Psychiatric Technician Practice Exam

What should the psychiatric technician seek clarification about from a physician regarding a client's medication administration?

1. A tricyclic antidepressant and a monoamine oxidase inhibitor antidepressant

2. A benzodiazepine and a beta-blocker

3. Two antipsychotic medications

4. An antibiotic and an antifungal

The correct answer is: A tricyclic antidepressant and a monoamine oxidase inhibitor antidepressant

The psychiatric technician should seek clarification about the combination of a tricyclic antidepressant and a monoamine oxidase inhibitor (MAOI) antidepressant due to the potential for severe drug interactions when these two types of medications are prescribed together. Tricyclic antidepressants and MAOIs can both increase serotonin levels, but when used concurrently, there is a significant risk of serotonin syndrome, which can be life-threatening. Additionally, the MAOI can cause hypertensive crises if certain dietary restrictions are not followed. This makes it crucial for the psychiatric technician to confirm the appropriateness of this medication regimen with the physician. The other combinations present fewer immediate concerns. For instance, benzodiazepines and beta-blockers often complement each other in treating anxiety and panic disorders without major drug interaction issues. Similarly, two antipsychotic medications might raise concerns about increased side effects, but they are sometimes used together strategically under careful medical supervision. The combination of an antibiotic and an antifungal typically does not present significant interaction risks, making it less critical for clarification.