NURS 660 Exam 2 STUDY
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
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) – answer B
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 - answerC
Lithium (Eskalith) is the drug of choice for which of the following disorders?
a. Psychotic episodes
b. Obsessive compulsive disorders (OCDs)
c. Bipolar disorders
d. Depressive disorders - answerC
Which psychological manifestations of depression will improve in response to
antidepressant therapy?
a. Loss of energy
b. Palpitations
c. Sleep disturbances
d. Social withdrawal - answerD
On what is the choice of tricyclic antidepressants 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 - answerB
,The nurse is teaching a patient about medication treatment for depression. The patient
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 - answerB
What is the action of MAOIs on neurotransmitters?
a. Blocking their reuptake
b. Increasing their production
c. Blocking their destruction
d. Increasing their reuptake - answerC
A patient 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 - answerC
Which assessment would the nurse expect to observe in a patient who has been
prescribed trazodone for treatment of anxiety?
a. Excessive thirst
b. Hand tremor
c. Drowsiness
d. Diarrhea - answerC
The nurse is caring for a patient who is taking a newly prescribed drug nefazodone, for
treatment of depression. Which physical assessment finding is important for the nurse
to report to the health care provider immediately?
a. Bradycardia
b. Dizziness
c. Drowsiness
d. Urinary retention - answerA
The nurse is providing education to a patient who has been prescribed bupropion
(Wellbutrin) for smoking cessation. Which statement by the patient would indicate the
need for further teaching?
a. My dose will increase after 3 days
b. I should swallow the 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 - answerC
,Which nursing action is most important when providing care to a patient diagnosed with
a mood disorder?
a. Assess the patient for thoughts of suicide
b. Provide supplemental feedings as needed
c. Assist with activities of daily living
d. Offer opportunities for interaction with other patients - answerA
A patient is admitted to a long term psychiatric setting. The MAOI medication previously
prescribed is discontinued by the physician. New orders are obtained to initiate
imipramine therapy. The nurse will provide the first dose of imipramine to the patient
_____ the MAOI drug.
a. Immediately following the last dose of
b. In 1 week following the last dose of
c. In 14 days following the last dose of
d. Before discontinuing - answerC
A patient taking vilazodone has been vomiting persistently for 12 hours. The priority
nursing diagnosis for this patient is
a. Nausea
b. Imbalanced nutrition (less than body requirements)
c. Fluid volume deficit
d. Altered peripheral tissue perfusion - answerC
1. You are admitting a new patient who is depressed. Your initial contact should do
what?
a. Address why he is depressed
b. Keep communication open
c. Lift his spirits
d. Establish trust - answerD
1. In caring for a patient with major depression, the nurse knows that the patient needs
a. Frequent changes in activities
b. Introduction to multiple new staff members
c. Behavior modification that restructures feelings
d. Well-defined, structured interactions at the beginning of treatment - answerD
1. Patients with major depression commonly display signs of
a. Energy
b. Repetitive, compulsive behaviors
c. Worthlessness
d. Visual hallucinations - answerC
1. When your patient says I am depressed, what is the best response?
a. We all feel that way now and then
b. Why do you feel that way?
c. Everything will be OK once you snap out of it
, d. Tell me more about what is going on with you - answerD
1. Your patient takes tranylcypromine for depression. Which of the following is most
likely to indicate dietary restrictions have not been followed?
a. Hypertensive crisis
b. Syncope
c. Muscle spasms
d. Increased depression - answerA
1. Your depressed patient who is taking a tricyclic antidepressant is advised of possible
anticholinergic side effects. Which of the following is not an anticholinergic side effect?
a. Blurred vision
b. Difficulty starting urine stream
c. Dry mouth
d. Muscle rigidity - answerD
1. Helen, a 47-year-old client with a long history of severe depression, has not
responded to antidepressant medications or psychotherapy. The nurse caring for the
patient knows that the treatment of choice for depression unresponsive to conventional
treatment would be
a. Lithium
b. Electroconvulsive therapy (ECT)
c. Light therapy
d. Neurolinguistic programming - answerB
1. Your depressed patient is just started on duloxetine (Cymbalta). Which statement by
the spouse tells you that family teaching has been effective?
a. I can't wait for him to be back to his old self in the next day or so
b. I realize we can't expect big changes right away
c. I have to take him for weekly blood tests to monitor the drug dosage
d. I will make sure he doesn't eat any aged cheese for the next 2 months until the dose
is stabilized - answerB
1. Biological theories of depressive disorder include all of the following except
a. Chemical imbalances are responsible
b. The patient experiences maladaptive thought processes
c. There are genetic tendencies that run in families
d. Hormonal factors make women more susceptible than men - answerB
1. Light therapy has been shown to be effective in treating patients with
a. Bipolar disorder
b. Dysthymia
c. Major depression with seasonal pattern
d. Schizophrenia - answerC
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
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) – answer B
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 - answerC
Lithium (Eskalith) is the drug of choice for which of the following disorders?
a. Psychotic episodes
b. Obsessive compulsive disorders (OCDs)
c. Bipolar disorders
d. Depressive disorders - answerC
Which psychological manifestations of depression will improve in response to
antidepressant therapy?
a. Loss of energy
b. Palpitations
c. Sleep disturbances
d. Social withdrawal - answerD
On what is the choice of tricyclic antidepressants 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 - answerB
,The nurse is teaching a patient about medication treatment for depression. The patient
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 - answerB
What is the action of MAOIs on neurotransmitters?
a. Blocking their reuptake
b. Increasing their production
c. Blocking their destruction
d. Increasing their reuptake - answerC
A patient 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 - answerC
Which assessment would the nurse expect to observe in a patient who has been
prescribed trazodone for treatment of anxiety?
a. Excessive thirst
b. Hand tremor
c. Drowsiness
d. Diarrhea - answerC
The nurse is caring for a patient who is taking a newly prescribed drug nefazodone, for
treatment of depression. Which physical assessment finding is important for the nurse
to report to the health care provider immediately?
a. Bradycardia
b. Dizziness
c. Drowsiness
d. Urinary retention - answerA
The nurse is providing education to a patient who has been prescribed bupropion
(Wellbutrin) for smoking cessation. Which statement by the patient would indicate the
need for further teaching?
a. My dose will increase after 3 days
b. I should swallow the 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 - answerC
,Which nursing action is most important when providing care to a patient diagnosed with
a mood disorder?
a. Assess the patient for thoughts of suicide
b. Provide supplemental feedings as needed
c. Assist with activities of daily living
d. Offer opportunities for interaction with other patients - answerA
A patient is admitted to a long term psychiatric setting. The MAOI medication previously
prescribed is discontinued by the physician. New orders are obtained to initiate
imipramine therapy. The nurse will provide the first dose of imipramine to the patient
_____ the MAOI drug.
a. Immediately following the last dose of
b. In 1 week following the last dose of
c. In 14 days following the last dose of
d. Before discontinuing - answerC
A patient taking vilazodone has been vomiting persistently for 12 hours. The priority
nursing diagnosis for this patient is
a. Nausea
b. Imbalanced nutrition (less than body requirements)
c. Fluid volume deficit
d. Altered peripheral tissue perfusion - answerC
1. You are admitting a new patient who is depressed. Your initial contact should do
what?
a. Address why he is depressed
b. Keep communication open
c. Lift his spirits
d. Establish trust - answerD
1. In caring for a patient with major depression, the nurse knows that the patient needs
a. Frequent changes in activities
b. Introduction to multiple new staff members
c. Behavior modification that restructures feelings
d. Well-defined, structured interactions at the beginning of treatment - answerD
1. Patients with major depression commonly display signs of
a. Energy
b. Repetitive, compulsive behaviors
c. Worthlessness
d. Visual hallucinations - answerC
1. When your patient says I am depressed, what is the best response?
a. We all feel that way now and then
b. Why do you feel that way?
c. Everything will be OK once you snap out of it
, d. Tell me more about what is going on with you - answerD
1. Your patient takes tranylcypromine for depression. Which of the following is most
likely to indicate dietary restrictions have not been followed?
a. Hypertensive crisis
b. Syncope
c. Muscle spasms
d. Increased depression - answerA
1. Your depressed patient who is taking a tricyclic antidepressant is advised of possible
anticholinergic side effects. Which of the following is not an anticholinergic side effect?
a. Blurred vision
b. Difficulty starting urine stream
c. Dry mouth
d. Muscle rigidity - answerD
1. Helen, a 47-year-old client with a long history of severe depression, has not
responded to antidepressant medications or psychotherapy. The nurse caring for the
patient knows that the treatment of choice for depression unresponsive to conventional
treatment would be
a. Lithium
b. Electroconvulsive therapy (ECT)
c. Light therapy
d. Neurolinguistic programming - answerB
1. Your depressed patient is just started on duloxetine (Cymbalta). Which statement by
the spouse tells you that family teaching has been effective?
a. I can't wait for him to be back to his old self in the next day or so
b. I realize we can't expect big changes right away
c. I have to take him for weekly blood tests to monitor the drug dosage
d. I will make sure he doesn't eat any aged cheese for the next 2 months until the dose
is stabilized - answerB
1. Biological theories of depressive disorder include all of the following except
a. Chemical imbalances are responsible
b. The patient experiences maladaptive thought processes
c. There are genetic tendencies that run in families
d. Hormonal factors make women more susceptible than men - answerB
1. Light therapy has been shown to be effective in treating patients with
a. Bipolar disorder
b. Dysthymia
c. Major depression with seasonal pattern
d. Schizophrenia - answerC
