NR 326 PSYCHIATRIC-NURSING-REVIEW
(Test Part 3)
Psychiatric Mental Health Nursing Test Part 3
All the questions in the quiz along with their answers are shown below.
Your answers are bolded. The correct answers have a green background while the
incorrect ones have a red background.
1. A male adult client with bipolar disorder is being treated with lithium for the first
time. Nurse Joy should observe the client for which common adverse effect of lithium?
a. Sexual dysfunction
b. Constipation
c. Polyuria
d. Seizures
Polyuria commonly occurs early in the treatment with lithium and could result in fluid
volume deficit. Sexual dysfunction isn't a common adverse effect of lithium; it's more
common with sedatives and tricyclic antidepressants. Diarrhea, not constipation, occurs
with lithium.Constipation can occur with other psychiatric drugs, such as antipsychotic
drugs. Seizures may be a later sign of lithium toxicity.
,2. Mr. Velasquez is brought to the crisis intervention center by his wife, who states
that he has been increasingly listless and less involved with his family recently. She
reports
,that he sleeps poorly, eats little, and can barely perform basic self-care activities. She
also reveals that 3 months ago he was in a car accident in which his best friend was
killed. After the physician diagnoses acute depression, the nurse should anticipate
administering:
a. paroxetine (Paxil), 20 mg by mouth (P.O.) every morning
b. amitriptyline (Elavil), 20 mg P.O. daily
c. doxepin (Sinequan), 500 mg daily
d. imipramine (Tofranil), 500 mg daily
All of the drugs listed are antidepressants that may be prescribed for this client.
However, paroxetine, 20 mg P.O. every morning, is the only correct dosage.
Amitriptyline is usually started at 75 to 150 mg P.O. daily in divided doses. Doxepin is
started at 25 to 50 mg daily and may be titrated upward to a maximum daily dose of 300
mg. Imipramine is started at 50 to 75 mg daily and, if tolerated, titrated upward to a
maximum daily dose of 300 mg.
3. Nurse Vanessa is administering venlafaxine (Effexor) 75 mg by mouth daily to
a client diagnosed with depression. What type of agent is venlafaxine?
a. Monoamine oxidase inhibitor
b. Tricyclic antidepressant
c. Second-generation antidepressant
d. Lithium derivative
Physicians prescribe venlafaxine to treat depressive disorders; the drug is a second-
generation antidepressant agent
, 4. At night, Victor a geriatric client with senile dementia wanders into other clients'
rooms, awakening them. What is the best nursing intervention for dealing with the
client's insomnia and nocturnal roaming?
a. Administer a benzodiazepine at bedtime as prescribed
b. Administer a phenothiazine at bedtime as prescribed
c. Administer a barbiturate at bedtime as prescribed
d. Lock the client's door at bedtime
(Test Part 3)
Psychiatric Mental Health Nursing Test Part 3
All the questions in the quiz along with their answers are shown below.
Your answers are bolded. The correct answers have a green background while the
incorrect ones have a red background.
1. A male adult client with bipolar disorder is being treated with lithium for the first
time. Nurse Joy should observe the client for which common adverse effect of lithium?
a. Sexual dysfunction
b. Constipation
c. Polyuria
d. Seizures
Polyuria commonly occurs early in the treatment with lithium and could result in fluid
volume deficit. Sexual dysfunction isn't a common adverse effect of lithium; it's more
common with sedatives and tricyclic antidepressants. Diarrhea, not constipation, occurs
with lithium.Constipation can occur with other psychiatric drugs, such as antipsychotic
drugs. Seizures may be a later sign of lithium toxicity.
,2. Mr. Velasquez is brought to the crisis intervention center by his wife, who states
that he has been increasingly listless and less involved with his family recently. She
reports
,that he sleeps poorly, eats little, and can barely perform basic self-care activities. She
also reveals that 3 months ago he was in a car accident in which his best friend was
killed. After the physician diagnoses acute depression, the nurse should anticipate
administering:
a. paroxetine (Paxil), 20 mg by mouth (P.O.) every morning
b. amitriptyline (Elavil), 20 mg P.O. daily
c. doxepin (Sinequan), 500 mg daily
d. imipramine (Tofranil), 500 mg daily
All of the drugs listed are antidepressants that may be prescribed for this client.
However, paroxetine, 20 mg P.O. every morning, is the only correct dosage.
Amitriptyline is usually started at 75 to 150 mg P.O. daily in divided doses. Doxepin is
started at 25 to 50 mg daily and may be titrated upward to a maximum daily dose of 300
mg. Imipramine is started at 50 to 75 mg daily and, if tolerated, titrated upward to a
maximum daily dose of 300 mg.
3. Nurse Vanessa is administering venlafaxine (Effexor) 75 mg by mouth daily to
a client diagnosed with depression. What type of agent is venlafaxine?
a. Monoamine oxidase inhibitor
b. Tricyclic antidepressant
c. Second-generation antidepressant
d. Lithium derivative
Physicians prescribe venlafaxine to treat depressive disorders; the drug is a second-
generation antidepressant agent
, 4. At night, Victor a geriatric client with senile dementia wanders into other clients'
rooms, awakening them. What is the best nursing intervention for dealing with the
client's insomnia and nocturnal roaming?
a. Administer a benzodiazepine at bedtime as prescribed
b. Administer a phenothiazine at bedtime as prescribed
c. Administer a barbiturate at bedtime as prescribed
d. Lock the client's door at bedtime
