MODULE 5 DEPRESSION (CMAN 272 EXAM 1) QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW
a nurse is caring for a client who has a new prescription for phenelzine
(Nardil) for the treatment of depression. Which of the following
indications that the client has developed an adverse effects of this
medication?
a. orthostatic hypotension
b. hearing loss
c. gastrointestinal bleeding
d. weight loss Ans✓✓✓a. orthostatic hypotension
Phenelzine is a MAOI
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 Ans✓✓✓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 Ans✓✓✓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 Ans✓✓✓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 Ans✓✓✓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 Ans✓✓✓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. Ans✓✓✓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?
1. Monitor for signs and symptoms of physical and psychological
withdrawal.
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW
a nurse is caring for a client who has a new prescription for phenelzine
(Nardil) for the treatment of depression. Which of the following
indications that the client has developed an adverse effects of this
medication?
a. orthostatic hypotension
b. hearing loss
c. gastrointestinal bleeding
d. weight loss Ans✓✓✓a. orthostatic hypotension
Phenelzine is a MAOI
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 Ans✓✓✓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 Ans✓✓✓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 Ans✓✓✓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 Ans✓✓✓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 Ans✓✓✓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. Ans✓✓✓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?
1. Monitor for signs and symptoms of physical and psychological
withdrawal.
