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by: Ramiro Boyle


Ramiro Boyle
Virginia Commonwealth University
GPA 3.71

Mary Grap

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Mary Grap
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This 1 page Study Guide was uploaded by Ramiro Boyle on Wednesday October 28, 2015. The Study Guide belongs to NURS 365 at Virginia Commonwealth University taught by Mary Grap in Fall. Since its upload, it has received 75 views. For similar materials see /class/230616/nurs-365-virginia-commonwealth-university in Nursing and Health Sciences at Virginia Commonwealth University.

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Date Created: 10/28/15
NURS 355 Study Guide for Pharmacology Competency Test Quiz 2 25 multiple choice questions Identify how impairment in the following areas of the brain are associated with psychological problems HPA axis limbic system frontal cortex eg anxiety is associated with hypersensitivity of HPA axis Identify the key neurotransmitter abnormality associated with the following illnesses schizophreniapsychotic disorders anxiety depression mania eg schizophrenia is associated with excess dopamine I What tests are available to identify etiological basis for mental illnesses structural amp functional tests eg a CT scan shows the structural abnormality of enlarged ventricles in the brain of a person who suffers schizophrenia Know the sets of symptoms that each class of psychotropics is meant to target antidepressants anxiolytics mood stabilizers antipsychotics cognitive enhancers eg anxiolytics target symptoms of anxiety 7 SOB restlessness worry Know the difference in side effect profiles for the subclasses of antidepressants TCAs SSRIs SNRIs MAOIs eg TCAs have anticholinergic side effects and are lethal in overdose I When would quot J 39 be chosen 0ch quot J 39 for treatment of anxiety and vice versa I Mood stabilizers Lithium versus anticonvulsants 7 what are the concernsnursing considerations with each 7 what are lab draws for Lithium 7 know the therapeutic range typical side effects versus symptoms of toxicity teaching points for patients I Antipsychotics 7 typicals versus atypicals 7 what neurotransmitters are targeted with each subclass what is the side effect profile of high versus low potency antipsychotics which drugssubclass treat negative sx versus positive sx or both 7 know the difference between negative amp positive sx I Extrapyramidal side effects acute dystonia akathisia parkinsonism tardive dyskinesia 7 recognize the signs of each and what medications are used to treat these side effects I What are the indications for when you should use the various forms of medications PO versus IM amp sublingual fastacting versus decanoate longactingslowrelease eg if patient is forgetful about taking daily medication a decanoate might be useful Sample Questions 1 A schizophrenic client has recently begun a new medication clozapine Clozaril The nurse is aware that a potentially fatal side effect of this medication is A Agranulocytosis B Akathisia C Dystonia D Akinesia 2 Carol has made an appointment to see her primary care provider because of increased anxiety She sees a nurse practitioner who performs a physical examination and takes a detailed history The psychiatrist diagnoses Carol with anxiety disorder Which of the following medications is prescribed for anxiety A Chlorprom azine Thorazine B Clozapine Clozaril C Diazepam Valium D Methylphenidate Ritalin 3 Which of the following medications would the nurse expect to administer when observing that a patient seems to be fidgety demonstrates motor restlessness and jiggles his legs when asked to sit down A Olanzapine Zyprexa B Molindone Moban C Benztropine Cogentin D Thioridazine Mellaril


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