NURS 663- STAHL CHAPTER #6 EXAM
QUESTIONS AND ANSWERS
What occurs with mania associated with Bipolar disorder
A. varying degrees of sadness
B. distinct episodes of elation
C. suicide
D. psychomotor retardation - Answer-B. distinct episodes of elation
Which postop narcotic analgesic will most likely be prescribed to a pt whose current
medications include MAOI, a thyroid hormone and a multivitamine
A. Meperidine
B. Morphine
C. Ibuprofen
D. Acetaminophen - Answer-B. Morphine
What is the major advantage of SSRIs over other types of antidepressant therapy
A. they are less expensive than other classes of antidepressants
B. they cure major depressive illness
C. they do not cause the anticholinergic and cardiovascular adverse effects
D. therapeutic relief is immediate - Answer-C. they do not cause the anticholinergic and
cardiovascular adverse effects
Lithium is the drug of choice for which of the following disorders
A. psychotic episodes
B. OCD
C. bipolar disorders
D. depressive disorders - Answer-C. bipolar disorders
Which psychological manifestation of depression will improve in response to
antidepressant therapy
A. loss of energy
B. palpitations
C. sleep disturbances
D. social withdrawal - Answer-D. social withdrawal
On what is the choice of TCA based
A. the need to decrease the action of norepinephrine, dopamine or serotonin
B. patient age and gender
C. an absence of adverse effects, such as orthostatic hypotension
D. the need for stimulation and increased mental alertness - Answer-B. patient age and
gender
, The nurse is teaching a pt about med treatment for depression. The pt asks how long it
will take before sleep and appetite will begin to improve. Which response by the nurse is
most accurate
A. 3 days
B. 1 week
C. 4 weeks
D. 2 months - Answer-B. 1 week
What is the action of MAOIs on neurotransmitters
A. blocking their reuptake
B. increasing their production
C. blocking their destruction
D. increasing their reuptake - Answer-C. blocking their destruction
A pt who is taking an MAOI to treat depression admits to eating pickled herring and
cheese and drinking red wine. Which assessment finding alerts the nurse to a potential
complication
A. constipation
B. hypotension
C. neck stiffness
D. urinary retention - Answer-C. neck stiffness
Which assessment would the nurse expect to observe in a pt who has been prescribed
trazodone for treatment anxiety
A. excessive thirst
B. hand tremor
C. drowsiness
D. diarrhea - Answer-C. drowsiness
The nurse is caring for a pt who is taking a newly prescribed drug, nefazodone, for
treatment of depression. Which physical assessment finding is most important for the
nurse to report to the health care provider immediately
A. bradycardia
B. dizziness
C. drowsiness
D. urinary retention - Answer-A. bradycardia
The nurse is providing education to a pt who has been prescribed bupropion for
smoking cessation. Which statement by the pt would indicate the need for further
teaching
A. my dose will increase after 3 days
B. i should swallow this medication whole
C. if i have the urge to smoke, i will take more medication
D. i do not need to taper my dose when the drug is discontinued - Answer-C. if i have
the urge to smoke, i will take more medication
QUESTIONS AND ANSWERS
What occurs with mania associated with Bipolar disorder
A. varying degrees of sadness
B. distinct episodes of elation
C. suicide
D. psychomotor retardation - Answer-B. distinct episodes of elation
Which postop narcotic analgesic will most likely be prescribed to a pt whose current
medications include MAOI, a thyroid hormone and a multivitamine
A. Meperidine
B. Morphine
C. Ibuprofen
D. Acetaminophen - Answer-B. Morphine
What is the major advantage of SSRIs over other types of antidepressant therapy
A. they are less expensive than other classes of antidepressants
B. they cure major depressive illness
C. they do not cause the anticholinergic and cardiovascular adverse effects
D. therapeutic relief is immediate - Answer-C. they do not cause the anticholinergic and
cardiovascular adverse effects
Lithium is the drug of choice for which of the following disorders
A. psychotic episodes
B. OCD
C. bipolar disorders
D. depressive disorders - Answer-C. bipolar disorders
Which psychological manifestation of depression will improve in response to
antidepressant therapy
A. loss of energy
B. palpitations
C. sleep disturbances
D. social withdrawal - Answer-D. social withdrawal
On what is the choice of TCA based
A. the need to decrease the action of norepinephrine, dopamine or serotonin
B. patient age and gender
C. an absence of adverse effects, such as orthostatic hypotension
D. the need for stimulation and increased mental alertness - Answer-B. patient age and
gender
, The nurse is teaching a pt about med treatment for depression. The pt asks how long it
will take before sleep and appetite will begin to improve. Which response by the nurse is
most accurate
A. 3 days
B. 1 week
C. 4 weeks
D. 2 months - Answer-B. 1 week
What is the action of MAOIs on neurotransmitters
A. blocking their reuptake
B. increasing their production
C. blocking their destruction
D. increasing their reuptake - Answer-C. blocking their destruction
A pt who is taking an MAOI to treat depression admits to eating pickled herring and
cheese and drinking red wine. Which assessment finding alerts the nurse to a potential
complication
A. constipation
B. hypotension
C. neck stiffness
D. urinary retention - Answer-C. neck stiffness
Which assessment would the nurse expect to observe in a pt who has been prescribed
trazodone for treatment anxiety
A. excessive thirst
B. hand tremor
C. drowsiness
D. diarrhea - Answer-C. drowsiness
The nurse is caring for a pt who is taking a newly prescribed drug, nefazodone, for
treatment of depression. Which physical assessment finding is most important for the
nurse to report to the health care provider immediately
A. bradycardia
B. dizziness
C. drowsiness
D. urinary retention - Answer-A. bradycardia
The nurse is providing education to a pt who has been prescribed bupropion for
smoking cessation. Which statement by the pt would indicate the need for further
teaching
A. my dose will increase after 3 days
B. i should swallow this medication whole
C. if i have the urge to smoke, i will take more medication
D. i do not need to taper my dose when the drug is discontinued - Answer-C. if i have
the urge to smoke, i will take more medication
