CMN 350 ACTUAL 2026 CORE EXAM TEST QUESTIONS AND
SOLUTIONS RATED A+
✔✔assess cognition/focus, assess for hopelessness/helplessness/suicidal thoughts,
and assess ability for ADLs - ✔✔What are some nursing assessments and interventions
for patient with depression?
✔✔Electroconvulsive therapy - ✔✔____________ is the most common form of somatic
therapy. It is the most effective antidepressant remedy available.
✔✔rebooting, rebalancing, and rebuilding - ✔✔What are the 3 "R's" of ECT?
✔✔2-3 times a week up to a total of 6-12 treatments - ✔✔How long do ECT treatments
last?
✔✔rapid response, major depression, cannot tolerate pharmacotherapy, not responding
to medications, safe and effective, temporary relief - ✔✔What are the indications for
ECT treatment?
✔✔induction - ✔✔________ of a seizure is necessary for a therapeutic outcome when
using an ECT.
✔✔informed consent, monitor vitals, provides O2, reorient the patient after the
procedure, be prepared to give a med life benzodiazepine if agitated, and assist with
position changes - ✔✔What are the responsibilities of the nurse for a patient having an
ECT?
✔✔plan, method, rehearsal, hx of past attempts, prevention of rescue, risk factors,
protective measures - ✔✔What to ask for and discuss during a suicide assessment.
✔✔Risk factors for suicide - ✔✔Male, caucasion or native american, 60 years or older,
hopelessness, general medical illness, severe anhedonia, living alone, prior suicide
attempts, unemployed, financial problems.
✔✔B. provide suicide hotline number - ✔✔Amanda has benefited from the short-term
hospital stay. She feels more hopeful and has begun to plan how to obtain another job.
She has reconnected with her son and family members. What follow up information
must the nurse give Amanda before discharge?
✔✔neurotransmitter - ✔✔______ depletion linked to depression.
✔✔norepinephrine, serotonin, and dopamine - ✔✔What are the three important
neurotransmitters?
, ✔✔Cyclic antidepressant - ✔✔Increase the "deficient" neurotransmitters by blocking
reuptake of one or more.
✔✔Enzyme-inhibiting agents (MAOIs) - ✔✔Increase the "deficient" neurotransmitters by
preventing/slowing their metabolic breakdown.
✔✔MAOIs - ✔✔Do not mix ___________ with other classes of antidepressants.
✔✔slow, slow - ✔✔Antidepressants are _______ to take effect and _________ to taper.
✔✔increase - ✔✔Monitor for ________ in energy without improvement in depression.
✔✔weight gain - ✔✔What is a common side effect for antidepressants.
✔✔SSRIs - ✔✔citalopram, fluoxetine, paroxetine, escitalopram, fluvoxamine, and
sertraline.
✔✔SNRIs - ✔✔Venlafaxine, desvenlafaxine, duloxetine, and levomilnacipran
✔✔NDRIs - ✔✔buproprion
✔✔TCAs - ✔✔Nonselective, meaning they block the reuptake of both serotonine and
norepinephrine.
- Ex. amitriptyline, desipramine, imipramine, maprotiline, nortriptyline
✔✔SSRIs - ✔✔What are the first-line drugs for treatment of depression?
✔✔Fluoxetine (Prozac) - ✔✔What was the first SSRI?
✔✔suicide - ✔✔What is the black box warning for SSRIs?
✔✔apathy - ✔✔SSRIs have a risk of ________ syndrome.
✔✔Hyponatremia - ✔✔What electrolyte imbalance can occur with SSRIs and primarily
occurs in older adults?
✔✔A. anticholinergic - ✔✔Which side effect category does Monica's dry mouth and
sedation fall under?
✔✔decreased platelets, bleeding, CNS effects, decrease in anxiety/impulses/sex drive,
increased sweating, insomnia, nausea, GI motility, and weight gain - ✔✔What does
RED, HEAD, and RED mean in a patient taking SSRIs?
SOLUTIONS RATED A+
✔✔assess cognition/focus, assess for hopelessness/helplessness/suicidal thoughts,
and assess ability for ADLs - ✔✔What are some nursing assessments and interventions
for patient with depression?
✔✔Electroconvulsive therapy - ✔✔____________ is the most common form of somatic
therapy. It is the most effective antidepressant remedy available.
✔✔rebooting, rebalancing, and rebuilding - ✔✔What are the 3 "R's" of ECT?
✔✔2-3 times a week up to a total of 6-12 treatments - ✔✔How long do ECT treatments
last?
✔✔rapid response, major depression, cannot tolerate pharmacotherapy, not responding
to medications, safe and effective, temporary relief - ✔✔What are the indications for
ECT treatment?
✔✔induction - ✔✔________ of a seizure is necessary for a therapeutic outcome when
using an ECT.
✔✔informed consent, monitor vitals, provides O2, reorient the patient after the
procedure, be prepared to give a med life benzodiazepine if agitated, and assist with
position changes - ✔✔What are the responsibilities of the nurse for a patient having an
ECT?
✔✔plan, method, rehearsal, hx of past attempts, prevention of rescue, risk factors,
protective measures - ✔✔What to ask for and discuss during a suicide assessment.
✔✔Risk factors for suicide - ✔✔Male, caucasion or native american, 60 years or older,
hopelessness, general medical illness, severe anhedonia, living alone, prior suicide
attempts, unemployed, financial problems.
✔✔B. provide suicide hotline number - ✔✔Amanda has benefited from the short-term
hospital stay. She feels more hopeful and has begun to plan how to obtain another job.
She has reconnected with her son and family members. What follow up information
must the nurse give Amanda before discharge?
✔✔neurotransmitter - ✔✔______ depletion linked to depression.
✔✔norepinephrine, serotonin, and dopamine - ✔✔What are the three important
neurotransmitters?
, ✔✔Cyclic antidepressant - ✔✔Increase the "deficient" neurotransmitters by blocking
reuptake of one or more.
✔✔Enzyme-inhibiting agents (MAOIs) - ✔✔Increase the "deficient" neurotransmitters by
preventing/slowing their metabolic breakdown.
✔✔MAOIs - ✔✔Do not mix ___________ with other classes of antidepressants.
✔✔slow, slow - ✔✔Antidepressants are _______ to take effect and _________ to taper.
✔✔increase - ✔✔Monitor for ________ in energy without improvement in depression.
✔✔weight gain - ✔✔What is a common side effect for antidepressants.
✔✔SSRIs - ✔✔citalopram, fluoxetine, paroxetine, escitalopram, fluvoxamine, and
sertraline.
✔✔SNRIs - ✔✔Venlafaxine, desvenlafaxine, duloxetine, and levomilnacipran
✔✔NDRIs - ✔✔buproprion
✔✔TCAs - ✔✔Nonselective, meaning they block the reuptake of both serotonine and
norepinephrine.
- Ex. amitriptyline, desipramine, imipramine, maprotiline, nortriptyline
✔✔SSRIs - ✔✔What are the first-line drugs for treatment of depression?
✔✔Fluoxetine (Prozac) - ✔✔What was the first SSRI?
✔✔suicide - ✔✔What is the black box warning for SSRIs?
✔✔apathy - ✔✔SSRIs have a risk of ________ syndrome.
✔✔Hyponatremia - ✔✔What electrolyte imbalance can occur with SSRIs and primarily
occurs in older adults?
✔✔A. anticholinergic - ✔✔Which side effect category does Monica's dry mouth and
sedation fall under?
✔✔decreased platelets, bleeding, CNS effects, decrease in anxiety/impulses/sex drive,
increased sweating, insomnia, nausea, GI motility, and weight gain - ✔✔What does
RED, HEAD, and RED mean in a patient taking SSRIs?
