NURS 3381 Exam 2 Part 2 Questions and Answers Latest Update 2025-2026
empathy - Answersthe ability to understand and share the feelings of another
sympathy - Answersfeelings of pity and sorrow for someone else's misfortune
tricyclic antidepressants - Answersamitriptyline (Elavil) clomipramine (Anafranil) imipramine (Tofranil)
nortriptyline (Pamelor)
doxepin (Sinequan)
Patient teaching for Tricyclic Antidepressants - AnswersBaseline EKG required before treatment to
monitor for cardiotoxicity
Caution in patient that are suicidal, toxic in doses equal to 3 wees supply
Adverse effects of TCAs - Answerssedation, weight gain, cardiotoxicity, anticholinergic effects
anticholinergic effects - Answersdry mouth
constipation
photophobia
blurred vision
Tachycardia
MAOIs - Answersphenelzine (Nardil) isocarboxazid (Marplan) tranylcypromine (Parnate) Selegiline
(Emsam Patch)
Adverse effects of MAOIs - Answerspostural hypotension
insomnia
sexual dysfunction
weight gain
change of HR/rhythm
urinary hesitancy
vertigo
weakness
, Symptoms of hypertension while taking MAOIs should be - Answerstreated immediately
Patient teaching for MAOIs - Answerslow tyramine diet and no decongestants
Inform doctors if surgeries are scheduled
anergia - Answerslack of energy
anhedonia - Answersinability to experience pleasure
anergia and anhedonia are caused by - Answersdecreased levels of norepinephrine
Vegetative signs of depression - Answersincreased sleep, decreased libido, and appetite.
Vegetative depression is caused by - Answersdecrease in serotonin or serotonin circuit dysfunction
Signs of serotonin syndrome - Answershyperactivity
tachycardia
fever
hypertension
altered mental status
irrationality
mood swings
hostility
seizures
myoclonus
tonic rigidity
apnea
myoclonus - Answersthe sudden, involuntary jerking of a muscle or group of muscles
What medications are utilized while lithium ramps up to a therapeutic level? - AnswersAntipsychotics
(olanzapine or haloperidol) or Benzos (lorazepam or clonazepam)
Expected side effects of lithium (0.4-1mEq/L) - Answersfine hand tremor, polyuria, mild thirst, mild
nausea, general discomfort, weight gain
Early signs of lithium toxicity (<1.5) - Answersnausea
empathy - Answersthe ability to understand and share the feelings of another
sympathy - Answersfeelings of pity and sorrow for someone else's misfortune
tricyclic antidepressants - Answersamitriptyline (Elavil) clomipramine (Anafranil) imipramine (Tofranil)
nortriptyline (Pamelor)
doxepin (Sinequan)
Patient teaching for Tricyclic Antidepressants - AnswersBaseline EKG required before treatment to
monitor for cardiotoxicity
Caution in patient that are suicidal, toxic in doses equal to 3 wees supply
Adverse effects of TCAs - Answerssedation, weight gain, cardiotoxicity, anticholinergic effects
anticholinergic effects - Answersdry mouth
constipation
photophobia
blurred vision
Tachycardia
MAOIs - Answersphenelzine (Nardil) isocarboxazid (Marplan) tranylcypromine (Parnate) Selegiline
(Emsam Patch)
Adverse effects of MAOIs - Answerspostural hypotension
insomnia
sexual dysfunction
weight gain
change of HR/rhythm
urinary hesitancy
vertigo
weakness
, Symptoms of hypertension while taking MAOIs should be - Answerstreated immediately
Patient teaching for MAOIs - Answerslow tyramine diet and no decongestants
Inform doctors if surgeries are scheduled
anergia - Answerslack of energy
anhedonia - Answersinability to experience pleasure
anergia and anhedonia are caused by - Answersdecreased levels of norepinephrine
Vegetative signs of depression - Answersincreased sleep, decreased libido, and appetite.
Vegetative depression is caused by - Answersdecrease in serotonin or serotonin circuit dysfunction
Signs of serotonin syndrome - Answershyperactivity
tachycardia
fever
hypertension
altered mental status
irrationality
mood swings
hostility
seizures
myoclonus
tonic rigidity
apnea
myoclonus - Answersthe sudden, involuntary jerking of a muscle or group of muscles
What medications are utilized while lithium ramps up to a therapeutic level? - AnswersAntipsychotics
(olanzapine or haloperidol) or Benzos (lorazepam or clonazepam)
Expected side effects of lithium (0.4-1mEq/L) - Answersfine hand tremor, polyuria, mild thirst, mild
nausea, general discomfort, weight gain
Early signs of lithium toxicity (<1.5) - Answersnausea
