Question 1

The nurse is caring for a patient who is taking a newly prescribed drug,nefazodone,for treatment of depression.Which physical assessment finding is most important for the nurse to report to the health care provider immediately?

Accepted Answer

A)   Bradycardia
B)   Dizziness
C)   Drowsiness
D)   Urinary retention

Question 2

What will the nurse include in a teaching plan for a patient with depression being treated with amitriptyline (Elavil) ?(Select all that apply.)

Accepted Answer

A)   Dryness of the mouth is normal; sucking on sugar free hard candy and ice chips or chewing gum may help alleviate this problem.
B)   Rise slowly from a supine or sitting position to avoid dizziness and orthostatic hypotension.
C)   Avoid alcohol and barbiturates.
D)   If adverse effects occur, discontinue the medication.
E)   An immediate elevation in mood will be noted.

Question 3

A patient taking vilazodone has been vomiting persistently for 12 hours.The priority nursing diagnosis for this patient is

Accepted Answer

A)   nausea.
B)   imbalanced nutrition (less than body requirements) .
C)   fluid volume deficit.
D)   altered peripheral tissue perfusion. C

Question 4

Which postoperative narcotic analgesic will most likely be prescribed to a patient whose current medications include a monoamine oxidase inhibitor (MAOI) ,a thyroid hormone,and a multivitamin?

Accepted Answer

A)   Meperidine (Demerol) 
B)   Morphine
C)   Ibuprofen (Advil) 
D)   Acetaminophen (Tylenol)

Question 5

Which food(s) containing significant amounts of tyramine will be contraindicated when a patient is on MAOI therapy?(Select all that apply.)

Accepted Answer

A)   Beer
B)   Red meat
C)   Aged cheeses
D)   Green vegetables
E)   Bananas A,C,E

Question 6

Which nursing action is most important when providing care to a patient diagnosed with a mood disorder?

Accepted Answer

A)   Assess the patient for thoughts of suicide.
B)   Provide supplemental feedings as needed.
C)   Assist with activities of daily living.
D)   Offer opportunities for interaction with other patients.

Question 7

What is the major advantage of selective serotonin reuptake inhibitors (SSRIs) over other types of antidepressant therapy?(Select all that apply.)

Accepted Answer

A)   They are less expensive than the other classes of antidepressants.
B)   They cure major depressive illnesses.
C)   They do not cause the anticholinergic and cardiovascular adverse effects.
D)   Therapeutic relief is immediate.

Question 8

The nurse must be sure to instruct the patient about which potential adverse effect(s) of tricyclic antidepressants?(Select all that apply.)

Accepted Answer

A)   Diarrhea
B)   Dryness of mouth, nose, and throat
C)   Constipation
D)   Nocturia
E)   Urinary retentionF)  Blurred vision

Question 9

Which statement(s) is/are true regarding the pharmacologic actions of certain antidepressant drugs?(Select all that apply.)

Accepted Answer

A)   MAOIs block the effects of dopamine in the CNS.
B)   SSRIs inhibit the destruction and reuptake of serotonin at the synaptic cleft.
C)   Tricyclic antidepressants block the action of norepinephrine and epinephrine in the SNS.
D)   Monocyclic antidepressants such as bupropion (Wellbutrin)  have an unknown mechanism of action.
E)   SNRIs prolong the action of neurotransmitters by decreasing the destruction of serotonin and norepinephrine.

Question 10

What is the action of MAOIs on neurotransmitters?

Accepted Answer

A)   Blocking their reuptake
B)   Increasing their production
C)   Blocking their destruction
D)   Increasing their reuptake

Question 11

Which drug(s) interact(s) with SSRI agents?

Accepted Answer

A)   Tranylcypromine (Parnate) 
B)   Lithium (Eskalith) 
C)   Warfarin (Coumadin) 
D)   Furosemide (Lasix) 
E)   Propranolol (Inderal)  A,B,C,E

Question 12

The nurse is preparing 0800 medications for a patient with the medical diagnosis of end stage renal disease.When reviewing the medication administration record (MAR) ,the nurse notices the patient is scheduled to receive an MAOI drug.Which intervention(s) will the nurse perform before administering the drug?(Select all that apply.)

Accepted Answer

A)   Assess temperature.
B)   Provide an alternative drug.
C)   Hold the MAOI drug.
D)   Consult with the prescribing health care provider.
E)   Assess urine output prior to administration.

Question 13

On what is the choice of tricyclic antidepressants based?

Accepted Answer

A)   The need to decrease the action of norepinephrine, dopamine, or serotonin
B)   Patient age and gender
C)   An absence of adverse effects, such as orthostatic hypotension
D)   The need for stimulation and increased mental alertness

Question 14

Which nursing assessment(s) is/are important before the initiation of antidepressant therapy?(Select all that apply.)

Accepted Answer

A)   Compliance with medication therapy within the last 2 months
B)   Nonverbal interactions among patient and significant others present
C)   Evaluation of the coherency, relevancy, and organization of thoughts in responses
D)   Appearance and posture
E)   Elimination pattern

Question 15

Lithium (Eskalith) is the drug of choice for which of the following disorders?(Select all that apply.)

Accepted Answer

A)   Psychotic episodes
B)   Obsessive compulsive disorders (OCDs) 
C)   Bipolar disorders
D)   Depressive disorders

Question 16

The nurse is teaching a patient about medication treatment for depression.The patient asks how long it will take before sleep and appetite will begin to improve.Which response by the nurse is most accurate?

Accepted Answer

A)   3 days
B)   1 week
C)   4 weeks
D)   2 months

Question 17

Which assessment would the nurse expect to observe in a patient who has been prescribed trazodone for treatment anxiety?

Accepted Answer

A)   Excessive thirst
B)   Hand tremor
C)   Drowsiness
D)   Diarrhea

Question 18

Which psychological manifestation of depression will improve in response to antidepressant therapy?

Accepted Answer

A)   Loss of energy
B)   Palpitations
C)   Sleep disturbances
D)   Social withdrawal

Question 19

Which area(s) should be addressed by the nurse when obtaining a history of a patient admitted with depression?(Select all that apply.)

Accepted Answer

A)   Current medications and medical history
B)   Recent stressors and support system
C)   Family history of mood disorder
D)   Dietary patterns
E)   Insurance coverage

Question 20

A patient is admitted to a long-term psychiatric setting.The MAOI medication previously prescribed is discontinued by the physician.New orders are obtained to initiate imipramine therapy.The nurse will provide the first dose of imipramine to the patient _____ the MAOI drug.

Accepted Answer

A)   immediately following the last dose of
B)   in 1 week following the last dose of
C)   in 14 days following the last dose of
D)   before discontinuing

Exam 16: Drugs Used for Depressive and Bipolar Disorders

The nurse is caring for a patient who is taking a newly prescribed drug,nefazodone,for treatment of depression.Which physical assessment finding is most important for the nurse to report to the health care provider immediately?

Correct Answer
verified

What will the nurse include in a teaching plan for a patient with depression being treated with amitriptyline (Elavil) ?(Select all that apply.)

Correct Answer
verified

A patient taking vilazodone has been vomiting persistently for 12 hours.The priority nursing diagnosis for this patient is

Correct Answer
verified
C

Which postoperative narcotic analgesic will most likely be prescribed to a patient whose current medications include a monoamine oxidase inhibitor (MAOI) ,a thyroid hormone,and a multivitamin?

Correct Answer
verified

Which food(s) containing significant amounts of tyramine will be contraindicated when a patient is on MAOI therapy?(Select all that apply.)

Correct Answer
verified
A,C,E

Which nursing action is most important when providing care to a patient diagnosed with a mood disorder?

Correct Answer
verified

What is the major advantage of selective serotonin reuptake inhibitors (SSRIs) over other types of antidepressant therapy?(Select all that apply.)

Correct Answer
verified

The nurse must be sure to instruct the patient about which potential adverse effect(s) of tricyclic antidepressants?(Select all that apply.)

Correct Answer
verified

Which statement(s) is/are true regarding the pharmacologic actions of certain antidepressant drugs?(Select all that apply.)

Correct Answer
verified

What is the action of MAOIs on neurotransmitters?

Correct Answer
verified

Which drug(s) interact(s) with SSRI agents?

Correct Answer
verified
A,B,C,E

Correct Answer
verified

On what is the choice of tricyclic antidepressants based?

Correct Answer
verified

Which nursing assessment(s) is/are important before the initiation of antidepressant therapy?(Select all that apply.)

Correct Answer
verified

Lithium (Eskalith) is the drug of choice for which of the following disorders?(Select all that apply.)

Correct Answer
verified

The nurse is teaching a patient about medication treatment for depression.The patient asks how long it will take before sleep and appetite will begin to improve.Which response by the nurse is most accurate?

Correct Answer
verified

Which assessment would the nurse expect to observe in a patient who has been prescribed trazodone for treatment anxiety?

Correct Answer
verified

Which psychological manifestation of depression will improve in response to antidepressant therapy?

Correct Answer
verified

Which area(s) should be addressed by the nurse when obtaining a history of a patient admitted with depression?(Select all that apply.)

Correct Answer
verified

A patient is admitted to a long-term psychiatric setting.The MAOI medication previously prescribed is discontinued by the physician.New orders are obtained to initiate imipramine therapy.The nurse will provide the first dose of imipramine to the patient _____ the MAOI drug.

Correct Answer
verified

Exam 16: Drugs Used for Depressive and Bipolar Disorders

The nurse is caring for a patient who is taking a newly prescribed drug,nefazodone,for treatment of depression.Which physical assessment finding is most important for the nurse to report to the health care provider immediately?

Correct AnswerverifiedShow Answer

What will the nurse include in a teaching plan for a patient with depression being treated with amitriptyline (Elavil) ?(Select all that apply.)

Correct AnswerverifiedShow Answer

A patient taking vilazodone has been vomiting persistently for 12 hours.The priority nursing diagnosis for this patient is

Correct AnswerverifiedC

Which postoperative narcotic analgesic will most likely be prescribed to a patient whose current medications include a monoamine oxidase inhibitor (MAOI) ,a thyroid hormone,and a multivitamin?

Correct AnswerverifiedShow Answer

Which food(s) containing significant amounts of tyramine will be contraindicated when a patient is on MAOI therapy?(Select all that apply.)

Correct AnswerverifiedA,C,E

Which nursing action is most important when providing care to a patient diagnosed with a mood disorder?

Correct AnswerverifiedShow Answer

What is the major advantage of selective serotonin reuptake inhibitors (SSRIs) over other types of antidepressant therapy?(Select all that apply.)

Correct AnswerverifiedShow Answer

The nurse must be sure to instruct the patient about which potential adverse effect(s) of tricyclic antidepressants?(Select all that apply.)

Correct AnswerverifiedShow Answer

Which statement(s) is/are true regarding the pharmacologic actions of certain antidepressant drugs?(Select all that apply.)

Correct AnswerverifiedShow Answer

What is the action of MAOIs on neurotransmitters?

Correct AnswerverifiedShow Answer

Which drug(s) interact(s) with SSRI agents?

Correct AnswerverifiedA,B,C,E

Correct AnswerverifiedShow Answer

On what is the choice of tricyclic antidepressants based?

Correct AnswerverifiedShow Answer

Which nursing assessment(s) is/are important before the initiation of antidepressant therapy?(Select all that apply.)

Correct AnswerverifiedShow Answer

Lithium (Eskalith) is the drug of choice for which of the following disorders?(Select all that apply.)

Correct AnswerverifiedShow Answer

The nurse is teaching a patient about medication treatment for depression.The patient asks how long it will take before sleep and appetite will begin to improve.Which response by the nurse is most accurate?

Correct AnswerverifiedShow Answer

Which assessment would the nurse expect to observe in a patient who has been prescribed trazodone for treatment anxiety?

Correct AnswerverifiedShow Answer

Which psychological manifestation of depression will improve in response to antidepressant therapy?

Correct AnswerverifiedShow Answer

Which area(s) should be addressed by the nurse when obtaining a history of a patient admitted with depression?(Select all that apply.)

Correct AnswerverifiedShow Answer

A patient is admitted to a long-term psychiatric setting.The MAOI medication previously prescribed is discontinued by the physician.New orders are obtained to initiate imipramine therapy.The nurse will provide the first dose of imipramine to the patient _____ the MAOI drug.

Correct AnswerverifiedShow Answer

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C

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A,C,E

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A,B,C,E

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