Deck 69: Caring for Clients With Mood Disorders

Question 1

Older adults can be given the lowest dosage of psychotropic drugs because:

A) Chronic or terminal illness accompany aging.
B) Of the risk for amnesia.
C) Older adults are susceptible to urinary retention.
D) Of the potential for increased adverse reactions and toxicity.

Answer 1

Of the potential for increased adverse reactions and toxicity.

Question 2

During the assessment of a client with mood disorder, the nurse observes that the client experiences hallucinations and delusions. Which of the following forms of depressive disorders does the client experience?

A) Reactive depression
B) Mania
C) Psychotic depression
D) Seasonal affective disorder (SAD)

Answer 2

Psychotic depression

Question 3

A client is receiving Lithium therapy for a bipolar disorder. The nurse teaches the client that which of the following medications increase serum lithium levels?

A) Sodium bicarbonate
B) Lasix
C) Theophylline
D) Carbamazepine

Answer 3

Lasix

Question 4

Which of the following is an example of subacute symptoms that may be observed in the older adult who may be depressed?

A) Weight gain
B) Lack of energy
C) Increased appetite
D) Increased sleep

Question 5

Which type of therapy is facilitated by a bond that developed between the therapist and the client?

A) Behavioral therapy
B) Supportive psychotherapy
C) Interpersonal psychotherapy
D) Cognitive therapy

Question 6

Which of the following is a true statement regarding SSRIs?

A) They have milder side effects than other antidepressants.
B) They are more likely to cause death in overdose.
C) There is a long lag time of 3-4 weeks.
D) The medication needs adjustment frequently.

Question 7

What clinical manifestation should the nurse periodically monitor for while a client is being administered valproic acid?

A) Hepatotoxicity
B) Hypertensive crisis
C) Orthostatic hypotension
D) Drowsiness

Question 8

Which neurotransmitter helps explain the psychomotor retardation seen with clients diagnosed with depression?

A) Serotonin
B) Norepinephrine
C) Dopamine
D) Acetylcholine

Question 9

Which antidepressant is highly lethal if taken in an overdose?

A) Imipramine (Trofanil)
B) Paroxetine (Paxil)
C) Fluoxetine (Prozac)
D) Sertaline (Zoloft)

Question 10

A client with major depression is having a disturbed sleep pattern. Which of the following nursing interventions will help the client to get maximum sleep during the night?

A) Acknowledge the client's feeling of despair.
B) Encourage active exercise before bedtime.
C) Encourage the client to go to bed early.
D) Keep the client busy during the day.

Question 11

Administering an MAOI with food containing tyramine may develop a potentially fatal condition known as:

A) Psychosis.
B) Serotonin syndrome.
C) Hypertensive crisis.
D) Hallucinations.

Question 12

During the assessment of a client with major depression, the nurse observes that the client experiences psychomotor agitation. Which of the following manifestations of psychomotor agitation is seen in the client?

A) Increased sleep
B) Distractibility
C) Lack of energy
D) Lack of interest in daily events

Question 13

Which of the following is a true statement regarding Lithium therapy?

A) Lithium does not cross the placental barrier.
B) Oliguria may occur with administration of Lithium.
C) Lithium has a narrow range of safety between therapeutic and toxic levels.
D) There is an immediate response to Lithium.

Question 14

It is important for a nurse periodically to monitor serum drug levels and leukocyte counts in clients who have been prescribed carbamazepine for depression because of:

A) Risk of overdose.
B) Risk for infection.
C) Side effects of the drug.
D) Instating another anticonvulsant drug.

Question 15

A client with bipolar disorder is having a disturbed thought process. Which of the following nursing interventions can help the client to be oriented and accurately perceive circumstances surrounding admission?

A) Provide ample information.
B) Listen and support the client when in delusion.
C) Reduce distracting stimuli.
D) Offer a large-muscle activity.

Question 16

Which of the following nursing interventions should a nurse perform when caring for a female client with mood disorder who is prescribed lithium?

A) Instruct to avoid activities that require alertness and coordination.
B) Administer lithium before meals.
C) Withhold if serum level is less than 1.5 mEq.
D) Instruct to avoid breast-feeding.

Question 17

Why should a nurse reinforce the need for a client to observe dietary and drug restrictions for 2 weeks after stopping administration of a monoamine oxidase inhibitor (MAOI)?

A) To avoid a hypertensive episode
B) To avoid the risk for injury
C) To avoid the risk for infection
D) To avoid the risk for imbalanced fluid volume

Question 18

Which of the following mood disorders has alternating sad and elated mood, resembling bipolar disorder, but less extreme mood shifts?

A) Euthymia
B) Dysthymia
C) Cyclothymia
D) Psychotic depression

Question 19

Anticonvulsants enhance which neurotransmitter in clients diagnosed with bipolar disorder?

A) Serotonin
B) Dopamine
C) GABA
D) Acetylcholine

Question 20

Which of the following is an example of a tricyclic antidepressant?

A) Ohenelzine (Nardil)
B) Amitriptyline (Elavil)
C) Sertaloine (Zoloft)
D) Paroxetine (Paxil)

Question 21

Which of the following is the drug of choice for treatment of bipolar disorder?

A) Tegretol
B) Eskalith
C) Depakote
D) Zyprexa

Question 22

A client has been diagnosed with SAD. The nurse would anticipate which treatment for this client?

A) Vagal nerve stimulation
B) Phototherapy
C) Electroconvulsive therapy
D) Deep brain stimulation

Question 23

Which electrolyte alteration has been implicated in bipolar disorder?

A) Sodium
B) Potassium
C) Calcium
D) Magnesium

Question 24

Electroconvulsive therapy is generally reserved for persons who are depressed and:

A) Have responded to drug therapy.
B) Are so seriously suicidal that waiting for the effect of the antidepressant jeopardizes safety.
C) Able to tolerate side effects of antidepressant.
D) Have responded to psychotherapy.