Chapter 16 Drugs Used for Depressive and Bipolar Disorders

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Chapter 16  Drugs Used for Depressive and Bipolar Disorders

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

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: Comprehension REF: 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
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: Comprehension REF: 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: Comprehension REF: Page 232 OBJ: 3
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Psychological Integrity
NOT: CONCEPT(S): Clinical Judgment; Mood and Affect

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