Chapter 16: Drugs Used for Depressive and Bipolar Disorders
MULTIPLE CHOICE
1. What occurs with mania associated with bipolar disorder?
a. Varying degrees of sadness
b. Distinct episodes of elation
c. Suicide
d. Psychomotor retardation
ANS: B
Mania is characterized by distinct episodes of euphoria and elation. Sadness is characteristic
of depression. Suicide is not generally associated with mania; it is more commonly associated
with depression. Psychomotor retardation is not associated with mania.
DIF: Cognitive Level: ComprehensionREF: Page 230 OBJ: 1
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Psychosocial Integrity
NOT: CONCEPT(S): Clinical Judgment; Mood and Affect
2. 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)
ANS: B
Morphine is the narcotic analgesic of choice because it will not interact with the patient’s
MAOI. Meperidine will interact with the patient’s medication. Ibuprofen and acetaminophen
are not narcotic analgesics.
DIF: Cognitive Level: Application REF: Page 239 OBJ: 2 | 4
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment
3. 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.
ANS: C
Downloaded by: Sophiie |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
SSRIs are the most widely used class of antidepressants. Although they are as effective in
treating depression as the tricyclic antidepressants, they do not cause the anticholinergic and
cardiovascular adverse effects that often limit the use of tricyclic antidepressants. SSRIs tend
to be more expensive than other available antidepressants. SSRIs do not cure major
depressive illnesses. As with other antidepressants, it takes 2 to 4 weeks to obtain the full
therapeutic benefit when taking SSRIs.
DIF: Cognitive Level: Knowledge REF: Page 239 OBJ: 3
TOP: Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Physiological Integrity NOT:
CONCEPT(S): Clinical Judgment; Safety
4. 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
ANS: C
Lithium is used to treat acute mania and for prophylactic treatment of recurrent manic and
depressive episodes in bipolar disorders. Psychotic episodes are treated with major
tranquilizers that have an antipsychotic effect. The drugs of choice for treating OCD are SSRIs.
Depressive disorders are not primarily treated with lithium.
DIF: Cognitive Level: ComprehensionREF: Page 223 | Page 249
OBJ: 1 | 7 TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment
5. Which psychological manifestation of depression will improve in response to
antidepressant therapy?
a. Loss of energy
b. Palpitations
c. Sleep disturbances
d. Social withdrawal
ANS: D
Social withdrawal and lack of interest in surroundings are psychological responses that will
improve within 2 to 4 weeks of the patient receiving an effective dosage of antidepressant
therapy. An increase in energy, decreased palpitations, and improvement in sleep patterns
are physiological responses.
DIF: Cognitive Level: ComprehensionREF: Page 232 OBJ: 3
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Psychological Integrity
Downloaded by: Sophiie |
Distribution of this document is illegal
MULTIPLE CHOICE
1. What occurs with mania associated with bipolar disorder?
a. Varying degrees of sadness
b. Distinct episodes of elation
c. Suicide
d. Psychomotor retardation
ANS: B
Mania is characterized by distinct episodes of euphoria and elation. Sadness is characteristic
of depression. Suicide is not generally associated with mania; it is more commonly associated
with depression. Psychomotor retardation is not associated with mania.
DIF: Cognitive Level: ComprehensionREF: Page 230 OBJ: 1
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Psychosocial Integrity
NOT: CONCEPT(S): Clinical Judgment; Mood and Affect
2. 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)
ANS: B
Morphine is the narcotic analgesic of choice because it will not interact with the patient’s
MAOI. Meperidine will interact with the patient’s medication. Ibuprofen and acetaminophen
are not narcotic analgesics.
DIF: Cognitive Level: Application REF: Page 239 OBJ: 2 | 4
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment
3. 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.
ANS: C
Downloaded by: Sophiie |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
SSRIs are the most widely used class of antidepressants. Although they are as effective in
treating depression as the tricyclic antidepressants, they do not cause the anticholinergic and
cardiovascular adverse effects that often limit the use of tricyclic antidepressants. SSRIs tend
to be more expensive than other available antidepressants. SSRIs do not cure major
depressive illnesses. As with other antidepressants, it takes 2 to 4 weeks to obtain the full
therapeutic benefit when taking SSRIs.
DIF: Cognitive Level: Knowledge REF: Page 239 OBJ: 3
TOP: Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Physiological Integrity NOT:
CONCEPT(S): Clinical Judgment; Safety
4. 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
ANS: C
Lithium is used to treat acute mania and for prophylactic treatment of recurrent manic and
depressive episodes in bipolar disorders. Psychotic episodes are treated with major
tranquilizers that have an antipsychotic effect. The drugs of choice for treating OCD are SSRIs.
Depressive disorders are not primarily treated with lithium.
DIF: Cognitive Level: ComprehensionREF: Page 223 | Page 249
OBJ: 1 | 7 TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment
5. Which psychological manifestation of depression will improve in response to
antidepressant therapy?
a. Loss of energy
b. Palpitations
c. Sleep disturbances
d. Social withdrawal
ANS: D
Social withdrawal and lack of interest in surroundings are psychological responses that will
improve within 2 to 4 weeks of the patient receiving an effective dosage of antidepressant
therapy. An increase in energy, decreased palpitations, and improvement in sleep patterns
are physiological responses.
DIF: Cognitive Level: ComprehensionREF: Page 232 OBJ: 3
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Psychological Integrity
Downloaded by: Sophiie |
Distribution of this document is illegal
