NURS 660 EXAM 2 STUDY GUIDE QUESTIONS WITH LATEST SCORE

NURS 660 EXAM 2 STUDY GUIDE QUESTIONS WITH LATEST
SCORE.



1) What occurs with mania associated with bipolar disorder
t t t t t t t




A) Varying degrees of sadness t t t




B) Distinct episodes of elation t t t




C) Suicide
D) Psychomotor retardation -- Correct Answer ✔✔ B t t t t t t




2) Which postoperative narcotic analgesic will most likely be prescribed to a patient
t t t t t t t t t t t t




whose current medications include a monoamine oxidase inhibitor (MAOI), a
t t t t t t t t t t




thyroid hormone, and a multivitamin?
t t t t




A) Meperidine (Demerol) t




B) Morphine
C) Ibuprofen (Advil) t




D) Acetaminophen (Tylenol) -- Correct Answer ✔✔ B t t t t t t




3) What is the major advantage of selective serotonin reuptake inhibitors (SSRIs) over
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other types of antidepressant therapy?
t t t t




A) They are less expensive than the other classes of antidepressants
t t t t t t t t t




B) They cure major depressive illnesses
t t t t




C) They do not cause the anticholinergic and cardiovascular adverse
t t t t t t t t t




effects
D) Therapeutic relief is immediate -- Correct Answer ✔✔ C t t t t t t t t




4) Lithium (Eskalith) is the drug of choice for which of the following disorders?
t t t t t t t t t t t t




A) Psychotic episodes t




B) Obsessive compulsive disorders (OCDs) t t t




C) Bipolar disorders t




D) Depressive disorders -- Correct Answer ✔✔ C t t t t t t

,5) Which psychological manifestations of depression will improve in response to
t t t t t t t t t t




antidepressant therapy? t




A) Loss of energy t t




B) Palpitations
C) Sleep disturbances t




D) Social withdrawal -- Correct Answer ✔✔ D t t t t t t




6) On what is the choice of tricyclic antidepressants based?
t t t t t t t t




A) The need to decrease the action of norepinephrine, dopamine, or t t t t t t t t t t




serotonin
B) Patient age and gender t t t




C) An absence of adverse effects, such as orthostatic hypotension t t t t t t t t




D) The need for stimulation and increased mental alertness -- Correct t t t t t t t t t t




Answer ✔✔ B t t




7) The nurse is teaching a patient about medication treatment for depression. The
t t t t t t t t t t t t




patient asks how long it will take before sleep and appetite will begin to improve.
t t t t t t t t t t t t t t t




Which response by the nurse is most accurate?
t t t t t t t




A) 3 days t




B) 1 week t




C) 4 weeks t




D) 2 months -- Correct Answer ✔✔ B t t t t t t




8) What is the action of MAOIs on neurotransmitters?
t t t t t t t




A) Blocking their reuptake t t




B) Increasing their production t t




C) Blocking their destruction t t




D) Increasing their reuptake -- Correct Answer ✔✔ C t t t t t t t




9) A patient who is taking an MAOI to treat depression admits to eating pickled
t t t t t t t t t t t t t t




herring and cheese and drinking red wine. Which assessment finding alerts the
t t t t t t t t t t t t




nurse to a potential complication?
t t t t




A) Constipation
B) Hypotension
C) Neck stiffness t




D) Urinary retention -- Correct Answer ✔✔ C t t t t t t

,10) Which assessment would the nurse expect to observe in a patient who has been
t t t t t t t t t t t t t t




prescribed trazodone for treatment of anxiety? t t t t t




A) Excessive thirst t




B) Hand tremor t




C) Drowsiness
D) Diarrhea -- Correct Answer ✔✔ C t t t t t




11) The nurse is caring for a patient who is taking a newly prescribed drug nefazodone,
t t t t t t t t t t t t t t t




for treatment of depression. Which physical assessment finding is important for the
t t t t t t t t t t t t




nurse to report to the health care provider immediately?
t t t t t t t t




A) Bradycardia
B) Dizziness
C) Drowsiness
D) Urinary retention -- Correct Answer ✔✔ A t t t t t t




12) The nurse is providing education to a patient who has been prescribed bupropion
t t t t t t t t t t t t t




(Wellbutrin) for smoking cessation. Which statement by the patient would indicate
t t t t t t t t t t t




the need for further teaching?
t t t t




A) My dose will increase after 3 days t t t t t t




B) I should swallow the medication whole t t t t t




C) If I have the urge to smoke, I will take more medication t t t t t t t t t t t




D) I do not need to taper my dose when the drug is discontinued --
t t t t t t t t t t t t t t




Correct Answer ✔✔ C t t t




13) Which nursing action is most important when providing care to a patient diagnosed
t t t t t t t t t t t t t




with a mood disorder?
t t t




A) Assess the patient for thoughts of suicide t t t t t t




B) Provide supplemental feedings as needed t t t t




C) Assist with activities of daily living t t t t t




D) Offer opportunities for interaction with other patients -- Correct t t t t t t t t t




Answer ✔✔ A t t




14) A patient is admitted to a long term psychiatric setting. The MAOI medication
t t t t t t t t t t t t t




previously prescribed is discontinued by the physician. New orders are obtained to
t t t t t t t t t t t t

, initiate imipramine therapy. The nurse will provide the first dose of imipramine to
t t t t t t t t t t t t t




the patient _____ the MAOI drug.
t t t t t




A) Immediately following the last dose of t t t t t




B) In 1 week following the last dose of t t t t t t t




C) In 14 days following the last dose of t t t t t t t




D) Before discontinuing -- Correct Answer ✔✔ C t t t t t t




15) A patient taking vilazodone has been vomiting persistently for 12 hours. The
t t t t t t t t t t t t




priority nursing diagnosis for this patient is
t t t t t t




A) Nausea
B) Imbalanced nutrition (less than body requirements) t t t t t




C) Fluid volume deficit t t




D) Altered peripheral tissue perfusion -- Correct Answer ✔✔ C t t t t t t t t




16) You are admitting a new patient who is depressed. Your initial contact should do
t t t t t t t t t t t t t t




what?
A) Address why he is depressed t t t t




B) Keep communication open t t




C) Lift his spirits t t




D) Establish trust -- Correct Answer ✔✔ D t t t t t t




17) In caring for a patient with major depression, the nurse knows that the patient
t t t t t t t t t t t t t t




needs
A) Frequent changes in activities t t t




B) Introduction to multiple new staff members t t t t t




C) Behavior modification that restructures feelings t t t t




D) Well-defined, structured interactions at the beginning of treatment -- t t t t t t t t t




Correct Answer ✔✔ D t t t




18) Patients with major depression commonly display signs of
t t t t t t t




A) Energy
B) Repetitive, compulsive behaviors t t




C) Worthlessness
D) Visual hallucinations -- Correct Answer ✔✔ C t t t t t t




19) When your patient says I am depressed, what is the best response?
t t t t t t t t t t t