Chapter 21 ~ Questions ~ T#2 ~ Mood &
Affect questions and answers
The biogenic amine theory of depression states that depression is a result of - correct answer deficiency
of NE, dopamine, or 5HT in key areas of the brain.
When teaching a patient receiving TCAs, it is important to remember that TCAs are associated with
many anticholinergic adverse effects. Teaching about these drugs should include anticipation of - correct
answer urinary retention, arrhythmias, and constipation.
Adverse effects may limit the usefulness of TCAs with some patients. Nursing interventions that could
alleviate some of the unpleasant aspects of these adverse effects include - correct answer taking the
major portion of the dose at bedtime to avoid experiencing drowsiness and the unpleasant
anticholinergic effects.
You might question an order for a MAOI as a first step in the treatment of depression, remembering that
these drugs are reserved for use in cases in which there has been no response to other agents because -
correct answer MAOIs are associated with potentially serious drug-food interactions.
. Your patient is being treated for depression and is started on a regimen of Prozac (fluoxetine). She calls
you 10 days after the drug therapy has started to report that nothing has changed and she wants to try a
different drug. You should - correct answer encourage her to keep taking the drug as prescribed because
it usually takes up to 4 weeks to see the full antidepressant effect.
The drug of choice for a patient with a documented OCD who is also suffering from depression and
occasional panic disorder would be - correct answer Paxil.
Venlafaxine (Effexor) is an antidepressant that might be very effective for use in patients who - correct
answer have not responded to other antidepressants and would benefit from once-a-day dosing.
Depression is an affective disorder that is - correct answer characterized by overwhelming sadness,
despair, and hopelessness.
Affect questions and answers
The biogenic amine theory of depression states that depression is a result of - correct answer deficiency
of NE, dopamine, or 5HT in key areas of the brain.
When teaching a patient receiving TCAs, it is important to remember that TCAs are associated with
many anticholinergic adverse effects. Teaching about these drugs should include anticipation of - correct
answer urinary retention, arrhythmias, and constipation.
Adverse effects may limit the usefulness of TCAs with some patients. Nursing interventions that could
alleviate some of the unpleasant aspects of these adverse effects include - correct answer taking the
major portion of the dose at bedtime to avoid experiencing drowsiness and the unpleasant
anticholinergic effects.
You might question an order for a MAOI as a first step in the treatment of depression, remembering that
these drugs are reserved for use in cases in which there has been no response to other agents because -
correct answer MAOIs are associated with potentially serious drug-food interactions.
. Your patient is being treated for depression and is started on a regimen of Prozac (fluoxetine). She calls
you 10 days after the drug therapy has started to report that nothing has changed and she wants to try a
different drug. You should - correct answer encourage her to keep taking the drug as prescribed because
it usually takes up to 4 weeks to see the full antidepressant effect.
The drug of choice for a patient with a documented OCD who is also suffering from depression and
occasional panic disorder would be - correct answer Paxil.
Venlafaxine (Effexor) is an antidepressant that might be very effective for use in patients who - correct
answer have not responded to other antidepressants and would benefit from once-a-day dosing.
Depression is an affective disorder that is - correct answer characterized by overwhelming sadness,
despair, and hopelessness.
