Foundations of Mental Health Care 6th Edition Morrison-Valfre Test Bank
Chapter 07: Psychotherapeutic Drug Therapy
Morrison-Valfre: Foundations of Mental Health Care, 6th Edition
MULTIPLE CHOICE
1. During client teaching, the nurse must inform the client prescribed a tricyclic antidepressant
(TCA) to not expect to see a difference in mood or anxiety level for up to:
a. 5 days
b. 2 to 3 weeks
c. 4 to 5 weeks
d. 6 weeks
ANS: B
It is important that the client understand that TCAs typically take 2 to 3 weeks to take effect
so he will not become discouraged when he does not see immediate results.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 69
OBJ: 4 TOP: Antidepressant Medications
KEY: Nursing Process Step: Intervention MSC: Client Needs: Physiological Integrity
2. A male client with the diagnosis of depression is taking a monoamine oxidase inhibitor
(MAOI). Which is the most important teaching point the nurse must include in his care plan?
a. Avoid foods high in sodium content
b. Avoid alcoholic beverages
c. Ensure that protein intake is 60 grams per day
d. Take a potassium supplement
NURSINGTB.COM
ANS: B
This client should be given a list of foods and beverages that are restricted when taking
MAOIs, such as some alcoholic beverages, sausage and bologna, and some cheeses. Sodium,
protein, and potassium are not factors when MAOIs are taken.
PTS: 1 DIF: Cognitive Level: Application REF: p. 71
OBJ: 4 TOP: Antidepressant Medications
KEY: Nursing Process Step: Planning MSC: Client Needs: Physiological Integrity
3. A female client is 3-days postoperative and has been receiving meperidine (Demerol) for pain
control. The family mentions to the nurse that the client has been taking phenelzine (Nardil)
for years for her depression. The client did not list this medication on admission. What signs
and symptoms should the nurse look for in case of reaction between these two medications?
a. Increased pulse and respirations
b. Hyperactivity and difficulty concentrating
c. Increased tearing and increased urinary output
d. Sedation, disorientation, and hallucinations
ANS: D
Nardil is a monoamine oxidase inhibitor; therefore, symptoms of CNS depression such as
sedation, disorientation, and hallucinations, rather than increased vital signs, hyperactivity and
difficulty concentrating, and increased tearing and urination, most likely would occur as a
reaction between these two medications.
This study source was downloaded by 100000841194527 from CourseHero.com on 04-03-2022 07:30:34 GMT -05:00
https://www.coursehero.com/file/61401355/07pdf/ NURSINGTB.COM
, Foundations of Mental Health Care 6th Edition Morrison-Valfre Test Bank
PTS: 1 DIF: Cognitive Level: Application REF: p. 70
OBJ: 4 TOP: Antidepressant Medications
KEY: Nursing Process Step: Intervention MSC: Client Needs: Physiological Integrity
4. The nurse is aware that he or she may be administering the new antianxiety medication
pregabalin (Lyrica) to clients without an anxiety disorder for the purpose of treating:
a. Depression
b. Psychotic episodes
c. Neuropathic pain
d. Bipolar disorder
ANS: C
Pregabalin (Lyrica) has been found to be effective for the treatment of neuropathic pain, as
well as seizure disorders. This medication is not used for any of the other options listed.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 70
OBJ: 3 TOP: Antianxiety Medications
KEY: Nursing Process Step: Intervention MSC: Client Needs: Physiological Integrity
5. Selective serotonin reuptake inhibitors (SSRIs) are most health care providers’ drug of choice
for the treatment of depression because:
a. The side effects are more manageable than with other antidepressants.
b. They are the only class safe for long-term therapy.
c. This is the oldest class of antidepressants.
d. They are fast-acting medications.
ANS: A
The side effect most commonly NUreported,
RSINGT gastrointestinal
B.COM (GI) upset, usually can be avoided if
the client takes the medication with food. SSRIs can be used for both short- and long-term
therapy; they are not the oldest class of antidepressants; and they usually take a few weeks
before onset of effect.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 71
OBJ: 4 TOP: Antidepressant Medications
KEY: Nursing Process Step: Assessment MSC: Client Needs: Physiological Integrity
6. In preparing discharge planning for a client who has been prescribed lithium for the treatment
of bipolar disorder, the nurse must be sure that the client demonstrates an understanding of the
need to monitor his or her diet for intake of:
a. Potassium
b. Carbohydrates
c. Protein
d. Sodium
ANS: D
Lithium is a salt that is absorbed into the bloodstream and is excreted by the kidneys at a
faster rate than sodium. Therefore, clients must monitor their sodium and fluid intake, as well
as their activity level. The other options are not a concern when lithium is taken.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 72
OBJ: 5 TOP: Antimanic Medications
KEY: Nursing Process Step: Evaluation MSC: Client Needs: Physiological Integrity
This study source was downloaded by 100000841194527 from CourseHero.com on 04-03-2022 07:30:34 GMT -05:00
https://www.coursehero.com/file/61401355/07pdf/ NURSINGTB.COM
Chapter 07: Psychotherapeutic Drug Therapy
Morrison-Valfre: Foundations of Mental Health Care, 6th Edition
MULTIPLE CHOICE
1. During client teaching, the nurse must inform the client prescribed a tricyclic antidepressant
(TCA) to not expect to see a difference in mood or anxiety level for up to:
a. 5 days
b. 2 to 3 weeks
c. 4 to 5 weeks
d. 6 weeks
ANS: B
It is important that the client understand that TCAs typically take 2 to 3 weeks to take effect
so he will not become discouraged when he does not see immediate results.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 69
OBJ: 4 TOP: Antidepressant Medications
KEY: Nursing Process Step: Intervention MSC: Client Needs: Physiological Integrity
2. A male client with the diagnosis of depression is taking a monoamine oxidase inhibitor
(MAOI). Which is the most important teaching point the nurse must include in his care plan?
a. Avoid foods high in sodium content
b. Avoid alcoholic beverages
c. Ensure that protein intake is 60 grams per day
d. Take a potassium supplement
NURSINGTB.COM
ANS: B
This client should be given a list of foods and beverages that are restricted when taking
MAOIs, such as some alcoholic beverages, sausage and bologna, and some cheeses. Sodium,
protein, and potassium are not factors when MAOIs are taken.
PTS: 1 DIF: Cognitive Level: Application REF: p. 71
OBJ: 4 TOP: Antidepressant Medications
KEY: Nursing Process Step: Planning MSC: Client Needs: Physiological Integrity
3. A female client is 3-days postoperative and has been receiving meperidine (Demerol) for pain
control. The family mentions to the nurse that the client has been taking phenelzine (Nardil)
for years for her depression. The client did not list this medication on admission. What signs
and symptoms should the nurse look for in case of reaction between these two medications?
a. Increased pulse and respirations
b. Hyperactivity and difficulty concentrating
c. Increased tearing and increased urinary output
d. Sedation, disorientation, and hallucinations
ANS: D
Nardil is a monoamine oxidase inhibitor; therefore, symptoms of CNS depression such as
sedation, disorientation, and hallucinations, rather than increased vital signs, hyperactivity and
difficulty concentrating, and increased tearing and urination, most likely would occur as a
reaction between these two medications.
This study source was downloaded by 100000841194527 from CourseHero.com on 04-03-2022 07:30:34 GMT -05:00
https://www.coursehero.com/file/61401355/07pdf/ NURSINGTB.COM
, Foundations of Mental Health Care 6th Edition Morrison-Valfre Test Bank
PTS: 1 DIF: Cognitive Level: Application REF: p. 70
OBJ: 4 TOP: Antidepressant Medications
KEY: Nursing Process Step: Intervention MSC: Client Needs: Physiological Integrity
4. The nurse is aware that he or she may be administering the new antianxiety medication
pregabalin (Lyrica) to clients without an anxiety disorder for the purpose of treating:
a. Depression
b. Psychotic episodes
c. Neuropathic pain
d. Bipolar disorder
ANS: C
Pregabalin (Lyrica) has been found to be effective for the treatment of neuropathic pain, as
well as seizure disorders. This medication is not used for any of the other options listed.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 70
OBJ: 3 TOP: Antianxiety Medications
KEY: Nursing Process Step: Intervention MSC: Client Needs: Physiological Integrity
5. Selective serotonin reuptake inhibitors (SSRIs) are most health care providers’ drug of choice
for the treatment of depression because:
a. The side effects are more manageable than with other antidepressants.
b. They are the only class safe for long-term therapy.
c. This is the oldest class of antidepressants.
d. They are fast-acting medications.
ANS: A
The side effect most commonly NUreported,
RSINGT gastrointestinal
B.COM (GI) upset, usually can be avoided if
the client takes the medication with food. SSRIs can be used for both short- and long-term
therapy; they are not the oldest class of antidepressants; and they usually take a few weeks
before onset of effect.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 71
OBJ: 4 TOP: Antidepressant Medications
KEY: Nursing Process Step: Assessment MSC: Client Needs: Physiological Integrity
6. In preparing discharge planning for a client who has been prescribed lithium for the treatment
of bipolar disorder, the nurse must be sure that the client demonstrates an understanding of the
need to monitor his or her diet for intake of:
a. Potassium
b. Carbohydrates
c. Protein
d. Sodium
ANS: D
Lithium is a salt that is absorbed into the bloodstream and is excreted by the kidneys at a
faster rate than sodium. Therefore, clients must monitor their sodium and fluid intake, as well
as their activity level. The other options are not a concern when lithium is taken.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 72
OBJ: 5 TOP: Antimanic Medications
KEY: Nursing Process Step: Evaluation MSC: Client Needs: Physiological Integrity
This study source was downloaded by 100000841194527 from CourseHero.com on 04-03-2022 07:30:34 GMT -05:00
https://www.coursehero.com/file/61401355/07pdf/ NURSINGTB.COM
