Chapter 17 Drugs Used for Mood Disorders

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Chapter 17  Drugs Used for Mood Disorders

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. Which occurs with mania associated with bipolar disorder?
A.
Varying degrees of sadness
B.
Distinct episodes of elation
C.
Suicide
D.
Psychomotor retardation

ANS: B

Feedback
A
Sadness is characteristic of depression.
B
Mania is characterized by distinct episodes of euphoria and elation.
C
Suicide is not generally associated with mania; it is more commonly associated with depression.
D
Psychomotor retardation is not associated with mania.

DIF: Cognitive Level: Comprehension REF: 251
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Psychosocial Integrity

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

Feedback
A
Meperidine will interact with the patient’s medication.
B
Morphine is the narcotic analgesic of choice because it will not interact with the patient’s MAOI.
C
Advil is not a narcotic analgesic.
D
Acetaminophen is not a narcotic analgesic.

DIF: Cognitive Level: Application REF: 260
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity

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

Feedback
A
SSRIs tend to be more expensive than other available antidepressants.
B
SSRIs do not cure major depressive illnesses.
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.
D
As with other antidepressants, it takes 2 to 4 weeks to obtain the full therapeutic benefit when taking SSRIs.

DIF: Cognitive Level: Knowledge REF: 260
TOP: Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Physiological Integrity

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

Feedback
A
Psychotic episodes are treated with major tranquilizers that have an antipsychotic effect.
B
The drugs of choice for treating OCD are SSRIs.
C
Lithium is used to treat acute mania and for prophylactic treatment of recurrent manic and depressive episodes in bipolar disorders.
D
Depressive disorders are not primarily treated with lithium.

DIF: Cognitive Level: Comprehension REF: 269
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity

 

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