advp2 Flashcards
(75 cards)
The nurse is administering a prescribed antidepressant medication to a client in an inpatient mental health facility. Which action would the nurse perform to ensure the client is not stashing doses of medication?
A. Provide a 1:1 sitter for the client.
B. Observe the client swallowing the medication.
C. Ask a client’s family member to ensure the dose is taken.
D. Set the correct medication dose on the client’s meal tray.
B. Observe the client swallowing the medication.
A client has been in an acute care psychiatric unit for 3 days and is receiving haloperidol tablets orally to reduce agitation and preoccupation with auditory hallucinations. There has been no decrease in the client’s agitation or preoccupation with auditory hallucinations since the medication was started. Which intervention will the nurse take?
A. Ask the health care provider to change the medication.
B. Make certain that the client is swallowing the medication.
C. Conclude that therapeutic failure has occurred.
D. Secure a prescription for as-needed sedation until the client calms down
B. Make certain that the client is swallowing the medication.
Which reply by the nurse is appropriate when a client asks how psychotropic medications work?
A. “These medications decrease the metabolic needs of your brain.”
B. “These medications increase the production of healthy nervous tissue.”
C. “These medications affect the chemicals used in communication between nerve cells.”
D. “These medications regulate sensory input received from the external environment.”
C. “These medications affect the chemicals used in communication between nerve cells.”
A client begins escitalopram for treatment of a depressive episode. On the fifth day, the client refuses the medication, stating, ‘It doesn’t help, so what’s the use of taking it?’ Which is the best response by the nurse?
A. ‘It can take 1 to 4 weeks to see an improvement.’
B. ‘It takes 6 to 8 weeks for this medication to have an effect.’
C. ‘I’ll talk to your primary health care provider about increasing the dosage. That may help.’
D. ‘You should have felt a difference by now. I’ll notify the primary health care provider.’
A. ‘It can take 1 to 4 weeks to see an improvement.’
The nurse is educating a client on a new antidepressant prescription. Which statement by the client indicates the need for further teaching?
A. ‘This medication will cure my depression.’
B. ‘I should never double the dose to feel better.’
C. ‘I will see my health care provider every month.’
D. ‘It may take several weeks for the medication to take effect.’
A. ‘This medication will cure my depression.’
Which statement by the client indicates to the nurse that the teaching about taking an antidepressant medication has been understood?
A. ‘I need to take every dose of my medication as prescribed.’
B. ‘I need to discontinue the medication if I have side effects.’
C. ‘I don’t have to be concerned about taking my medications.’
D. ‘I can double the dose of the medication if I still feel depressed.’
A. ‘I need to take every dose of my medication as prescribed.’
The nurse is caring for a group of clients on the psychiatric unit. Which clinical findings will alert the nurse that serotonin syndrome has developed in one of the clients?
A. Continuous involuntary movement of the tongue and jaw
B. Extremely high blood pressure with headache and flushing
C. Blurred vision, urine retention, dry mouth, and constipation
D. Restlessness, tachycardia, fever, diarrhea, and altered mental status
D. Restlessness, tachycardia, fever, diarrhea, and altered mental status
