Chapter 7: Psychotherapeutic Drug Therapy

Chapter 7: Psychotherapeutic Drug Therapy

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. During client teaching, the nurse must inform the client prescribed a tricyclic antidepressant (TCA) to not expect to see a difference in mood or anxiety level for up to:

ANS:  B

It is important that the client understand that TCAs typically take 2 to 3 weeks to take effect so he will not become discouraged when he does not see immediate results.

DIF:    Cognitive Level: Comprehension     REF:   p. 69               OBJ:   4

TOP:   Antidepressant Medications             KEY:  Nursing Process Step: Intervention

MSC:  Client Needs: Physiological Integrity

2. A male client with the diagnosis of depression is taking a monoamine oxidase inhibitor (MAOI). Which is the most important teaching point the nurse must include in his care plan?

ANS:  B

This client should be given a list of foods and beverages that are restricted when taking MAOIs, such as some alcoholic beverages, sausage and bologna, and some cheeses.  Sodium, protein, and potassium are not factors when MAOIs are taken.

DIF:    Cognitive Level: Application           REF:   p. 71               OBJ:   4

TOP:   Antidepressant Medications             KEY:  Nursing Process Step: Planning

MSC:  Client Needs: Physiological Integrity

3. A female client is 3 days postoperative and has been receiving meperidine (Demerol) for pain control. The family mentions to the nurse that the client has been taking phenelzine (Nardil) for years for her depression. The client did not list this medication on admission. What signs and symptoms should the nurse look for in case of reaction between these two medications?

ANS:  D

Nardil is a monoamine oxidase inhibitor; therefore, symptoms of CNS depression such as sedation, disorientation, and hallucinations, rather than increased vital signs, hyperactivity and difficulty concentrating, and increased tearing and urination, most likely would occur as a reaction between these two medications.

DIF:    Cognitive Level: Application           REF:   p. 70               OBJ:   4

TOP:   Antidepressant Medications             KEY:  Nursing Process Step: Intervention

MSC:  Client Needs: Physiological Integrity

4. The nurse is aware that he or she may be administering the new antianxiety medication pregabalin (Lyrica) to clients without an anxiety disorder for the purpose of treating:

ANS:  C

Pregabalin (Lyrica) has been found to be effective for the treatment of neuropathic pain, as well as seizure disorders. This medication is not used for any of the other options listed.

DIF:    Cognitive Level: Knowledge            REF:   p. 70               OBJ:   3

TOP:   Antianxiety Medications                  KEY:  Nursing Process Step: Intervention

MSC:   Client Needs: Physiological Integrity