Pharmacology & Medication Management Flashcards
7 cards from real ACT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pharmacology & Medication Management flashcards as text
A client taking an SSRI for depression asks about starting St. John's Wort to boost the effect. What is the primary concern?
Answer: Serotonin syndrome risk
Combining SSRIs with St. John's Wort can cause serotonin syndrome due to additive serotonergic effects.
Which class of medications is most commonly associated with discontinuation syndrome if stopped abruptly?
Answer: SSRIs and SNRIs
SSRIs and SNRIs frequently cause discontinuation syndrome (dizziness, flu-like symptoms, 'brain zaps') when stopped abruptly.
A client on lithium therapy reports nausea, tremor, and polyuria. The therapist's most appropriate action is to:
Answer: Refer to the prescribing physician immediately
These symptoms may indicate lithium toxicity, requiring immediate medical evaluation as the window between therapeutic and toxic levels is narrow.
In ACT-integrated care, the therapist's role regarding a client's psychiatric medication is best described as:
Answer: Collaborating with prescribers while maintaining scope of practice
ACT therapists coordinate with prescribers as part of integrated care while remaining within their non-prescribing scope of practice.
A client expresses that their antidepressant 'numbs' their emotions and they want to stop. The ACT-consistent response prioritizes:
Answer: Exploring the client's values and facilitating a conversation with their prescriber
ACT supports client autonomy and values-based decision-making while encouraging coordination with the prescribing physician.
Which medication used in ADHD treatment has the highest potential for abuse and requires a DEA Schedule II prescription?
Answer: Amphetamine salts (Adderall)
Amphetamine salts are Schedule II controlled substances due to their high potential for abuse and dependence.
A client taking an MAOI asks if they can eat aged cheese at a dinner party. The therapist should advise:
Answer: Aged cheese is contraindicated due to tyramine content
MAOIs combined with tyramine-rich foods like aged cheese can cause a hypertensive crisis.