CMAN 272 EXAM 1 HIGH-YIELD TOPICS
SUMMARY 2026
◉ 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
◉ 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Rationale: A client with depression often is withdrawn while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
of worthlessness and poor self-esteem. The plan of care needs to
provide successful
experiences in a stimulating yet structured environment. The
remaining options are
, either too "restrictive" or offer little or no structure and stimulation.
◉ Which of the following are examples of anticholinergic side effects
from tricyclic anti-depressants? Select all that apply.
1. Urinary hesitancy.
2. Constipation.
3. Blurred vision.
4. Sedation.
5. Weight gain..
Answer: 1. Urinary hesitancy.
2. Constipation.
3. Blurred vision.
TEST-TAKING HINT: A way for the test taker to
remember anticholinergic effects is to remember
that they "dry" the system. When dry, the client
exhibits urinary hesitancy, constipation, blurred
vision, and dry mouth.
◉ A client diagnosed with major depressive disorder and
experiencing suicidal ideation is showing signs of anxiety.
Alprazolam (Xanax) is prescribed. Which assessment should be
prioritized?
SUMMARY 2026
◉ 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
◉ 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
of worthlessness and poor self-esteem. The plan of care needs to
provide successful
experiences in a stimulating yet structured environment. The
remaining options are
, either too "restrictive" or offer little or no structure and stimulation.
◉ Which of the following are examples of anticholinergic side effects
from tricyclic anti-depressants? Select all that apply.
1. Urinary hesitancy.
2. Constipation.
3. Blurred vision.
4. Sedation.
5. Weight gain..
Answer: 1. Urinary hesitancy.
2. Constipation.
3. Blurred vision.
TEST-TAKING HINT: A way for the test taker to
remember anticholinergic effects is to remember
that they "dry" the system. When dry, the client
exhibits urinary hesitancy, constipation, blurred
vision, and dry mouth.
◉ A client diagnosed with major depressive disorder and
experiencing suicidal ideation is showing signs of anxiety.
Alprazolam (Xanax) is prescribed. Which assessment should be
prioritized?
