NURS 660 EXAM 2 QUESTIONS AND ANSWERS
GRADED A+MARYVILLE
You are doing patient teaching for Margaret, who has been prescribed
amitriptyline (Elavil) for treatment of depression. Which of the following
statements suggest that Margaret needs further instruction?
a. I know I might not start feeling better for a few weeks, but I'll keep taking my
medication just as the doctor prescribed
b. I'll keep some hard candies in my purse in case my mouth gets dry from the
medicine
c. Once I start feeling better, I am looking forward to cutting down on this
medication
d. I'm worried I may gain some weight, but that is the small price to pay to feeling
better
C
What is the main difference between depression and dysthymic depression?
a. Dysthymia is a short-term depression and major depression lasts for years
b. Dysthymia is a chronic, low-level depression that lasts for years, while major
depression is more severe
c. Dysthymia is more likely to be caused by psychological factors and major
depression is caused by neurological dysfunction
,d. Dysthymia is normally treated with psychotherapy only, while major depression
is treated with antidepressants and psychotherapy
B
Your depressed patient is starting a new medication called phenelzine (Nardil).
Which teaching would be most important to emphasize?
a. Educate the patient to take this medication ongoing, even as symptoms improve
b. Instruct the patient and family about the many food-drug interactions
c. Instruct the patient about interventions to relieve dry mouth
d. Inform the patient that this medication takes 4 to 6 weeks to take full effect
B
Which of the following antidepressants is a tricyclic?
a. Bupropion (Wellbutrin)
b. Sertraline (Zoloft)
c. Nortriptyline (Pamelor)
d. Venlafaxine (Effexor)
C
Which statement is most true about depression?
,a. It is more common in women than men
b. It is rare to have more than one episode of major depression in one's lifetime
c. Young children do not suffer from depression
d. As one ages, there is reduced risk of depression
A
A newly admitted client has been diagnosed with major depressive disorder.
Which nursing diagnosis takes priority?
a. Impaired social interaction
b. Self-esteem deficit
c. Hopelessness
d. Self-care deficit
C
The nurse knows that the two factors that often differentiate major depression from
dysthymia depression are
a. Amounts of mania and sadness
b. Presence or absence of anger and guilt
c. Severity and duration of symptoms
d. Patient's gender and age
C
, You are caring for an older adult who is recently widowed. She says "No one
cares if I die. Everyone I ever loved is dead." What is the best response?
a. I am sure that you still have people who care about you
b. You sound like you are feeling alone
c. Boy, that is depressing
d. I don't believe that
B
Your patient with major depression tells you he suffers from urinary retention.
Which medication would most likely to cause this?
a. Amitriptyline
b. Duloxetine
c. Carbamazepine
d. Ritalin
A
What occurs with mania associated with bipolar disorder
a. Varying degrees of sadness
b. Distinct episodes of elation
c. Suicide
GRADED A+MARYVILLE
You are doing patient teaching for Margaret, who has been prescribed
amitriptyline (Elavil) for treatment of depression. Which of the following
statements suggest that Margaret needs further instruction?
a. I know I might not start feeling better for a few weeks, but I'll keep taking my
medication just as the doctor prescribed
b. I'll keep some hard candies in my purse in case my mouth gets dry from the
medicine
c. Once I start feeling better, I am looking forward to cutting down on this
medication
d. I'm worried I may gain some weight, but that is the small price to pay to feeling
better
C
What is the main difference between depression and dysthymic depression?
a. Dysthymia is a short-term depression and major depression lasts for years
b. Dysthymia is a chronic, low-level depression that lasts for years, while major
depression is more severe
c. Dysthymia is more likely to be caused by psychological factors and major
depression is caused by neurological dysfunction
,d. Dysthymia is normally treated with psychotherapy only, while major depression
is treated with antidepressants and psychotherapy
B
Your depressed patient is starting a new medication called phenelzine (Nardil).
Which teaching would be most important to emphasize?
a. Educate the patient to take this medication ongoing, even as symptoms improve
b. Instruct the patient and family about the many food-drug interactions
c. Instruct the patient about interventions to relieve dry mouth
d. Inform the patient that this medication takes 4 to 6 weeks to take full effect
B
Which of the following antidepressants is a tricyclic?
a. Bupropion (Wellbutrin)
b. Sertraline (Zoloft)
c. Nortriptyline (Pamelor)
d. Venlafaxine (Effexor)
C
Which statement is most true about depression?
,a. It is more common in women than men
b. It is rare to have more than one episode of major depression in one's lifetime
c. Young children do not suffer from depression
d. As one ages, there is reduced risk of depression
A
A newly admitted client has been diagnosed with major depressive disorder.
Which nursing diagnosis takes priority?
a. Impaired social interaction
b. Self-esteem deficit
c. Hopelessness
d. Self-care deficit
C
The nurse knows that the two factors that often differentiate major depression from
dysthymia depression are
a. Amounts of mania and sadness
b. Presence or absence of anger and guilt
c. Severity and duration of symptoms
d. Patient's gender and age
C
, You are caring for an older adult who is recently widowed. She says "No one
cares if I die. Everyone I ever loved is dead." What is the best response?
a. I am sure that you still have people who care about you
b. You sound like you are feeling alone
c. Boy, that is depressing
d. I don't believe that
B
Your patient with major depression tells you he suffers from urinary retention.
Which medication would most likely to cause this?
a. Amitriptyline
b. Duloxetine
c. Carbamazepine
d. Ritalin
A
What occurs with mania associated with bipolar disorder
a. Varying degrees of sadness
b. Distinct episodes of elation
c. Suicide
