ESSENTIALS OF PSYCHIATRIC NURSING BY
ANN ACTUAL TEST PAPER QUESTIONS AND
SOLUTIONS
◉ Which medications commonly cause serotonin syndrome?
Answer: SSRIs, SNRIs, MAOIs, St. John's Wort, and tramadol.
◉ How is serotonin syndrome treated?
Answer: Stop serotonergic drugs, provide supportive care, and use
cyproheptadine if severe.
◉ Foods that must be avoided with MAOIs?
Answer: Tyramine-rich foods: aged cheese, wine, cured meats,
fermented foods, and soy sauce.
◉ Why avoid tyramine with MAOIs?
Answer: To prevent a hypertensive crisis.
◉ What is the antidote for lithium toxicity?
Answer: No specific antidote; stop lithium, give IV fluids, or use
hemodialysis.
, ◉ Normal lithium therapeutic range?
Answer: 0.6-1.2 mEq/L.
◉ Signs of mild lithium toxicity?
Answer: Nausea, vomiting, diarrhea, and fine tremor.
◉ Signs of severe lithium toxicity?
Answer: Confusion, seizures, coma, and severe tremor.
◉ What sodium teaching is important with lithium?
Answer: Maintain consistent sodium and fluid intake.
◉ Labs that should always be monitored with lithium?
Answer: Serum lithium level, kidney function, and thyroid function.
◉ Priority intervention for suicidal ideation?
Answer: Safety precautions and direct suicide assessment.
◉ Can asking about suicide increase suicide risk?
Answer: No.
◉ What is the SAD PERSONS mnemonic used for?
ANN ACTUAL TEST PAPER QUESTIONS AND
SOLUTIONS
◉ Which medications commonly cause serotonin syndrome?
Answer: SSRIs, SNRIs, MAOIs, St. John's Wort, and tramadol.
◉ How is serotonin syndrome treated?
Answer: Stop serotonergic drugs, provide supportive care, and use
cyproheptadine if severe.
◉ Foods that must be avoided with MAOIs?
Answer: Tyramine-rich foods: aged cheese, wine, cured meats,
fermented foods, and soy sauce.
◉ Why avoid tyramine with MAOIs?
Answer: To prevent a hypertensive crisis.
◉ What is the antidote for lithium toxicity?
Answer: No specific antidote; stop lithium, give IV fluids, or use
hemodialysis.
, ◉ Normal lithium therapeutic range?
Answer: 0.6-1.2 mEq/L.
◉ Signs of mild lithium toxicity?
Answer: Nausea, vomiting, diarrhea, and fine tremor.
◉ Signs of severe lithium toxicity?
Answer: Confusion, seizures, coma, and severe tremor.
◉ What sodium teaching is important with lithium?
Answer: Maintain consistent sodium and fluid intake.
◉ Labs that should always be monitored with lithium?
Answer: Serum lithium level, kidney function, and thyroid function.
◉ Priority intervention for suicidal ideation?
Answer: Safety precautions and direct suicide assessment.
◉ Can asking about suicide increase suicide risk?
Answer: No.
◉ What is the SAD PERSONS mnemonic used for?
