Question

1. under f605, how often must a nursing facility attempt a reduction of a psychotropic medication the first year it is started?

two separate quarters with at least 1 month between attempts
two separate quarters with at least 3 months between attempts
every 3 months
every 6 months

1. which adverse effects may occur with the use of antidepressants?

serotonin syndrome
tardive dyskinesia
leukopenia
neuroleptic malignant syndrome

1. bertha has been complaining about having difficulty sleeping at night. she has asked her physician to prescribe a hypnotic medication to help her sleep. what should you do as part of her evaluation?

document that bertha has specifically requested the use of the medication
assess for environmental factors that may be preventing bertha from sleeping
tell bertha that she cannot use hypnotic medications due to the risk of falls
encourage her to take more frequent naps during the day

1. which type of medication can cause changes in metabolism that can cause weight gain and may increase the risk of diabetes and high cholesterol in individuals?

mood stabilizers
antidepressants
antipsychotics
hypnotics

1. which is a disorder of involuntary muscle movements caused by long - term use of primarily typical antipsychotic drugs?

Explanation:

1. Regulatory requirements for psychotropic - medication reduction in nursing facilities state two separate quarters with at least 3 months between attempts in the first year.
2. Serotonin syndrome is a known adverse effect of antidepressants due to excessive serotonin activity.
3. Before prescribing a hypnotic, environmental factors that could be causing sleep - problems should be assessed as part of a comprehensive evaluation.
4. Antipsychotics are known to cause metabolic changes leading to weight gain and increased risk of diabetes and high cholesterol.
5. Tardive dyskinesia is a disorder of involuntary muscle movements caused by long - term use of typical antipsychotic drugs.

Answer:

1. Two separate quarters with at least 3 months between attempts
2. Serotonin syndrome
3. Assess for environmental factors that may be preventing Bertha from sleeping
4. Antipsychotics
5. Tardive dyskinesia