NURS 222 QUIZ 3 QUESTIONS AND ANSWERS | COMPLETE NURS 222 QUIZ 3
STUDY GUIDE 2026/2027
major depressive disorder - correct answer ✔✔characterized by a persistently depressed mood lasting
for a minimum of two weeks; accompanied by symptoms of insomnia, suicidal thoughts, and a sense of
hopelessness and emptiness
melancholic sub-type - correct answer ✔✔insomnia, loss of appetite, lack of reactiveness to
environmental circumstances and marked anhedonia
atypical sub-type - correct answer ✔✔excessive sleep or sleepiness, increased appetite, marked fatigue
or weakness, mood reactive to environmental circumstances, and extreme sensitivity to rejection
comorbidity - correct answer ✔✔a depressive syndrome frequently accompanies other psychiatric
disorders
how many people with clinical depression commit suicide? - correct answer ✔✔15%
other risk factors for depressive disorders - correct answer ✔✔unmarried, history of childhood trauma,
post partum period, female gender, chronic illness, history of loss, substance abuse
what symptoms increases risk of suicide in patients with major depression? - correct answer ✔✔severe
hopelessness, overuse of alcohol, recent loss or separation, PAST AND SERIOUS SUICIDE ATTEMPTS,
acute suicidal ideation
nursing interventions for depression - correct answer ✔✔- sit with them in silence
- monitor adl's and encourage independence as much as possible
- make time to be with the client even if he does not speak
- GIVE THE CLIENT SUFFICIENT TIME TO RESPOND WHEN HOLDING A CONVERSATION
- maintenance of a safe environment
interventions for anorexia - correct answer ✔✔- Finger Food and Foods from home
- ESFF
- Encourage high CHON diet
- Do not argue
- Monitor and record weight
- Encourage with reinforcement
long term management for depression - correct answer ✔✔psychotherapy
ssri purpose - correct answer ✔✔increase serotonin
how long does it take for ssri's to take effect? - correct answer ✔✔up to 3 weeks
ssri meds - correct answer ✔✔- trazodone (DESyrel)
, - fluoxetine (PROzac)
- paroxetine (PAxil)
- sertraline (ZOloft)
fluoxetine is taken when? to reduce what? - correct answer ✔✔taken in the am, to reduce insomnia
side effects of ssri's - correct answer ✔✔priapism may occur, discontinue if it does
what to watch out for with ssri? - correct answer ✔✔serotonin syndrome and discontinue syndrome
discontinuation syndrome - correct answer ✔✔dizziness, nausea, pins and needles, zappers
issues with ssri - correct answer ✔✔discontinuation syndrome, loss of efficacy, partial response
what med does not cause discontinuation syndrome? why? - correct answer ✔✔prozac due to longer
half-life of 4-6 days and stay in your system for 16 weeks
serotonin syndrome - correct answer ✔✔occurs with increase in dose or adding another medication
which increases serotonin
symptoms of serotonin syndrome - correct answer ✔✔headache, changes in blood pressure, n/v/d,
rapid heart rate, loss of muscle coordination or twitching muscles, shivering, sweating, high fever!!!,
seizures, irregular heartbeat
management for serotonin syndrome - correct answer ✔✔- stand by for ventilation
- prepare for anticonvulsants
- apply a cooling blanket for the fever
- pad side rails if the risk of seizures is present
- withhold the next dose
- notify the provider
serotonin norepinephrine reuptake inhibitors purpose - correct answer ✔✔increases norepinephrine
and serotonin
what to monitor for venlafaxine (effexor) - correct answer ✔✔monitor BP due to hypertension
duloxetine (cymbalta) - correct answer ✔✔fda approved for chronic pain and peripheral neuropathy
tricyclic antidepressant purpose - correct answer ✔✔increases norepinephrine and serotonin
how long for tca's to take effect? - correct answer ✔✔2-4 weeks
tca meds - correct answer ✔✔amtryptyline, desipramine
side effects of tcas meds - correct answer ✔✔anticholinergic effects (DRY), arrhythmia, palpitations,
hypertension
MAOIs purpose - correct answer ✔✔inhibits MAO enzymes; increases norepinephrine
STUDY GUIDE 2026/2027
major depressive disorder - correct answer ✔✔characterized by a persistently depressed mood lasting
for a minimum of two weeks; accompanied by symptoms of insomnia, suicidal thoughts, and a sense of
hopelessness and emptiness
melancholic sub-type - correct answer ✔✔insomnia, loss of appetite, lack of reactiveness to
environmental circumstances and marked anhedonia
atypical sub-type - correct answer ✔✔excessive sleep or sleepiness, increased appetite, marked fatigue
or weakness, mood reactive to environmental circumstances, and extreme sensitivity to rejection
comorbidity - correct answer ✔✔a depressive syndrome frequently accompanies other psychiatric
disorders
how many people with clinical depression commit suicide? - correct answer ✔✔15%
other risk factors for depressive disorders - correct answer ✔✔unmarried, history of childhood trauma,
post partum period, female gender, chronic illness, history of loss, substance abuse
what symptoms increases risk of suicide in patients with major depression? - correct answer ✔✔severe
hopelessness, overuse of alcohol, recent loss or separation, PAST AND SERIOUS SUICIDE ATTEMPTS,
acute suicidal ideation
nursing interventions for depression - correct answer ✔✔- sit with them in silence
- monitor adl's and encourage independence as much as possible
- make time to be with the client even if he does not speak
- GIVE THE CLIENT SUFFICIENT TIME TO RESPOND WHEN HOLDING A CONVERSATION
- maintenance of a safe environment
interventions for anorexia - correct answer ✔✔- Finger Food and Foods from home
- ESFF
- Encourage high CHON diet
- Do not argue
- Monitor and record weight
- Encourage with reinforcement
long term management for depression - correct answer ✔✔psychotherapy
ssri purpose - correct answer ✔✔increase serotonin
how long does it take for ssri's to take effect? - correct answer ✔✔up to 3 weeks
ssri meds - correct answer ✔✔- trazodone (DESyrel)
, - fluoxetine (PROzac)
- paroxetine (PAxil)
- sertraline (ZOloft)
fluoxetine is taken when? to reduce what? - correct answer ✔✔taken in the am, to reduce insomnia
side effects of ssri's - correct answer ✔✔priapism may occur, discontinue if it does
what to watch out for with ssri? - correct answer ✔✔serotonin syndrome and discontinue syndrome
discontinuation syndrome - correct answer ✔✔dizziness, nausea, pins and needles, zappers
issues with ssri - correct answer ✔✔discontinuation syndrome, loss of efficacy, partial response
what med does not cause discontinuation syndrome? why? - correct answer ✔✔prozac due to longer
half-life of 4-6 days and stay in your system for 16 weeks
serotonin syndrome - correct answer ✔✔occurs with increase in dose or adding another medication
which increases serotonin
symptoms of serotonin syndrome - correct answer ✔✔headache, changes in blood pressure, n/v/d,
rapid heart rate, loss of muscle coordination or twitching muscles, shivering, sweating, high fever!!!,
seizures, irregular heartbeat
management for serotonin syndrome - correct answer ✔✔- stand by for ventilation
- prepare for anticonvulsants
- apply a cooling blanket for the fever
- pad side rails if the risk of seizures is present
- withhold the next dose
- notify the provider
serotonin norepinephrine reuptake inhibitors purpose - correct answer ✔✔increases norepinephrine
and serotonin
what to monitor for venlafaxine (effexor) - correct answer ✔✔monitor BP due to hypertension
duloxetine (cymbalta) - correct answer ✔✔fda approved for chronic pain and peripheral neuropathy
tricyclic antidepressant purpose - correct answer ✔✔increases norepinephrine and serotonin
how long for tca's to take effect? - correct answer ✔✔2-4 weeks
tca meds - correct answer ✔✔amtryptyline, desipramine
side effects of tcas meds - correct answer ✔✔anticholinergic effects (DRY), arrhythmia, palpitations,
hypertension
MAOIs purpose - correct answer ✔✔inhibits MAO enzymes; increases norepinephrine
