NURS 660 Exam 2 Study Questions With Complete Solutions
NURS 660 Exam 2 Study Questions With Complete Solutions
1. What occurs with mania associated with bipolar disorder
a. Varying degrees of sadness
b. Distinct episodes of elation
c. Suicide
d. Psychomotor retardation: B
2. 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? a. Meperidine
(Demerol)
b. Morphine
c. Ibuprofen (Advil)
d. Acetaminophen (Tylenol): B
3. What is the major advantage of selective serotonin reuptake inhibitors
(SSRIs) over other types of antidepressant therapy?
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: C
4. Lithium (Eskalith) is the drug of choice for which of the following disorders?
a. Psychotic episodes
b. Obsessive compulsive disorders (OCDs)
c. Bipolar disorders
d. Depressive disorders: C
5. Which psychological manifestations of depression will improve in
response to antidepressant therapy? a. Loss of energy
b. Palpitations
c. Sleep disturbances
d. Social withdrawal: D
6. On what is the choice of tricyclic antidepressants based?
a. The need to decrease the action of norepinephrine, dopamine, or serotonin
b. Patient age and gender
, NURS 660 Exam 2 STUDY
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c. An absence of adverse effects, such as orthostatic hypotension
d. The need for stimulation and increased mental alertness: B
7. 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? a. 3
days
b. 1 week
c. 4 weeks
d. 2 months: B
8. What is the action of MAOIs on neurotransmitters?
a. Blocking their reuptake
b. Increasing their production
c. Blocking their destruction
d. Increasing their reuptake: C
9. A patient who is taking an MAOI to treat depression admits to eating pickled
herring and cheese and drinking red wine. Which assessment finding alerts
the nurse to a potential complication? a. Constipation
b. Hypotension
c. Neck stiffness
d. Urinary retention: C
10. Which assessment would the nurse expect to observe in a patient who
has been prescribed trazodone for treatment of anxiety? a. Excessive thirst
b. Hand tremor
c. Drowsiness
d. Diarrhea: C
11. The nurse is caring for a patient who is taking a newly prescribed drug
nefazodone, for treatment of depression. Which physical assessment finding
is important for the nurse to report to the health care provider immediately?
a. Bradycardia
b. Dizziness
c. Drowsiness
d. Urinary retention: A
12. The nurse is providing education to a patient who has been prescribed
bupropion (Wellbutrin) for smoking cessation. Which statement by the patient
, NURS 660 Exam 2 Study Questions With Complete Solutions
would indicate the need for further teaching? a. My dose will increase after 3
days
b. I should swallow the medication whole
c. If I have the urge to smoke, I will take more medication
d. I do not need to taper my dose when the drug is discontinued: C
13. Which nursing action is most important when providing care to a patient
diagnosed with a mood disorder?
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: A
14. 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. 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: C
15. A patient taking vilazodone has been vomiting persistently for 12 hours.
The priority nursing diagnosis for this patient is a. Nausea
b. Imbalanced nutrition (less than body requirements)
c. Fluid volume deficit
d. Altered peripheral tissue perfusion: C
16. 1. You are admitting a new patient who is depressed. Your initial contact
should do what?
a. Address why he is depressed
b. Keep communication open
c. Lift his spirits
d. Establish trust: D
17. 1. In caring for a patient with major depression, the nurse knows that the
patient needs
a. Frequent changes in activities
b. Introduction to multiple new staff members
, NURS 660 Exam 2 STUDY
Study online at https://quizlet.com/_861wfr
c. Behavior modification that restructures feelings
d. Well-defined, structured interactions at the beginning of treatment: D 18. 1.
Patients with major depression commonly display signs of a. Energy
b. Repetitive, compulsive behaviors
c. Worthlessness
d. Visual hallucinations: C
19. 1. When your patient says I am depressed, what is the best response?
a. We all feel that way now and then
b. Why do you feel that way?
c. Everything will be OK once you snap out of it
d. Tell me more about what is going on with you: D
20. 1. Your patient takes tranylcypromine for depression. Which of the
following is most likely to indicate dietary restrictions have not been
followed? a. Hypertensive crisis
b. Syncope
c. Muscle spasms
d. Increased depression: A
21. 1. Your depressed patient who is taking a tricyclic antidepressant is
advised of possible anticholinergic side effects. Which of the following is not
an anticholinergic side effect? a. Blurred vision
b. Difficulty starting urine stream
c. Dry mouth
d. Muscle rigidity: D
22. 1. Helen, a 47-year-old client with a long history of severe depression, has
not responded to antidepressant medications or psychotherapy. The nurse
caring for the patient knows that the treatment of choice for depression
unresponsive to conventional treatment would be a. Lithium
b. Electroconvulsive therapy (ECT)
c. Light therapy
d. Neurolinguistic programming: B
23. 1. Your depressed patient is just started on duloxetine (Cymbalta).
Which statement by the spouse tells you that family teaching has been
effective? a. I can't wait for him to be back to his old self in the next day or
so
b. I realize we can't expect big changes right away
NURS 660 Exam 2 Study Questions With Complete Solutions
1. What occurs with mania associated with bipolar disorder
a. Varying degrees of sadness
b. Distinct episodes of elation
c. Suicide
d. Psychomotor retardation: B
2. 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? a. Meperidine
(Demerol)
b. Morphine
c. Ibuprofen (Advil)
d. Acetaminophen (Tylenol): B
3. What is the major advantage of selective serotonin reuptake inhibitors
(SSRIs) over other types of antidepressant therapy?
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: C
4. Lithium (Eskalith) is the drug of choice for which of the following disorders?
a. Psychotic episodes
b. Obsessive compulsive disorders (OCDs)
c. Bipolar disorders
d. Depressive disorders: C
5. Which psychological manifestations of depression will improve in
response to antidepressant therapy? a. Loss of energy
b. Palpitations
c. Sleep disturbances
d. Social withdrawal: D
6. On what is the choice of tricyclic antidepressants based?
a. The need to decrease the action of norepinephrine, dopamine, or serotonin
b. Patient age and gender
, NURS 660 Exam 2 STUDY
Study online at https://quizlet.com/_861wfr
c. An absence of adverse effects, such as orthostatic hypotension
d. The need for stimulation and increased mental alertness: B
7. 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? a. 3
days
b. 1 week
c. 4 weeks
d. 2 months: B
8. What is the action of MAOIs on neurotransmitters?
a. Blocking their reuptake
b. Increasing their production
c. Blocking their destruction
d. Increasing their reuptake: C
9. A patient who is taking an MAOI to treat depression admits to eating pickled
herring and cheese and drinking red wine. Which assessment finding alerts
the nurse to a potential complication? a. Constipation
b. Hypotension
c. Neck stiffness
d. Urinary retention: C
10. Which assessment would the nurse expect to observe in a patient who
has been prescribed trazodone for treatment of anxiety? a. Excessive thirst
b. Hand tremor
c. Drowsiness
d. Diarrhea: C
11. The nurse is caring for a patient who is taking a newly prescribed drug
nefazodone, for treatment of depression. Which physical assessment finding
is important for the nurse to report to the health care provider immediately?
a. Bradycardia
b. Dizziness
c. Drowsiness
d. Urinary retention: A
12. The nurse is providing education to a patient who has been prescribed
bupropion (Wellbutrin) for smoking cessation. Which statement by the patient
, NURS 660 Exam 2 Study Questions With Complete Solutions
would indicate the need for further teaching? a. My dose will increase after 3
days
b. I should swallow the medication whole
c. If I have the urge to smoke, I will take more medication
d. I do not need to taper my dose when the drug is discontinued: C
13. Which nursing action is most important when providing care to a patient
diagnosed with a mood disorder?
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: A
14. 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. 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: C
15. A patient taking vilazodone has been vomiting persistently for 12 hours.
The priority nursing diagnosis for this patient is a. Nausea
b. Imbalanced nutrition (less than body requirements)
c. Fluid volume deficit
d. Altered peripheral tissue perfusion: C
16. 1. You are admitting a new patient who is depressed. Your initial contact
should do what?
a. Address why he is depressed
b. Keep communication open
c. Lift his spirits
d. Establish trust: D
17. 1. In caring for a patient with major depression, the nurse knows that the
patient needs
a. Frequent changes in activities
b. Introduction to multiple new staff members
, NURS 660 Exam 2 STUDY
Study online at https://quizlet.com/_861wfr
c. Behavior modification that restructures feelings
d. Well-defined, structured interactions at the beginning of treatment: D 18. 1.
Patients with major depression commonly display signs of a. Energy
b. Repetitive, compulsive behaviors
c. Worthlessness
d. Visual hallucinations: C
19. 1. When your patient says I am depressed, what is the best response?
a. We all feel that way now and then
b. Why do you feel that way?
c. Everything will be OK once you snap out of it
d. Tell me more about what is going on with you: D
20. 1. Your patient takes tranylcypromine for depression. Which of the
following is most likely to indicate dietary restrictions have not been
followed? a. Hypertensive crisis
b. Syncope
c. Muscle spasms
d. Increased depression: A
21. 1. Your depressed patient who is taking a tricyclic antidepressant is
advised of possible anticholinergic side effects. Which of the following is not
an anticholinergic side effect? a. Blurred vision
b. Difficulty starting urine stream
c. Dry mouth
d. Muscle rigidity: D
22. 1. Helen, a 47-year-old client with a long history of severe depression, has
not responded to antidepressant medications or psychotherapy. The nurse
caring for the patient knows that the treatment of choice for depression
unresponsive to conventional treatment would be a. Lithium
b. Electroconvulsive therapy (ECT)
c. Light therapy
d. Neurolinguistic programming: B
23. 1. Your depressed patient is just started on duloxetine (Cymbalta).
Which statement by the spouse tells you that family teaching has been
effective? a. I can't wait for him to be back to his old self in the next day or
so
b. I realize we can't expect big changes right away
