CMAN 272 EXAM 1 MODULE 5 - DEPRESSION
QUESTIONS
A nurse is caring for a client who has a new prescription for phenelzine (Nardil) for the
treatment of depression. Which of the following indications that the client has developed
an adverse effects of this medication?
A. Orthostatic hypotension
B. Hearing loss
C. Gastrointestinal bleeding
D. Weight loss - Answer -a. Orthostatic hypotension
Phenelzine is a MAOI
A nurse is providing teaching to a client who has a new prescription for amitriptyline for
treatment of depression. Which of the following should the nurse include in the teaching.
(select all that apply)
A. Expect therapeutic effects in 24 to 48 hours
B. Discontinue the medication after a week of improved mood
C. Change positions slowly to minimize dizziness
D. Decrease dietary fiber to control diarrhea
E. Chew sugarless gum to prevent dry mouth - Answer -c. Change positions slowly to
minimize dizziness
A nurse providing discharge teaching to a client who has a new prescription for
fluoxetine (prozac) for PTSD. Which of the following statements should the nurse
include in the teaching?
A. You can have a decreased desire for intimacy while taking this medication
B. You should take this medication at bedtime to help promote sleep
C. You will have fewer urinary adverse effects if you urinate just before taking this
medication
D. You'll need to wear sunglasses when outdoors to due to the light sensitivity caused
by this medication - Answer -a. You can have a decreased desire for intimacy while
taking this medication
A nurse is caring for a client who has depression and a new prescription for venlafaxine
(Effexor). The nurse should monitor the client for which of the following manifestations
are adverse effects of this medication? (select all that apply)
A. Mydriasis
B. Dizziness
C. Decreased libido
D. Alopecia
E. Hypotension - Answer -a. Mydriasis
B. Dizziness
C. Decreased libido
,A nurse is caring for a client who has been taking sertraline (Zoloft) for the past 2 days.
Which of the following assessment findings should alert the nurse to the possibility that
the client is developing serotonin syndrome?
A. Bruising
B. Fever
C. Tinnitus
D. Rash - Answer -b. Fever
Which situation would place a client at high risk for a life-threatening hypertensive
crisis?
1. A client is prescribed tranylcypromine (Parnate) and eats chicken salad.
2. A client is prescribed isocarboxazid (Marplan) and drinks hot chocolate.
3. A client is prescribed venlafaxine (Effexor) and drinks wine.
4. A client is prescribed phenelzine (Nardil) and eats fresh roasted chicken. - Answer -
2. 2. A client is prescribed isocarboxazid (Marplan) and drinks hot chocolate.
Isocarboxazid is an MAOI, and the intake
Of chocolate would cause a life-threaten-
Ing hypertensive crisis.
A client has been taking bupropion (Wellbutrin) for more than 1 year. The client has
been in a car accident with loss of consciousness and is brought to the emergency
department. For which reason would the nurse question the continued use of this
medication?
1. The client may have a possible injury to the gastrointestinal system.
2. The client is at risk for seizures from a potential closed head injury.
3. The client is at increased risk of bleeding while taking bupropion.
4. The client may experience sedation from bupropion, making assessment difficult. -
Answer -2. The client is at risk for seizures from a potential closed head injury.
A client experiencing suicidal ideations with a plan to overdose on medications is
admitted to an in-patient psychiatric unit. Mirtazapine (Remeron) is prescribed. Which
nursing intervention takes priority?
1. Remind the client that medication effectiveness may take 2 to 3 weeks.
2. Teach the client to take the medication with food to avoid nausea.
3. Check the client's blood pressure every shift to monitor for hypertension.
4. Monitor closely for signs that the client might be "cheeking" medications. - Answer -
4. Monitor closely for signs that the client might be "cheeking" medications.
If a client comes into the in-patient psy-
Chiatric unit with a plan to overdose, it is
Critical that the nurse monitor for cheek-
Ing and hoarding of medications. Clients
May cheek and hoard medications to take,
As an overdose, at another time.
, A client on an in-patient psychiatric unit has been prescribed tranylcypromine (Parnate)
30 mg QD. Which client statement indicates that discharge teaching has been
successful?
1. "I can't wait to order liver and fava beans with a nice Chianti."
2. "Chicken teriyaki with soy sauce, apple sauce, and tea sound great."
3. "I have been craving a hamburger with lettuce and onion, potato chips, and milk."
4. "For lunch tomorrow I'm having bologna and cheese, a banana, and a cola." -
Answer -3. "I have been craving a hamburger with lettuce and onion, potato chips, and
milk."
All of the foods chosen in this meal are
Safe to ingest when taking an MAOI.
A client recently prescribed venlafaxine (Effexor) 37.5 mg bid complains of dry mouth,
orthostatic hypotension, and blurred vision. Which nursing intervention is appropriate?
1. Hold the next dose, and document symptoms immediately.
2. Reassure the client that side effects are transient, and teach ways to deal with them.
3. Call the physician to receive an order for benztropine (Cogentin).
4. Notify the dietary department about restrictions related to monoamine oxidase
Inhibitors. - Answer -2. . Reassure the client that side effects are transient, and teach
ways to deal with them
The nurse needs to teach the client about
Acceptable side effects, and what the
Client can do to deal with them. The
Nurse can suggest that the client use ice
Chips, sip small amounts of water, or chew
Sugar-free gum or candy to moisten the
Dry mouth. For orthostatic hypotension,
The nurse may encourage the client to
Change positions slowly. For blurred
Vision, the nurse may encourage the use
Of moisturizing eye drops.
A client is admitted to the mental health unit with a diagnosis of depression. The nurse
should develop a plan of care for the client that includes which intervention?
1. Encouraging quiet reading and writing for the first few days
2. Identification of physical activities that will provide exercise
3. No socializing activities until the client asks to participate in
Milieu
4. A structured program of activities in which the client can
Participate - Answer -4. A structured program of activities in which the client can
participate
Rationale: A client with depression often is withdrawn while experiencing
Difficulty concentrating, loss of interest or pleasure, low energy, fatigue, and feelings
QUESTIONS
A nurse is caring for a client who has a new prescription for phenelzine (Nardil) for the
treatment of depression. Which of the following indications that the client has developed
an adverse effects of this medication?
A. Orthostatic hypotension
B. Hearing loss
C. Gastrointestinal bleeding
D. Weight loss - Answer -a. Orthostatic hypotension
Phenelzine is a MAOI
A nurse is providing teaching to a client who has a new prescription for amitriptyline for
treatment of depression. Which of the following should the nurse include in the teaching.
(select all that apply)
A. Expect therapeutic effects in 24 to 48 hours
B. Discontinue the medication after a week of improved mood
C. Change positions slowly to minimize dizziness
D. Decrease dietary fiber to control diarrhea
E. Chew sugarless gum to prevent dry mouth - Answer -c. Change positions slowly to
minimize dizziness
A nurse providing discharge teaching to a client who has a new prescription for
fluoxetine (prozac) for PTSD. Which of the following statements should the nurse
include in the teaching?
A. You can have a decreased desire for intimacy while taking this medication
B. You should take this medication at bedtime to help promote sleep
C. You will have fewer urinary adverse effects if you urinate just before taking this
medication
D. You'll need to wear sunglasses when outdoors to due to the light sensitivity caused
by this medication - Answer -a. You can have a decreased desire for intimacy while
taking this medication
A nurse is caring for a client who has depression and a new prescription for venlafaxine
(Effexor). The nurse should monitor the client for which of the following manifestations
are adverse effects of this medication? (select all that apply)
A. Mydriasis
B. Dizziness
C. Decreased libido
D. Alopecia
E. Hypotension - Answer -a. Mydriasis
B. Dizziness
C. Decreased libido
,A nurse is caring for a client who has been taking sertraline (Zoloft) for the past 2 days.
Which of the following assessment findings should alert the nurse to the possibility that
the client is developing serotonin syndrome?
A. Bruising
B. Fever
C. Tinnitus
D. Rash - Answer -b. Fever
Which situation would place a client at high risk for a life-threatening hypertensive
crisis?
1. A client is prescribed tranylcypromine (Parnate) and eats chicken salad.
2. A client is prescribed isocarboxazid (Marplan) and drinks hot chocolate.
3. A client is prescribed venlafaxine (Effexor) and drinks wine.
4. A client is prescribed phenelzine (Nardil) and eats fresh roasted chicken. - Answer -
2. 2. A client is prescribed isocarboxazid (Marplan) and drinks hot chocolate.
Isocarboxazid is an MAOI, and the intake
Of chocolate would cause a life-threaten-
Ing hypertensive crisis.
A client has been taking bupropion (Wellbutrin) for more than 1 year. The client has
been in a car accident with loss of consciousness and is brought to the emergency
department. For which reason would the nurse question the continued use of this
medication?
1. The client may have a possible injury to the gastrointestinal system.
2. The client is at risk for seizures from a potential closed head injury.
3. The client is at increased risk of bleeding while taking bupropion.
4. The client may experience sedation from bupropion, making assessment difficult. -
Answer -2. The client is at risk for seizures from a potential closed head injury.
A client experiencing suicidal ideations with a plan to overdose on medications is
admitted to an in-patient psychiatric unit. Mirtazapine (Remeron) is prescribed. Which
nursing intervention takes priority?
1. Remind the client that medication effectiveness may take 2 to 3 weeks.
2. Teach the client to take the medication with food to avoid nausea.
3. Check the client's blood pressure every shift to monitor for hypertension.
4. Monitor closely for signs that the client might be "cheeking" medications. - Answer -
4. Monitor closely for signs that the client might be "cheeking" medications.
If a client comes into the in-patient psy-
Chiatric unit with a plan to overdose, it is
Critical that the nurse monitor for cheek-
Ing and hoarding of medications. Clients
May cheek and hoard medications to take,
As an overdose, at another time.
, A client on an in-patient psychiatric unit has been prescribed tranylcypromine (Parnate)
30 mg QD. Which client statement indicates that discharge teaching has been
successful?
1. "I can't wait to order liver and fava beans with a nice Chianti."
2. "Chicken teriyaki with soy sauce, apple sauce, and tea sound great."
3. "I have been craving a hamburger with lettuce and onion, potato chips, and milk."
4. "For lunch tomorrow I'm having bologna and cheese, a banana, and a cola." -
Answer -3. "I have been craving a hamburger with lettuce and onion, potato chips, and
milk."
All of the foods chosen in this meal are
Safe to ingest when taking an MAOI.
A client recently prescribed venlafaxine (Effexor) 37.5 mg bid complains of dry mouth,
orthostatic hypotension, and blurred vision. Which nursing intervention is appropriate?
1. Hold the next dose, and document symptoms immediately.
2. Reassure the client that side effects are transient, and teach ways to deal with them.
3. Call the physician to receive an order for benztropine (Cogentin).
4. Notify the dietary department about restrictions related to monoamine oxidase
Inhibitors. - Answer -2. . Reassure the client that side effects are transient, and teach
ways to deal with them
The nurse needs to teach the client about
Acceptable side effects, and what the
Client can do to deal with them. The
Nurse can suggest that the client use ice
Chips, sip small amounts of water, or chew
Sugar-free gum or candy to moisten the
Dry mouth. For orthostatic hypotension,
The nurse may encourage the client to
Change positions slowly. For blurred
Vision, the nurse may encourage the use
Of moisturizing eye drops.
A client is admitted to the mental health unit with a diagnosis of depression. The nurse
should develop a plan of care for the client that includes which intervention?
1. Encouraging quiet reading and writing for the first few days
2. Identification of physical activities that will provide exercise
3. No socializing activities until the client asks to participate in
Milieu
4. A structured program of activities in which the client can
Participate - Answer -4. A structured program of activities in which the client can
participate
Rationale: A client with depression often is withdrawn while experiencing
Difficulty concentrating, loss of interest or pleasure, low energy, fatigue, and feelings
