PI is a 42-year-old patient that has been successfully treated with clozapine (Clozaril) for the past nine months. This am, PI attempts to cancel an appointment with her physician because of flu-like symptoms including sore throat, fever and fatigue. What would be the best response by the RN taking the call:  

LP is prescribed nortriptyline (Pamelor) as part of a treatment protocol to treat symptoms associated with depression including decreased appetite, depressed mood, frequent wakening, psychomotor retardation and loss of pleasure in all activities. To promote medication adherence and safety, the nurse provides the following education to the patient:

Negative symptoms of schizophrenia include all of the following except:  

By marking “Yes”, I am acknowledging my personal responsibility for maintaining the integrity of the examination process. I will keep all personal items, such as cell phones, or other electronic devices turned off and securely stored during all testing procedures. I will not leave the room (testing area) during the exam. Restroom breaks should be taken before or after taking the exam. I will not attempt to access the internet, use a phone, watch, iPad, tablet, etc. or otherwise communicate with outside resources during the exam. I will maintain the integrity of the exam process by refraining from discussing exam items with anyone other than my professor until exam grades are posted. I will follow-up with my professor(s) after the exam, if I have questions or concerns about my exam performance. I understand that cheating is a violation of the university’s code of conduct. I also understand that my exam will not be graded until I sign this agreement.

NV, a 42 year old patient diagnosed with Major Depressive Disorder has received six ECT treatments in the last two weeks. He is experiencing one of the most common side effects of ECT treatment. What is the most common side effect patients often experience as a result of ECT?

MI is a 29-year-old male admitted to the psychiatric mental health unit complaining that his neighbors are trying to poison his dog and want to take over his house so they can start making crystal meth. He is disheveled and malodorous.  During his admission assessment the nurse notices that his eyes dart back and forth and he frequently stands up to check the door. His affect is flat and he responds in a monotone voice. It is not clear if he is taking the medication on a regular basis as he states: “that stuff makes me feel stoned.  I can’t think straight and it gives me the shakes.” This is his second admission in three months.  His physician has ordered Aripiprazole (Abilify) 10mg po in the am.    Question 18: Abilify (aripiprazole) is classified as a(n):

NT, a 32 year old patient recently admitted to a locked unit is status post suicide attempt (overdose) after a recent break-up with her girlfriend. She has a history of depression but has never been in treatment. She asks you what is currently considered the best approach to assist people living with depression. The best response would include: 

The RN on the evening shift has noticed subtle changes in the behavior of KO, (a 51-year-old women diagnosed with schizophrenia, paranoid type) over the past several days. Her observations include facial grimacing, jaw swinging, repetitive chewing and an elevated temperature.  Benztropine (Cogentin) 2mg intramuscular (IM) was given 60 minutes ago. No changes in behavior were noted. These symptoms may be a result of:

TC has been diagnosed with Bipolar Type I and has been prescribed Lithium Carbonate 300 mg po TID and 600 mg QHS. TC is experiencing diarrhea, drowsiness, muscular weakness, ataxia, tinnitus and blurred vision. The RN caring for TC requested a stat serum lithium level. Given the above noted symptoms, the RN might expect the following lab results:

What critical information should the nurse provide about the use of Depakote (Valproic Acid)?