Mental Health Ch. 8 Medications

Question 1

Name the therapeutic effects of conventional neuroleptics.

Answer 1

• Decrease in psychotic symptoms

- Sedation

Question 2

Hallucinations, delusions, & psychomotor agitation are examples of…

Answer 2

Psychotic symptoms

Question 3

Name the therapeutic effects of second-generation neuroleptics.

Answer 3

• Decrease in psychotic symptoms

- More effective than conventional neuroleptics in reducing negative symptoms of schizophrenia

Question 4

TD aka…

Answer 4

Tardive dyskinesia

Question 5

NMS aka…

Answer 5

Neuroleptic malignant syndrome

Question 6

EPS aka…

Answer 6

Extrapyramidal syndrome

Question 7

Name the symptoms of tardive dyskinesia (TD).

Answer 7

Involuntary movements of the face, trunk, extremities due to medication

Question 8

Name the symptoms of Neuroleptic malignant syndrome (NMS).

Answer 8

• Rigidity

- Catatonia

Question 9

What is extrapyramidal syndrome(EPS)?

Answer 9

Abnormal movements such as:

• Akathisia
• Akinesia
• Dystonic reactions

Question 10

Name the therapeutic effects of third-generation neuroleptics.

Answer 10

• Decrease in psychotic symptoms
• Significantly more effective than conventional neuroleptics in reducing negative symptoms of shizophrenia
• Improvement in depressive symptoms
• Low or no motor impairment effect

Question 11

Drowsiness, insomnia, & akathisia are side effects of…

Answer 11

Third-generation neuroleptics

Question 12

Tardive dyskinesia (TD), Neuroleptic malignant syndrome (NMS), & extrapyramidal syndrome (EPS) are major side effects for what class of medications?

Answer 12

Conventional neuroleptics

Question 13

Name the first generation of antipsychotic drugs.

Answer 13

Conventional neuroleptics

Question 14

Restlessness, muscular tension due to medication is known as…

Answer 14

Akathisia

Question 15

Dry mouth, blurred vision, skin rash, photosensitivity are minor side effects for which class of drugs?

Answer 15

Conventional neuroleptics

Question 16

Dry mouth, blurred vision, constipation, orthostatic hypotension, seizures, weight gain, possible metabolic syndrome & type 2 diabetes are possible side effects for which class of drugs?

Answer 16

All second generation neuroleptics

Question 17

Immediate medical intervention is necessary for what side effects of conventional neuroleptics?

Answer 17

• Tardive dyskinesia (TD)

- Neuroleptic malignant syndrome (NMS)

Question 18

Name a fatal side effect for clozapine, a second generation neuroleptic, that requires blood monitoring.

Answer 18

Agranulocytosis

Question 19

Name the drug from the second generation neuroleptics that may elevate liver enzymes, weight gain, cholesterol, & blood sugar.

Answer 19

Olanzapine

Question 20

What is the side effect for stopping abruptly second generation neuroleptics medication?

Answer 20

Withdrawal syndromes

Question 21

Name the 5 classes of antidepressant drugs.

Answer 21

1- Nonselective

Question 22

Control of extrapyramidal syndrome (EPS) caused by use of antipsychotic medications is the therapeutic effect for which class of drugs?

Answer 22

Aniparkinsonian drugs

Question 23

Name the medication from the antiparkinsonian drug class that may cause life-threatening cardiac symptoms.

Answer 23

Propranolol

Question 24

Name the side effects of antiparkinsonian drugs.

Answer 24

• Dry mouth
• Blurred vision
• Dizziness
• Nausea
• Fatigue
• Weakness

Question 25

Name the antidepressant drug classes.

Answer 25

1- Nonselective cyclic agents 2- Selective serotonin reuptake inhibitors 3- Norepinephrine dopamine reuptake inhibitors 4- Serotonin 2 antagonists/ reuptake inhibitors 5- Noradrenergic/ specific serotonergic antidepressants 6- Monoamine oxidase inhibitors 7- Selective serotonin neorepinephrine reuptake inhibitors

Question 26

With the exception of selective serotonin norepinephrine reuptake inhibitors, name the common therapeutic effects of antidepressant drugs.

Answer 26

- Relief from depression - Reduction in suicidal ideation & risk of suicide - Increased activity - Normalization of sleep & appetite

Question 27

Name the additional therapeutic effects for norepinephrine dopamine reuptake inhibitors.

Answer 27

- Less likely to provoke a switch to manic state | - May have less negative effect on libido

Question 28

Name the additional therapeutic effect for selective norepinephrine reuptake inhibitors.

Answer 28

May work more quickly than other antidepressants

Question 29

What are the therapeutic effects for noradrenergic/ specific serotonergic antidepressants?

Answer 29

Relief from: - Depression & symptoms for non-selective cycles - Helps reduce anxiety - May work faster than other antidepressants

Question 30

Name the additional therapeutic effects for monoamine oxidase inhibitors.

Answer 30

- May be effective in ADHD | - Classified as reversible or irreversible MAOIs

Question 31

Name the drug class associated with mood-stabilizing medications.

Answer 31

- Lithium | - Anticonvulsants

Question 32

What are the therapeutic effects for lithium.

Answer 32

- Decrease in manic symptoms - Reduces activity level - Stabilizes mood - Decreases speech production - Reduces irritability - Increases attention span - Improves judgement - May help reduce depressive symptoms

Question 33

Pg. 223

Answer 33

Anticonvulsants therapeutic effect