NUR 202/203 Mental Health Nursing

Medication Summative Quiz

1. List the benzodiazepines giving generic and trade names:

Generic Name Trade Name
Chlordiazepoxide Librium
Diazepam Valium
Oxazepam Serax
Alprazolam Xanax
Lorazepam Ativan
Others
2. When a patient has been on a benzodiazepine for several months and indicates a desire to stop the medication, what
instruction should the nurse give the patient (besides talk to your doctor). Instruct the patient not to stop abruptly but
To taper off gradually under the direction of a physician.

3. List the primary nonbenzodiazepine: buspirone BuSpar and hydrolazine (Vistaril)

4. List the common tricyclics giving the generic and trade names:
Generic Name Trade Name
Amitriptyline Elavil
Desipramine Norpramin
Imipramine Tofranil
5. What is a common set of side effects of these drugs: Anticholinergic side effects
These drugs are also cardiotoxic. Patients can die from an accidental or intentional overdose.

6. List common anticholinergic side effects: dry mouth, blurred vision, constipation, urinary retention, vaginal
dryness, (some texts include orthostatic hypotension, and tachycardia).

7. Instructions to give the patient starting on antidepressants: it takes 4-6 weeks to achieve full therapeutic effects.

8. MAOI: List generic and trade names

Isocarboxazid Marplan
Phenelzine Nardil
Tranylcypromine Parnate
9. What is the amino acid that interacts with MAOIs and what are some foods to teach the patient to avoid?
Amino acid: _tyramine_______ Foods: (HESI=aged cheese, red wine, beer, beef and chicken liver, yeast, yogurt, soy
sauce,chocolate, bananas, fermented products Other books: smoked and processed meats, raisins, fava beans, flat
Italian beens,MSG, corned beef
10. What happens if MAOI is combined with a SSRI? Hypertensive crisis (Serotonin Syndrome)
11. SSRIs: List SSRIs including generic and trade name:
Generic Trade
Fluoxetine Prozac Pristig
Paroxetine Paxil
Sertraline Zoloft
Escitalopram Lexapro
Citalopram Celexa
12. What is a common side effect of SSRIs: sexual side effects
13. How long do you have to wait between administering a MAOI and SSRI? Two weeks
14. Is there a difference in the timeframe with fluoxetine (prozac)? Yes, five weeks
15. What is the drugs of choice for EPS and how do these drugs work:
Benadryl 50 mg and Cogentin 1-2 mgs lowers acetylcholine/ Symmetrel increases dopamine
16. What is the therapeutic level of lithium and depakote? Lithium=0.4-1.4; 50-100
17. What is the toxic blood level of lithium? Approaching 2.0 mEq/L or some give 1.5 as mildly toxic and higher
18. Neuroleptics
Typical Antipsychotics Atypical Antipsychotics
Haldol / Haldol D Clozaril Invega / Sustena
Thorazine Risperdal (M-tab) (Consta)
Prolixin / Prolixin D Geodon Fanapt
Seroquel
Zyprexa / Zyprexa Zydis_
Abilify
19. How is Haldol D and prolixin D administered? Z-track deep IM
20. What is Neuroleptic Malignant Syndrome including cause and S&S: Imbalance of Dopamine (low) & AcH (higher)
High fever; muscle rigidity, tachycardia, stupor, tachypnea; leucocytosis and elevated CPK (CK)