Question 1

A child diagnosed with ADHD would likely exhibit which symptoms? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

ADHD symptoms include impulsiveness, excessive talking, and being easily distracted. ADHD does not inherently include the ability to focus for extended periods or violent behavior as symptoms.

Question 2

The nurse is caring for a client who has not responded to several antidepressant drugs.The nurse expects the physician to order which classification of medication for this client?

Accepted Answer

MAOIs (Monoamine Oxidase Inhibitors) are often considered for patients who have not responded to other antidepressants, such as SSRIs, SNRIs, and TCAs, due to their different mechanism of action and potential for serious dietary and drug interactions. They are typically used as a last resort.

Question 3

The client receives sertraline (Zoloft)and lithium.Which assessment data are most indicative of a potentially serious complication?

Accepted Answer

Fever and lack of muscular coordination can indicate serotonin syndrome or lithium toxicity, both of which are serious complications requiring immediate medical attention.

Question 4

The client receives paroxetine (Paxil),and tells the nurse that sexual dysfunction has become a problem.What is the best response by the nurse?

Accepted Answer

Sexual dysfunction is a known side effect of paroxetine (Paxil) and other SSRIs. It's important for patients to discuss any side effects with their physician to adjust the treatment plan if necessary. The nurse's best response is to acknowledge the side effect as common and encourage communication with the physician.

Question 5

The nurse instructs the client receiving MAOIs to avoid which item?

Accepted Answer

Avocado contains tyramine, a substance that should be avoided by clients taking monoamine oxidase inhibitors (MAOIs) because it can lead to hypertensive crisis when ingested in combination with these medications.

Question 6

The nurse is performing an assessment on a client who has been taking a tricyclic antidepressant for several weeks.Which common adverse effect of tricyclic antidepressants is most likely to occur?

Accepted Answer

The answer of The nurse is performing an assessment on...

Question 7

The nurse is caring for a client diagnosed with bipolar disorder who is exhibiting the following symptoms: insomnia,exaggerated confidence,attention seeking,and easily agitated.Based on these symptoms,what does the nurse believe these symptoms are caused by?

Accepted Answer

These symptoms are indicative of a manic episode, which is characterized by elevated mood, increased energy, reduced need for sleep (insomnia), inflated self-esteem or grandiosity (exaggerated confidence), more talkative than usual or feeling pressure to keep talking, distractibility, and possibly agitation. These are common in bipolar disorder during the manic phase.

Question 8

The client receives amitriptyline (Elavil).What is a priority teaching point at discharge?

Accepted Answer

Amitriptyline can cause orthostatic hypotension, which is a drop in blood pressure when standing up from sitting or lying down. Patients should be advised to change positions slowly to prevent dizziness and falls.

Question 9

Which teaching instruction is most appropriate for a client who has just been prescribed an SSRI?

Accepted Answer

The full therapeutic effect of SSRIs (Selective Serotonin Reuptake Inhibitors) typically takes several weeks to become evident, often around four weeks, making it important for patients to have realistic expectations regarding the onset of benefits.

Question 10

The physician has ordered a tricyclic antidepressant for a client with biological depression.The nurse expects to find which medications to be ordered for the client?

Accepted Answer

Amitriptyline (Elavil) is a tricyclic antidepressant, which is commonly prescribed for biological depression. The other options listed are not tricyclic antidepressants; they belong to different classes of antidepressants.

Question 11

Which teaching points should the nurse include for a client who has been prescribed an SSRI? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

SSRIs can cause gastrointestinal side effects such as constipation. Adding dietary fiber and drinking adequate amounts of fluid can help alleviate these symptoms. Restricting fluid intake, avoiding laxatives, and avoiding stool softeners are not generally recommended as part of managing SSRI side effects.

Question 12

A client is taking St.John's wort and an SSRI.The nurse observes the client for which symptoms? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The answer of A client is taking St.John's wort and...

Question 13

The client receives phenelzine (Nardil).Which dietary components would indicate the best planning by the nurse and client? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Phenelzine is a monoamine oxidase inhibitor (MAOI), and patients taking it should avoid foods high in tyramine to prevent hypertensive crises. Tomato soup and grilled chicken breast are low in tyramine, making them safe choices. Avocado, bologna, and alcoholic beverages like wine and beer are high in tyramine and should be avoided.

Question 14

The nurse is caring for a client with depression.The nurse recognizes which assessment findings to be symptoms of depression? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Lack of energy, sleep disturbances, and feelings of despair are common symptoms of depression. Increased energy and euphoria are not typically associated with depression; they may be more indicative of manic episodes in bipolar disorder.

Question 15

The nurse evaluates a client taking a high daily dose of duloxetine (Cymbalta)for which signs and symptoms? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Duloxetine (Cymbalta) is an antidepressant that can increase the risk of suicidal ideation, especially in young adults and children. It can also potentially lead to liver failure, particularly in patients with preexisting liver conditions or those who consume substantial amounts of alcohol. Additionally, while seizures are less common, they can occur, especially at high doses or in individuals with a history of seizures. Increased libido is not typically associated with duloxetine, and it more commonly can cause sexual dysfunction. Hypotension is not a primary concern with duloxetine; it may cause hypertension or have no significant effect on blood pressure.

Question 16

A client is being treated for reoccurring severe depressive illness.The nurse expects the client to receive which type of treatment?

Accepted Answer

For recurring severe depressive illness, a combination of medication and psychotherapy is often the most effective treatment approach. Medication can help manage the symptoms, while psychotherapy addresses the underlying issues and teaches coping strategies.

Question 17

A client receiving lithium (Eskalith)for bipolar disorder would be at risk for increased lithium toxicity if it were prescribed with which other medication?

Accepted Answer

Diuretics increase the risk of lithium toxicity by reducing the kidney's ability to eliminate lithium, leading to higher levels of lithium in the blood.

Question 18

The nurse is providing care to a client who is diagnosed with depression.The client asks the nurse which medication she is likely to be prescribed.What has become the drug of choice in treating depression?

Accepted Answer

SSRIs (Selective Serotonin Reuptake Inhibitors) have become the drug of choice for treating depression due to their efficacy and a more favorable side effect profile compared to older antidepressants like MAOIs (Monoamine Oxidase Inhibitors) and TCAs (Tricyclic Antidepressants).

Question 19

The client asks the nurse what causes depression.What is the best answer by the nurse?

Accepted Answer

Depression is a complex mental health condition with multiple potential causes, including genetic factors, hormonal changes, experiences of grief or loss, substance abuse, and the effects of certain prescription medications. This multifactorial perspective is widely accepted in the medical and psychological communities, making it the most accurate and comprehensive answer.

Question 20

A client has just begun therapy with lithium (Eskalith).The nurse notices the serum level of lithium for this client is 1.3 mEq/L.What is the normal range of lithium?

Accepted Answer

The normal therapeutic range of lithium is 0.6-1.5 mEq/L, making option B correct. Levels above 1.5 mEq/L can lead to toxicity, while levels below 0.6 mEq/L may not be therapeutically effective.

Quiz 11: Drugs for Emotional, Mood, and Behavioral Disorders

A child diagnosed with ADHD would likely exhibit which symptoms? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

The nurse is caring for a client who has not responded to several antidepressant drugs.The nurse expects the physician to order which classification of medication for this client?

The client receives sertraline (Zoloft) and lithium.Which assessment data are most indicative of a potentially serious complication?

The client receives paroxetine (Paxil) ,and tells the nurse that sexual dysfunction has become a problem.What is the best response by the nurse?

The nurse instructs the client receiving MAOIs to avoid which item?

The nurse is performing an assessment on a client who has been taking a tricyclic antidepressant for several weeks.Which common adverse effect of tricyclic antidepressants is most likely to occur?

The nurse is caring for a client diagnosed with bipolar disorder who is exhibiting the following symptoms: insomnia,exaggerated confidence,attention seeking,and easily agitated.Based on these symptoms,what does the nurse believe these symptoms are caused by?

The client receives amitriptyline (Elavil) .What is a priority teaching point at discharge?

Which teaching instruction is most appropriate for a client who has just been prescribed an SSRI?

The physician has ordered a tricyclic antidepressant for a client with biological depression.The nurse expects to find which medications to be ordered for the client?

Which teaching points should the nurse include for a client who has been prescribed an SSRI? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A client is taking St.John's wort and an SSRI.The nurse observes the client for which symptoms? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

The client receives phenelzine (Nardil) .Which dietary components would indicate the best planning by the nurse and client? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

The nurse is caring for a client with depression.The nurse recognizes which assessment findings to be symptoms of depression? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

The nurse evaluates a client taking a high daily dose of duloxetine (Cymbalta) for which signs and symptoms? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A client is being treated for reoccurring severe depressive illness.The nurse expects the client to receive which type of treatment?

A client receiving lithium (Eskalith) for bipolar disorder would be at risk for increased lithium toxicity if it were prescribed with which other medication?

The nurse is providing care to a client who is diagnosed with depression.The client asks the nurse which medication she is likely to be prescribed.What has become the drug of choice in treating depression?

The client asks the nurse what causes depression.What is the best answer by the nurse?

A client has just begun therapy with lithium (Eskalith) .The nurse notices the serum level of lithium for this client is 1.3 mEq/L.What is the normal range of lithium?