Deck 23: Pharmacotherapy of Mood Disorders

Question 1

The client tells the nurse, "I thought I was just depressed, but my doctor says I have bipolar disorder.What is that?" What is the best response by the nurse?
1)"Bipolar disorder means you have cycles of depression as well as hyperactivity, or mania."
2)"Bipolar disorder is just another type of depression, except your depression occurs in cycles."
3)"Bipolar disorder is a type of depression that includes attention-deficit disorder symptoms."
4)"Bipolar disorder just means that your mood alternates with the seasons, and it becomes worse in the winter."

Answer 1

1

Question 2

Mood disorders are closely associated with which part of the brain?
1)Hippocampus
2)Hypothalamus
3)Limbic
4)Mesolimbic

Answer 2

3

Question 3

The nurse is conducting a group education session for clients who have been diagnosed with depression.The nurse evaluates the education as effective when a client makes which comment(s)about the cause of depression? Select all that apply.
1)"Depression results from parents who are cold and distant and don't really care about their children."
2)"Depression has many causes; they could include environmental as well as brain-based disorders."
3)"Depression includes impaired relationships, and can be an inherited illness."
4)"Depression results from unresolved conflicts in your childhood."
5)"We really don't know what causes depression; it has not been studied very much."

Answer 3

2, 3

Question 4

A client diagnosed with depression has been placed on imipramine (Tofranil).What would the nurse most likely assess if the client experiences adverse effects to this medication?
1)Polyuria with gross proteinuria
2)Hypertension with severe emesis
3)Various anemias accompanied by bradycardia
4)Dizziness accompanied by possible photosensitivity

Question 5

The nurse has completed medication education for a client prior to the client's receiving phenelzine (Nardil).The nurse evaluates the education as effective when the client makes which statements? Select all that apply.
1)"I'll have to give up my beer at the football games."
2)"I can't eat fried chicken and gravy."
3)"I really shouldn't eat at a restaurant; too many foods are on my restricted list."
4)"I am not supposed to have processed meats or cheese."
5)"I am really going to miss my morning coffee and sweet roll."

Question 6

The client asks the nurse why she needs to continue using table salt, because her prescribed lithium (Eskalith)is a salt.What is the best response by the nurse?
1)"You must use table salt or your kidneys will retain lithium (Eskalith), and you will become toxic."
2)"The amount is not important; just increase your table salt if you notice signs of lithium (Eskalith)toxicity."
3)"You must continue to use salt to avoid lithium (Eskalith)toxicity.If you use sea salt, you don't need as much."
4)"Salt is very important to avoid lithium (Eskalith)toxicity, but not as important as drinking 1-1.5 L of water per day."

Question 7

Mood disorders are emotional disorders characterized by changes in mood, and range from mania to depression.Which of the following symptoms characterize major depressive disorder?
1)Anxiety and elevated mood
2)Low mood and increased activity
3)Psychosis and euphoria
4)Fatigue and decreased appetite

Question 8

The physician has prescribed sertraline (Zoloft)for the client who is anxious and depressed.The client calls the nurse to report that he has experienced delayed ejaculation since being on this medication.What is the best response by the nurse?
1)"I will let your doctor know, and he will most likely change your medication."
2)"This does happen, but treating your depression is a bigger priority."
3)"Keep taking the medicine, as this usually goes away after a few months."
4)"I am concerned that you will become suicidal if you stop the medication."

Question 9

The client has been receiving amitriptyline (Elavil)for two weeks.He tells the nurse he doesn't think this medicine is working, as he is still depressed.What is the best response by the nurse?
1)"This might not be the best medicine for you; I'll call your doctor."
2)"You might still feel depressed, but you are looking much better."
3)"It is working, but it can take several weeks to have an effect."
4)"It is working, but it can take several months to have an effect."

Question 10

The nurse assigned to the post-electroconvulsive therapy (ECT)treatment room must prioritize the plan of care for this client.The first priority of care would be:
1)Level of consciousness.
2)Orientation.
3)Airway.
4)Vital signs.

Question 11

The client has been depressed, and the physician plans to begin treatment with an antidepressant medication.In performing the initial assessment, what is the most important question for the nurse to ask?
1)"How long have you been depressed?"
2)"How much alcohol do you consume during the week?"
3)"Have you had any thoughts about killing yourself?"
4)"Are you allergic to any medications?"