NURS 660 Exam 2 Study Questions and Answers with Complete Solutions Graded A 2024

What occurs with mania associated with bipolar disorder a. Varying degrees of sadness b. Distinct episodes of elation c. Suicide d. Psychomotor retardation B Which postoperative narcotic analgesic will most likely be prescribed to a patient whose current medications include a monoamine oxidase inhibitor (MAOI), a thyroid hormone, and a multivitamin? a. Meperidine (Demerol) b. Morphine c. Ibuprofen (Advil) d. Acetaminophen (Tylenol) B What is the major advantage of selective serotonin reuptake inhibitors (SSRIs) over other types of antidepressant therapy? a. They are less expensive than the other classes of antidepressants b. They cure major depressive illnesses c. They do not cause the anticholinergic and cardiovascular adverse effects d. Therapeutic relief is immediate C Lithium (Eskalith) is the drug of choice for which of the following disorders? a. Psychotic episodes b. Obsessive compulsive disorders (OCDs) c. Bipolar disorders d. Depressive disorders C Which psychological manifestations of depression will improve in response to antidepressant therapy? a. Loss of energy b. Palpitations c. Sleep disturbances d. Social withdrawal D On what is the choice of tricyclic antidepressants based? a. The need to decrease the action of norepinephrine, dopamine, or serotonin b. Patient age and gender c. An absence of adverse effects, such as orthostatic hypotension d. The need for stimulation and increased mental alertness B The nurse is teaching a patient about medication treatment for depression. The patient asks how long it will take before sleep and appetite will begin to improve. Which response by the nurse is most accurate? a. 3 days b. 1 week c. 4 weeks d. 2 months B What is the action of MAOIs on neurotransmitters? a. Blocking their reuptake b. Increasing their production c. Blocking their destruction d. Increasing their reuptake C A patient who is taking an MAOI to treat depression admits to eating pickled herring and cheese and drinking red wine. Which assessment finding alerts the nurse to a potential complication? a. Constipation b. Hypotension c. Neck stiffness d. Urinary retention C Which assessment would the nurse expect to observe in a patient who has been prescribed trazodone for treatment of anxiety? a. Excessive thirst b. Hand tremor c. Drowsiness d. Diarrhea C The nurse is caring for a patient who is taking a newly prescribed drug nefazodone, for treatment of depression. Which physical assessment finding is important for the nurse to report to the health care provider immediately? a. Bradycardia b. Dizziness c. Drowsiness d. Urinary retention A The nurse is providing education to a patient who has been prescribed bupropion (Wellbutrin) for smoking cessation. Which statement by the patient would indicate the need for further teaching? a. My dose will increase after 3 days b. I should swallow the medication whole c. If I have the urge to smoke, I will take more medication d. I do not need to taper my dose when the drug is discontinued C Which nursing action is most important when providing care to a patient diagnosed with a mood disorder? a. Assess the patient for thoughts of suicide b. Provide supplemental feedings as needed c. Assist with activities of daily living d. Offer opportunities for interaction with other patients A A patient is admitted to a long term psychiatric setting. The MAOI medication previously prescribed is discontinued by the physician. New orders are obtained to initiate imipramine therapy. The nurse will provide the first dose of imipramine to the patient _____ the MAOI drug. a. Immediately following the last dose of b. In 1 week following the last dose of c. In 14 days following the last dose of d. Before discontinuing C A patient taking vilazodone has been vomiting persistently for 12 hours. The priority nursing diagnosis for this patient is a. Nausea b. Imbalanced nutrition (less than body requirements) c. Fluid volume deficit d. Altered peripheral tissue perfusion C 1. You are admitting a new patient who is depressed. Your initial contact should do what? a. Address why he is depressed b. Keep communication open c. Lift his spirits d. Establish trust D