Pre11 Psych/Seizure/Abuse

If an anxious patient starts taking a benzodiazepine orally, effectiveness should be seen:
A. within about 10 minutes
B. within about 1 hourC. within 2-3 weeks
D. within 6-8 weeks

Which of the following should patients and/or their caregivers be told when they start taking antidepressant drugs?
A. Drugs often deplete potassium. Keep diet high in potassium rich food.
B. The drugs may stimulate sexual appetite.
C. Dry mouth should be managed with ice chips or sugarless gum.D. It is safe to use herbal supplements such as St. John's wort to enhance the antidepressant effect of the drugs.

The drug zolpidem is useful in treating:
A. anxiety
B. insomniaC. depression
D. bipolar disease

Diazepam (VALIUM) is used to treat:
A. Psychotic behavior
B. Postoperative pain
C. Depression
D. Anxiety
Under what conditions would you hold (not administer) galantamine?
A. The ordered dose is 120 mg orally.B. The patient says she got dizzy when getting out of bed yesterday.
C. There has been no improvement in 4 weeks of therapy.
D. The patient does not remember her MD ordering the drug.

Addiction, dependence, tolerance can result from therapeutic drug therapy. The following statements are true except (select all that apply):
A. Addiction,dependence and tolerance result typically in individuals with personality disorders.   
B. Addiction or dependence is predictable therefore all medications must be prescribed sparingly.   
C. High potential abuse medication must be carefully prescribed and monitored.         
D. Patients who become addicted or dependent on medications often started their use as a result of an injury or disease.         

Patients who take medications with abuse potential need to understand the following concepts (select all that apply):
A. Dosage control
B. Taking any medications in combination with other drugs
C. Cross tolerance
D. Alcohol and nicotine use

Psychiatric drug therapy requireds a working knowledge of psychiatry. Psychiatric medications pose difficulties for general practitioners and are often left to the specialists. This is typically because (select all that apply):
A. Primary care physicians are not licensed to prescribe psychiatric medications.
B. Psychiatric patients often require both medication and psychotherapy for successful therapy.
C. Side effects are often mistaken for psychiatric illnesses and left untreated
D. Psychiatric patients often have more than one illness which requires highly specialized treatments often needing medication changes and different dosing until the right medication is found.

Seizures have many underlying causes which must be considered in order to provide appropriate treatment. These causes include but are not limited to the following (select all that apply):
A. chronic depression
B. head trauma
C. alcohol or abuse drug use
D. neoplastic diseases

When understanding seizure care, patients can still experience seizures even with treatment. Which of the following are important nursing care implications? (select all that apply)
A. Assessing suicide risk if not taking seizure mediation appropriately.
B. Protect the teeth and tongue with fingers if necessary
C. Keep patients safe from injury during seizures such as moving furniture and maintaining an airway
D. instruct patients in special considerations with seizure medication such as taking with food, exercise, and fluids

Under what conditions would you hold (not administer) galantamine?
A. There has been no improvement in 4 weeks of therapy.
B. The patient says she got dizzy when getting out of bed yesterday.
C. The patient does not remember her MD ordering the drug.
D. The ordered dose is 120 mg orally.
Patients treated for psychiatric disorders often have difficulty finding the right medication for them. This is due to the following concepts (select all that apply):
A. balancing drug interactions
B. dosing challedges
C. Psychiatric medication mutate and are often misunderstood
D. mixed symptoms and disorders which sometimes contradict one another

Seizures have different etiologies therefore it is important to understand different seizure disorders and their treatments. Which statement (s) are true? (select all that apply)
A. Infectious diseases can cause seizures and the primary treatment is not only to control the seizure but to treat the underlying cause.
B. Seizures have known causes and are treated accordingly.
C. Medications can cause seizures therefore must be considered as a possible cause.
D. Babies and children can have febrile seizures which are controlled with acetaminophen.