Nursing Pharmacology Practice Questions – Psych

Welcome to your Nursing Pharmacology Practice Questions – Psych

Antidepressant Patient Question

Mr. Sime was recently diagnosed with depression. As you are discussing his recent paroxetine prescription, he states that he is not happy that it isn't working. He has been taking it for about 5 days. Which of the following actions is most appropriate?

Sexual Dysfunction - ADP

Which of the following antidepressants has the least sexual adverse effects?

SNRI Classification

Which of the following antidepressants is classified as an SNRI?

Sedating Antidepressant

Of the following, which antidepressant tends to be most sedating?

Smoking Cessation and Depression

Which antidepressant can be used to aid with smoking cessation?

BPH and Antidepressants

Mr. Rist is a 55-year-old math teacher who struggles with urinary retention symptoms during the day due to a history of BPH. Which antidepressant would be most likely to contribute to this issue?

Abrupt Discontinuation of SSRI

KM is a 42-year-old female who recently stopped taking her sertraline. Which symptoms would be inconsistent with antidepressant withdrawal symptoms?

SSRI Classification

Which of the following medications is an SSRI?

Lorazepam Ineffective - Case

JS is a 78-year-old female with anxiety associated with end-of-life cares. She has been taking lorazepam 0.25 mg every 6 hours by mouth as needed for anxiety. Her caregiver has tried it about 5 times in the last 3 days and they report no effect. What is the likely reason for this?

SSRI and Drug Interactions

Which SSRI is most likely to cause drug interactions?

Nefazodone Risk

Nefazodone is not used much in practice due to what adverse effect?

Food and MAOIs

Food containing what substance can cause problems while taking an MAOI?

Symptoms of Serotonin Syndrome

Which of the following is NOT a likely symptom of serotonin syndrome?

St. John's Wort Case

LG is a 30-year-old female in the clinic for a routine visit. When reviewing her medication list, she adds that she started taking St. John’s Wort for her depression about two weeks ago. She is also taking fluoxetine 20 mg daily, ibuprofen 200-400 mg as needed, vitamin D3 5,000 units daily, Junel Fe 1/20 daily, and cetirizine 10 mg as needed for allergies. What are some important counseling points for LG regarding her medications? Select all that apply.

Antipsychotic MOA

What is the primary mechanism of action of antipsychotic medications?

EPS Symptoms

Which of the following extrapyramidal symptoms (EPS) is correctly paired with its definition?

Lithium Concentrations

A lithium level greater than _____ mEq/L can cause what symptoms? Select the correct pairing.

Lithium Counseling

KY is a 24-year-old male with bipolar I disorder taking lithium 600 mg twice daily. He works in construction and sometimes works long days outdoors. What are some counseling points for KY regarding his lithium?