Chapter 16: Drugs Used for Depressive and Bipolar Disorders

Chapter 16: Drugs Used for Depressive and Bipolar Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

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