Study Guide—Exam I—Summer 2010

5 Benchmarks in the evolution of modern psychiatric care
DSM-IV
5 Axes
Therapeutic communication
Defense mechanisms
Phases of the nurse-patient relationship
Neurotransmitters (GABA, Dopamine, Serotonin, Norepinephrine)
Mental Status Exam
Culturally competent nursing
Continuum of care
Lithium (therapeutic levels; signs of toxicity)
Clozaril/what to monitor
Anticholinergics/side effects
MAOIs
Hypertensive crisis 
Diet for MAOI meds
Neuroleptic Malignant syndrome
TCAs/side effects
SSRIs and side effects of
Tardive Dyskinesia
EPS
Positive/Negative symptoms of schizophrenia

Know simple med calculations.

Sample Questions:

1.	Which of the following are categories of antidepressants?

A.	Serotonin and norepinephrine.
B.	Tricyclics and Serotonin Selective Reuptake Inhibitors.
C.	Ataxia and barbituates.
D.	Antagonist and Agonist.

2.	When administering Haldol the nurse should be particularly observant for:

A.	Headache.
B.	Upset stomach.
C.	Extra-pyramidal Side Effects (EPS)
D.	Orthostatic hypotension.

3.	A client is receiving nortriptyline (Pamelor). Information that should be an important part of teaching the client about their medication is:

A.	Do not eat aged cheese while taking this medication.
B.	Do not eat foods containing tyramine.
C.	It might be 2-4 weeks before you notice improvements from this medication.
D.	You should notice an orange color tint to your urine.

4.	When talking with a client, the client asks the nurse to keep some information confidential because she states that she considers the nurse a “friend”. The nurse would incorporate which of the following concepts when responding to the client?

A.	Being friends helps establish trust between the client and nurse.
B.	Relationship boundaries are necessary for a therapeutic relationship.
C.	The request for confidentiality is appropriate under certain circumstances.
D.	The client is attempting to control the discussion.

5.	Prozac (Fluoxetine) exerts its antidepressant effect by blocking the reuptake of

A.	GABA
B.	Dopamine.
C.	Serotonin.
D.	Norepinephrine.