Jake, a forty-five-year-old patient with schizophrenia, was recently hospitalized for acute psychosis due to medication noncompliance. He was treated with intramuscular (IM) long-acting haloperidol.

Jake, a forty-five-year-old patient with schizophrenia, was recently hospitalized for acute psychosis due to medication noncompliance. He was treated with intramuscular (IM) long-acting haloperidol.

Jake, a forty-five-year-old patient with schizophrenia, was recently hospitalized for acute psychosis due to medication noncompliance. He was treated with intramuscular (IM) long-acting haloperidol. Besides being monitored for his schizophrenia symptoms, the patient should be assessed by his primary care provider:For excessive weight lossWith the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal symptoms (EPS) symptomsMonthly for tolerance to the haloperidolOnly by the mental health provider as most nurse practitioners in primary care do not care for mentally ill patientsQuestion 2. Sarah, a forty-two-year-old female, requests a prescription for an anorexiant to treat her obesity. A trial of phentermine is prescribed. Prescribing precautions include understanding that:Obesity is a contraindication to prescribing phentermine.Anorexiants may cause tolerance and should only be prescribed for six months.Patients should be monitored for postural hypotension.Renal function should be monitored closely while the patient is on anorexiants.Question 3. Cara is taking levetiracetam (Keppra) to treat seizures. Routine education for levetiracetam includes reminding her:To not abruptly discontinue levetiracetam due to the risk of withdrawal seizuresTo wear a sunscreen due to photosensitivity from levetiracetamTo get an annual eye exam while on levetiracetamTo report weight loss if it occursQuestion 4. A nineteen-year-old male was started on risperidone. Monitoring for risperidone includes observing for common side effects, including:Bradykinesia, akathisia, and agitationExcessive weight gainHypertensionPotentially fatal agranulocytosisQuestion 5. Prior to starting antidepressants, patients should have laboratory testing to rule out:HypothyroidismAnemiaDiabetes mellitusLow estrogen levelsQuestion 6. An appropriate first-line drug to try for mild to moderate generalized anxiety disorder would be:Alprazolam (Xanax)Diazepam (Valium)Buspirone (Buspar)Amitriptyline (Elavil)Question 7. Monitoring for a child on methylphenidate for ADHD includes:ADHD symptomsRoutine height and weight checksAmount of methylphenidate being usedAll of the aboveQuestion 8. Six-year-old Lucy has recently been started on ethosuximide (Zarontin) for seizures. She should be monitored for:Increased seizure activity as this drug may auto-induce seizuresAltered renal function, including renal failureBlood dyscrasias, which are uncommon but possibleCNS excitement, leading to insomniaQuestion 9. An appropriate first-line drug for the treatment of depression with fatigue and low energy would be:Venlafaxine (Effexor)Escitalopram (Lexapro)Buspirone (Buspar)Amitriptyline (Elavil)Question 10. Cecilia presents with depression associated with complaints of fatigue, sleeping all the time, and lack of motivation. An appropriate initial antidepressant for her would be:Fluoxetine (Prozac)Paroxetine (Paxil)Amitriptyline (Elavil)Duloxetine (Cymbalta)Question 11.

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