The nurse is assessing the client newly started on benztropine mesylate. Which findings indicate that the client is experiencing the most common side effects of benztropine mesylate?

The muse administers risperidone to the client experiencing hallucinations. Which physiological disorder should the nurse assess for considering the risk of developing this disorder as a side effect of IiSperidone?

The nurse is educating the client concerning the possible side effects of a newly prescribed traditional antipsychotic medication. Which client statement reflects a need for flirther education regarding the side effects of this classification of medication?

The nurse is performing a health history on the child with ADHD who is being evaluated for treatment with psychostimulants. Which information is most critical to collect prior to treatment with psychostimulants?

The client is prescribed varenicline for smoking cessation. The nurse concludes that varenicline is being prescribed primarily for its antagonistic effect. Which statement describes this effect?

The client has been prescribed clonidine for the unlabeled purpose of easing the discomfort associated with smoking cessation. Which body system should be the nurse’s initial focus when completing the client’s physical assessment?

The client is beginning treatment with bupropion for depression. After meeting with the HCP, the client tells the nurse, “I’m also taking Zyban to help me stop smoking.” Which is the most appropriate action for the nurse?

The severely depressed client tells the nurse, “I don’t need these antidepressants; they’re too expensive! I’m going to use St. John’s wort instead.” Which is the most appropriate response by the nurse?

The Native American client is being assessed for emotional distress following a family crisis. In anticipating pharmacological treatment, the nurse understands that the Native American client would most likely do what?

The nurse completes teaching with the client who will be taking daily doses of disulfiram following treatment for alcoholism. Which client statement indicates correct understanding of the safe use of disulfiram?

The client admitted to the ED has drowsiness, clammy skin, and slow, shallow breathing. A friend states that the client took multiple oxycodone tablets. Which medication should the nurse plan to administer to this client?

The nurse is leading a group session for clients with panic disorder. Which statement made by the client indicates that further teaching is needed?

The client being treated for opiate dependence is receiving a buprenorphine/naloxone combination. The nurse understands that the reason for adding naloxone to the treatment with buprenorphine is for what effect?

The school-aged child taking guanfacine for treating ADHD is being seen by the nurse at school. The child is pale, diaphoretie, and feeling dizzy. What should the nurse do first?

The client seeking treatment for insomnia tells the nurse about researching complementary therapies for promoting sleep. Which are herbal remedies for promoting sleep that the client may wish to discuss with the nurse?

The nurse is reviewing the medications for all assigned clients on an inpatient psychiatric unit. The nurse anticipates assessing for extrapyramidal symptoms (BPS) in clients taking which antipsychotic medication?

Since taking the antidepressant doxepin, the female client has been reporting a decrease in sexual desire. She tells the nurse she “just isn’t that interested” because she “just doesn’t enjoy sex any-more.” She and her partner agree that they miss the excitement they used to share. Which is the most helpful response by the nurse?

The client is started on citalopram for treatment of depression. Which information is most important for the nurse to include when teaching the client?

The mother asks the nurse why the anticonvulsant valproic acid is being prescribed for her adolescent who is beginning therapy for control of aggressive behaviors. The nurse’s response is based on the fact that valproic acid is helpful in reducing manic and impulsive behavior by what mechanism of action?

The client taking paroxetine telephones the mental health clinic nurse and states, “Since I started taking St. John’s wort, I have had a high fever and muscle stiffness, and I am sweating a lot.” Which statement is most appropriate?

The client taking lithium for bipolar disorder participated in a recreational game of basketball in the mental health unit gym. The client is now feeling nauseated and shaky, has blurred vision, and is finding it hard to stand. Considering this information, which action should be taken by the nurse?

The nurse is reviewing client information for adverse effects of trazodone. Which finding should the nurse identify as an adverse effect unique to trazodone?

The nurse is teaching the client newly started on propranolol for acute situational anxiety disorder. In addition to treating the client’s anxiety, the nurse should inform the client that propranolol’s use is effective in treating which associated problem?

The client is placed on lorazepam for short-term treatment of anxiety. Which instruction by the nurse is most important with lorazepam use?

The nurse is developing the teaching plan for the client who is started on amitriptyline. Which information is most appropriate to include?

The nurse telephones the HCP to request a pm anxiolytic medication order for a hospitalized client having occasional anxiety. Which medication, if prescribed, should the nurse question regarding its effectiveness for prn use?

The nurse observes that the client being treated with antipsychotics is unsteady while standing and walking and that the client’s hands are trembling slightly. What should the nurse do?

The nurse is assessing the client who has begun therapy with duloxetine. Which assessment parameter should be the nurse’s priority?

The parent of the adolescent taking chlordiazepoxide for the past 2 months telephones the nurse requesting to have the dose increased. The parent states, “Chlordiazepoxide is being given as directed, but my child’s anxiety is increasing.” Which should be the nurse’s best interpretation of this situation?

At discharge, the nurse documents that the client taking lithium has an accurate understanding of self-care. On which client statement should the nurse base this judgment?

The client is taking methylphenidate sus- tained—release tablets once daily for attention deficit disorder. The medication peaks in 4 to7 hours and has a duration of 12 hours. At which time should the nurse instruct the client to take the prescribed dose of methylphenidate?

The adolescent is brought to the ED with wheezing, nystagmus, ataxia, and sensorirnotor neuropathy after inhaling paint thinner by “bagging.” Which nursing intervention is priority?

The client calls the clinic to discuss medications being taken and possible adverse effects. The nurse should conclude that the client is experiencing a common side effect of sertraline when the client provides which information?

The newly hospitalized client admits using heroin 8 hours ago. Which assessment findings, if observed in the client, should the nurse associate with heroin withdrawal?

The client admitted for inpatient treatment of an anxiety disorder has been taking fluoxetine for the past 9 months. The HCP prescribes a new antianxiety medication and discontinues fluoxetine. What is the nurse’s most appropriate intervention?

The client taking sertraline for treatment of depression for the past 11 months reports feeling much better and wishes to discontinue the medication. Which is the nurse’s most appropriate response?

The client’s dose of mirtazapine was increased from 15 to 30 mg at bedtime two days ago. When the nurse is preparing to administer mirtazapine, the client reports having insomnia, irritability, and panic attacks. What should the nurse do next?

New medications are prescribed for the client taking lithium. Which medication, if prescribed, should the nurse question with the HCP?

The 30-year-old has been taking olanzapine for the past 5 years for the treatment schizophrenia. The client, who has a positive family history of DM, is now overweight but is not showing signs of hyperglycemia. When the client asks about the next steps for treatment, how should the nurse respond?

The client undergoing detoxification from chronic alcohol abuse is to receive Phenobarbital 120 mg IM and promethazine 50 mg IM. Which explanation by the nurse about using this medication combination is correct?