antianxiety agents

What is the primary responsibility of health care providers, especially nurses, in relation to psychiatric medications?

To differentiate therapeutic from unwanted effects

Which category of antidepressant medications has many drug and food interactions?

Monoamine oxidase inhibitors (MAOIs)

What is the common side effect of dry mouth, nose, and eyes, urinary retention, and hypertensive crisis associated with?

Antidepressant medications

Which class of psychotherapeutic drugs is mainly used to treat the manic phase of bipolar disorder?

Mood stabilizers

What is the main mechanism of action of benzodiazepines, a category of antianxiety medications?

Increasing gamma-aminobutyric acid (GABA) activity

What is the therapeutic effect of buspirone (BuSpar), a medication in the antianxiety group, not seen for 3 to 6 weeks after treatment initiation?

Decreased anxiety

What is the primary responsibility of health care providers, especially nurses, in relation to psychiatric medications?

To differentiate therapeutic from unwanted effects

What is the main responsibility of health care providers, especially nurses, in relation to psychiatric medications?

To differentiate therapeutic from unwanted effects

What is the main responsibility of health care providers, especially nurses, in relation to psychiatric medications?

To differentiate therapeutic from unwanted effects

Which of the following is NOT a classification of psychotherapeutic medications?

Antihistamines

What are the side effects associated with antianxiety agents?

Drowsiness, dizziness, and confusion

Which teaching points should be provided to clients beginning antidepressant therapy?

Limit alcohol consumption, avoid driving or operating heavy machinery, and report any unusual bleeding or bruising

What are the three major guidelines for care of clients taking lithium?

Monitor thyroid function, maintain a low-sodium diet, and avoid exposure to sunlight

What are the central nervous system and peripheral nervous system side effects of antipsychotic drug therapy?

Tremors, muscle stiffness, and restlessness (central nervous system); dry mouth, blurred vision, and constipation (peripheral nervous system)

What are five care guidelines for clients receiving psychotherapeutic drugs?

Monitor vital signs, assess for suicidal ideation, encourage compliance with medication regimen, provide emotional support, and educate about potential side effects

What are three topics that should be taught to clients about their medications?

Potential side effects, drug interactions, and the importance of compliance with the medication regimen

How do informed consent and noncompliance relate to psychotherapeutic medications?

Informed consent is required before starting psychotherapeutic medication, and noncompliance with the medication regimen can lead to treatment failure

What is the main purpose of psychotherapeutic medications?

To manage symptoms of mental illnesses

What is the role of antihistamines in psychotherapeutic drug therapy?

To manage side effects of other psychotherapeutic medications

Match the following learning objectives with the correct chapters:

Psychotherapeutic Drug Therapy = Chapter 7 Antianxiety agents = Chapter 7 Lithium care guidelines = Chapter 7 Informed consent and noncompliance = Chapter 7

Match the following topics with their corresponding number of teaching points:

Beginning antidepressant therapy = 3 teaching points Clients about their medications = 3 teaching points Antianxiety agents and associated side effects = 3 teaching points Lithium care guidelines = 3 teaching points

Match the following classes of psychotherapeutic medications with their associated effects:

Antipsychotic (neuroleptic) drugs = One central nervous system and three peripheral nervous system side effects Antidepressants = Therapeutic effect not seen for 3 to 6 weeks after treatment initiation Antianxiety agents = Dry mouth, nose, and eyes, urinary retention, and hypertensive crisis Lithium = Three major guidelines for care

Match the following topics with their corresponding number of care guidelines:

Clients receiving psychotherapeutic drugs = 5 care guidelines Antianxiety agents and associated side effects = 5 care guidelines Antipsychotic (neuroleptic) drug therapy = 5 care guidelines Informed consent and noncompliance = 5 care guidelines

Match the following topics with their corresponding number of psychotherapeutic drug classifications:

Psychotherapeutic medications = Four classifications Antidepressant therapy = Four classifications Antianxiety agents = Four classifications Lithium care guidelines = Four classifications

Match the following topics with their corresponding number of classes of antianxiety agents:

Antianxiety agents = Three classes Teaching points for clients beginning antidepressant therapy = Three classes Care of clients taking lithium = Three classes Informed consent and noncompliance = Three classes

Match the following topics with their corresponding number of major guidelines for care of clients taking lithium:

Lithium care = Three major guidelines Antianxiety agents and associated side effects = Three major guidelines Beginning antidepressant therapy = Three major guidelines Informed consent and noncompliance = Three major guidelines

Match the following topics with their corresponding number of major guidelines for care of clients taking lithium:

Antipsychotic (neuroleptic) drug therapy = One central nervous system and three peripheral nervous system side effects Antianxiety agents = One central nervous system and three peripheral nervous system side effects Beginning antidepressant therapy = One central nervous system and three peripheral nervous system side effects Informed consent and noncompliance = One central nervous system and three peripheral nervous system side effects

Match the following topics with their corresponding number of major guidelines for care of clients taking lithium:

Antipsychotic (neuroleptic) drug therapy = Five care guidelines Antidepressant therapy = Five care guidelines Antianxiety agents = Five care guidelines Lithium care = Five care guidelines

Match the following topics with their corresponding number of major guidelines for care of clients taking lithium:

Psychotherapeutic medications = Informed consent and noncompliance Antidepressant therapy = Informed consent and noncompliance Antianxiety agents = Informed consent and noncompliance Lithium care = Informed consent and noncompliance

Match the following psychotherapeutic drugs with their correct classifications:

Benzodiazepines = Antianxiety agents Lithium = Mood stabilizers Tricyclic antidepressants = Antidepressants Antipsychotics = Neuroleptics

Match the following psychotherapeutic medications with their associated side effects:

Benzodiazepines = Dependence with long-term use MAOIs = Many drug and food interactions Antidepressants = Dry mouth, nose, and eyes; urinary retention; hypertensive crisis Lithium = Toxicity at levels higher than 1.5 mEq/L

Match the following terms with their correct definitions in the context of psychotherapeutic drug therapy:

Therapeutic effects = Not seen for 3 to 6 weeks after treatment initiation for buspirone (BuSpar) Noncompliance = When some people refuse to take their medications regularly due to discomforts Absorption = Interfered with when antipsychotic medications are taken with antacids Toxicity = Levels higher than 1.5 mEq/L are considered toxic for lithium

Match the following psychotherapeutic medications with their correct mechanisms of action:

Benzodiazepines = Increase gamma-aminobutyric acid (GABA) activity MAOIs = Increase certain neurotransmitter activities Lithium = Used to treat the manic phase of bipolar disorder Antipsychotics = Also called major tranquilizers or neuroleptics

Match the following psychotherapeutic medications with their associated timeframes for clinical improvement:

Buspirone (BuSpar) = Therapeutic effects not seen for 3 to 6 weeks after treatment initiation Antidepressants = 1 to 4 weeks before symptom relief is noted Lithium = Clinical improvement commonly takes as long as 3 weeks Benzodiazepines = Used to decrease anxiety

Match the following psychotherapeutic medications with their correct usage or effects:

Anxiolytics = Medications that reduce the psychic tension of stress Pregabalin (Lyrica) = Side effects are fewer than those of other antianxiety drugs Benzodiazepines = Mainly used to decrease anxiety Antidepressants = Physician’s first choice for the treatment of depression

Match the following psychotherapeutic medications with their correct timeframes for their therapeutic effects to be seen:

Buspirone (BuSpar) = 3 to 6 weeks after treatment initiation Antidepressants = 1 to 4 weeks before symptom relief is noted Benzodiazepines = Therapeutic effects seen immediately Lithium = Clinical improvement commonly takes as long as 3 weeks

Match the following psychotherapeutic medications with their correct usage or effects:

Anxiolytics = Medications that reduce the psychic tension of stress Pregabalin (Lyrica) = Side effects are fewer than those of other antianxiety drugs Benzodiazepines = Mainly used to decrease anxiety Antidepressants = Physician’s first choice for the treatment of depression

Match the following psychotherapeutic drugs with their correct classifications:

Benzodiazepines = Antianxiety agents Lithium = Mood stabilizers Tricyclic antidepressants = Antidepressants Antipsychotics = Neuroleptics

Match the following psychotherapeutic medications with their associated side effects:

Benzodiazepines = Dependence with long-term use MAOIs = Many drug and food interactions Antidepressants = Dry mouth, nose, and eyes; urinary retention; hypertensive crisis Lithium = Toxicity at levels higher than 1.5 mEq/L

Match the following psychotherapeutic medications with their primary usage:

Antipsychotics = Treats major mental disorders and resistant bipolar, paranoid, and movement disorders SSRI antidepressants = Often used to treat obsessive-compulsive disorders Stimulants = Used to treat people with ADHD Antianxiety medications = Mainly used to decrease anxiety

Match the following medications with their potential interactions with antipsychotics:

Antacids = Hinder the absorption of antipsychotics into the bloodstream Alcohol = Produces severe CNS depression when mixed with antipsychotics Meperidine (Demerol) and morphine = Produces severe CNS depression when mixed with antipsychotics Antidepressants = Potential interaction with antipsychotics

Match the following adverse reactions with the associated psychotherapeutic medications:

Neuroleptic malignant syndrome and tardive dyskinesia = Associated with clients taking psychotropic drugs Dry mouth, nose, and eyes, urinary retention, and hypertensive crisis = Associated with antianxiety agents Severe CNS depression = Associated with mixing alcohol, meperidine, or morphine with antipsychotics Serious problems of CNS = Associated with clients taking psychotropic drugs

Match the following terms with their definitions:

Noncompliance = Informed decision made by a client not to follow a prescribed treatment program Informed Consent = Presenting clients with information about the benefits, risks, and side effects of specific treatments Patient Self-Determination Act = States that clients have the right to accept or refuse care and cannot be pushed, coerced, or talked into following a certain course Client Teaching = Every client has a right to be informed of his or her diagnosis and treatment plan

Match the following client care guidelines with their descriptions:

Assess the client = One of the primary responsibilities of health care providers, especially nurses, in relation to psychiatric medications Coordinate care = One of the primary responsibilities of health care providers, especially nurses, in relation to psychiatric medications Administer the medication = One of the primary responsibilities of health care providers, especially nurses, in relation to psychiatric medications Monitor and evaluate responses = One of the primary responsibilities of health care providers, especially nurses, in relation to psychiatric medications

Match the following medications with their classification in psychotherapeutic medications:

Antipsychotics = Major classification of psychotherapeutic medications SSRI antidepressants = Classification of antidepressant medications Stimulants = Classification of medications used to treat people with ADHD Antianxiety medications = Classification of medications mainly used to decrease anxiety

Match the following actions with their descriptions in the context of psychotherapeutic medications:

Assess the client = The action of gathering information about the client's condition and response to medication Coordinate care = The action of organizing and integrating patient care activities Administer the medication = The action of giving the medication to the client Monitor and evaluate responses = The action of observing the client's response to medication and evaluating the effectiveness of the treatment

Match the following medications with their potential side effects:

Antianxiety medications = Dry mouth, nose, and eyes, urinary retention, and hypertensive crisis Antipsychotics = Neuroleptic malignant syndrome and tardive dyskinesia Stimulants = Increased heart rate, increased blood pressure, and insomnia Antidepressants = Sexual dysfunction, weight gain, and sedation

Match the following medications with their potential interactions:

Antipsychotics = Interact with antacids, alcohol, antianxiety medications, antidepressants, barbiturates, and meperidine (Demerol) and morphine Antianxiety medications = Interact with alcohol, antipsychotics, and barbiturates Stimulants = Interact with antipsychotics and antidepressants SSRI antidepressants = Interact with antipsychotics and antianxiety medications

Match the following terms with their definitions in the context of psychotherapeutic medications:

Noncompliance = An informed decision made by a client not to follow a prescribed treatment program Informed Consent = The process of presenting clients with information about the benefits, risks, and side effects of specific treatments Patient Self-Determination Act = Legislation that states that clients have the right to accept or refuse care and cannot be pushed, coerced, or talked into following a certain course Client Teaching = The process of providing information to the client about their diagnosis and treatment plan

True or false: Psychotherapeutic medications primarily affect the autonomic nervous system.

False

True or false: Lithium is commonly used to treat mood disorders.

True

True or false: Drug-induced parkinsonism is a side effect of antipsychotic drug therapy.

True

True or false: Monoamine oxidase inhibitors (MAOIs) are a class of antianxiety agents.

False

True or false: Psychotherapeutic drugs were first discovered through intentional research and development?

False

True or false: The limbic system is responsible for higher human functions such as love, creativity, insight, planning, judgment, and abstract reasoning?

False

True or false: Psychotherapeutic medications primarily act on the body's peripheral nervous system?

False

True or false: The central nervous system is composed of the brain and spinal cord?

True

True or false: Neurotransmitters become inactivated after traveling across the synaptic gap.

True

True or false: Psychotherapeutic drugs alter the flow of message exchanges in the synapse.

True

True or false: Antianxiety agents are also referred to as anxiolytics or 'minor tranquilizers'.

True

True or false: Benzodiazepines act by increasing the activity of a neurotransmitter called gamma-aminobutyric acid (GABA).

True

True or false: Azapirones are the oldest anxiolytic medications?

False

True or false: Tricyclics are commonly prescribed for the treatment of depression and anxiety?

True

True or false: MAOIs have minimal side effects and do not interact with food or other drugs?

False

True or false: SSRIs are the first choice for treating anxiety, depression, and other problems?

True

True or false: The autonomic nervous system (ANS) is responsible for regulating the vital functions of the body.

True

True or false: The sympathetic nervous system prepares the body for immediate adaptation through the fight-or-flight mechanism.

True

True or false: The parasympathetic nervous system is designed to conserve energy and provide a balance for the sympathetic system’s excitability.

True

True or false: The sympathetic and parasympathetic divisions of the ANS act in the same ways.

False

True or false: Antidepressant medications are only used to treat depression.

False

True or false: Antidepressant medications can interact with certain foods and drugs, leading to serious reactions.

True

True or false: Antidepressant medications take effect immediately after starting therapy.

False

True or false: Anticholinergic side effects of antidepressant medications include dry mouth and sedation.

True

True or false: MAOIs are the first choice in treatment for both short- and long-term therapy.

False

True or false: SSRIs have more manageable side effects compared to MAOIs.

True

True or false: Alcoholic drinks should be avoided while taking MAOIs.

True

True or false: Dairy products such as aged cheese should be avoided while taking MAOIs.

True

True or false: SSRIs can cause constipation as a side effect.

False

True or false: Mania is often accompanied by severe depression.

True

Test your knowledge on psychotherapeutic drug therapy with this quiz. Learn about the effects of psychotherapeutic medications, different classifications of these drugs, and the side effects associated with antianxiety agents. Prepare for success with three teaching points to enhance your understanding.

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