NR546 WEEK 5 EXAM REVIEW | MOOD DISORDERS &
TREATMENT | COMPREHENSIVE NURSING PHARMACOLOGY
1. What is a primary reason for exercising caution when prescribing
antidepressants to clients with bipolar disorder?
They have no side effects.
They may trigger manic episodes.
They are ineffective for bipolar disorder.
They are only prescribed for Major Depressive Disorder.
2. Which of the following is a contraindication to using Wellbutrin (bupropion):
all of the above are contraindications
alcohol/benzodiazepine/anti-epileptic withdrawal
anorexia or bulimia nervosa
seizure history or significant head trauma
3. What is a key characteristic of Bipolar Type II disorder?
Presence of mixed episodes
Presence of only manic episodes
Presence of only depressive episodes
Presence of at least one major depressive episode and at least one
hypomanic episode
4. What is a key contraindication for prescribing bupropion (Wellbutrin)?
Seizure disorders
Hypertension
, Heart disease
Diabetes
5. What is the first step in the recommended approach for initiating
antidepressant medication in clients with mood disorders?
Assess the client's symptoms and history.
Prescribe the highest dose immediately.
Start with a combination of medications.
Refer the client to a psychiatrist.
6. Diagnosis for Bipolar II requires:
Presence of one manic episode
Presence of MDD and one manic episode
Presence of one mixed episode
Presence of MDD and one hypomanic episode
7. What is the definition of serotonin syndrome?
A type of mood disorder.
A mild side effect of antidepressants.
A potentially life-threatening condition resulting from excessive
serotonergic activity.
A common withdrawal symptom from antidepressants.
8. If a patient with Major Depressive Disorder presents with significant somatic
symptoms, which medication would be most appropriate to consider and
why?
, Bupropion (Wellbutrin) is preferred for its stimulant effects.
Lithium is the best choice for treating somatic symptoms in depression.
Duloxetine (Cymbalta) would be appropriate due to its efficacy in
treating somatic symptoms of depression.
Fluoxetine (Prozac) should be used as it is the first-line treatment for
all types of depression.
9. Damage to the nucleus accumbens would be most likely to interfere with
what type of function?
Reward Processing
Language abilities (temporal)
Motor control (parietal)
Visual processing (occipital)
10. A client reports experiencing insomnia after starting NDRIs. What adjustment
should be considered in their medication regimen?
Taking the medication with food.
Taking the medication earlier in the day.
Increasing the dosage of the medication.
Switching to a different class of antidepressants.
11. Describe how the PMHNP contributes to the medication management of
patients with Major Depressive Disorder (MDD).
The PMHNP evaluates patients, prescribes appropriate
antidepressants, and monitors for side effects and effectiveness.
The PMHNP only provides therapy and does not prescribe
medications.
, The PMHNP focuses solely on diagnosing mood disorders without
treatment.
The PMHNP refers all medication management to psychiatrists.
12. Describe the importance of educating clients about the potential side
effects of SSRIs.
Clients should only be informed if they experience side effects.
Clients should not be informed about side effects to avoid anxiety.
Educating clients about potential side effects helps them manage
expectations and adhere to treatment.
Side effects are irrelevant to the effectiveness of the medication.
13. A rare but concerning side effect of trazodone is?
Seizure
Rhabdomyolysis
Priapism
Agranulocytosis
14. Describe the common side effects associated with the use of SSRIs in
treating mood disorders.
Common side effects of SSRIs include nausea, insomnia, sexual
dysfunction, and weight gain.
SSRIs primarily cause respiratory problems.
SSRIs are known to cause only gastrointestinal issues.
SSRIs have no significant side effects.
TREATMENT | COMPREHENSIVE NURSING PHARMACOLOGY
1. What is a primary reason for exercising caution when prescribing
antidepressants to clients with bipolar disorder?
They have no side effects.
They may trigger manic episodes.
They are ineffective for bipolar disorder.
They are only prescribed for Major Depressive Disorder.
2. Which of the following is a contraindication to using Wellbutrin (bupropion):
all of the above are contraindications
alcohol/benzodiazepine/anti-epileptic withdrawal
anorexia or bulimia nervosa
seizure history or significant head trauma
3. What is a key characteristic of Bipolar Type II disorder?
Presence of mixed episodes
Presence of only manic episodes
Presence of only depressive episodes
Presence of at least one major depressive episode and at least one
hypomanic episode
4. What is a key contraindication for prescribing bupropion (Wellbutrin)?
Seizure disorders
Hypertension
, Heart disease
Diabetes
5. What is the first step in the recommended approach for initiating
antidepressant medication in clients with mood disorders?
Assess the client's symptoms and history.
Prescribe the highest dose immediately.
Start with a combination of medications.
Refer the client to a psychiatrist.
6. Diagnosis for Bipolar II requires:
Presence of one manic episode
Presence of MDD and one manic episode
Presence of one mixed episode
Presence of MDD and one hypomanic episode
7. What is the definition of serotonin syndrome?
A type of mood disorder.
A mild side effect of antidepressants.
A potentially life-threatening condition resulting from excessive
serotonergic activity.
A common withdrawal symptom from antidepressants.
8. If a patient with Major Depressive Disorder presents with significant somatic
symptoms, which medication would be most appropriate to consider and
why?
, Bupropion (Wellbutrin) is preferred for its stimulant effects.
Lithium is the best choice for treating somatic symptoms in depression.
Duloxetine (Cymbalta) would be appropriate due to its efficacy in
treating somatic symptoms of depression.
Fluoxetine (Prozac) should be used as it is the first-line treatment for
all types of depression.
9. Damage to the nucleus accumbens would be most likely to interfere with
what type of function?
Reward Processing
Language abilities (temporal)
Motor control (parietal)
Visual processing (occipital)
10. A client reports experiencing insomnia after starting NDRIs. What adjustment
should be considered in their medication regimen?
Taking the medication with food.
Taking the medication earlier in the day.
Increasing the dosage of the medication.
Switching to a different class of antidepressants.
11. Describe how the PMHNP contributes to the medication management of
patients with Major Depressive Disorder (MDD).
The PMHNP evaluates patients, prescribes appropriate
antidepressants, and monitors for side effects and effectiveness.
The PMHNP only provides therapy and does not prescribe
medications.
, The PMHNP focuses solely on diagnosing mood disorders without
treatment.
The PMHNP refers all medication management to psychiatrists.
12. Describe the importance of educating clients about the potential side
effects of SSRIs.
Clients should only be informed if they experience side effects.
Clients should not be informed about side effects to avoid anxiety.
Educating clients about potential side effects helps them manage
expectations and adhere to treatment.
Side effects are irrelevant to the effectiveness of the medication.
13. A rare but concerning side effect of trazodone is?
Seizure
Rhabdomyolysis
Priapism
Agranulocytosis
14. Describe the common side effects associated with the use of SSRIs in
treating mood disorders.
Common side effects of SSRIs include nausea, insomnia, sexual
dysfunction, and weight gain.
SSRIs primarily cause respiratory problems.
SSRIs are known to cause only gastrointestinal issues.
SSRIs have no significant side effects.
