Chapter 16: Drugs Used for Depressive and Bipolar Disorders Clayton/Willihnganz: Basic Pharmacology for Nurses, 17th Edition

1. What occurs with mania associated with bipolar disorder? a. Varying degrees of sadness b. Distinct episodes of elation c. Suicide d. Psychomotor retardation ANS: B Mania is characterized by distinct episodes of euphoria and elation. Sadness is characteristic of depression. Suicide is not generally associated with mania; it is more commonly associated with depression. Psychomotor retardation is not associated with mania. DIF: Cognitive Level: Comprehension REF: Page 230 OBJ: 1 TOP: Nursing Process Step: Assessment MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: CONCEPT(S): Clinical Judgment; Mood and Affect 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) ANS: B Morphine is the narcotic analgesic of choice because it will not interact with the patient’s MAOI. Meperidine will interact with the patient’s medication. Ibuprofen and acetaminophen are not narcotic analgesics. DIF: Cognitive Level: Application REF: Page 239 OBJ: 2 | 4 TOP: Nursing Process Step: Assessment MSC: NCLEX Client Needs Category: Physiological Integrity NOT: CONCEPT(S): Clinical Judgment 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. ANS: C SSRIs are the most widely used class of antidepressants. Although they are as effective in treating depression as the tricyclic antidepressants, they do not cause the anticholinergic and cardiovascular adverse effects that often limit the use of tricyclic antidepressants. SSRIs tend to be more expensive t