Chapter 7: Psychotherapeutic Drug Therapy

Chapter 7: Psychotherapeutic Drug Therapy

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Psychotherapeutic drug therapy works primarily by:

ANS:  D

Chemical balances in the nervous system are altered by blocking, rather than opening, major nerve pathways through interruption of neurotransmitter pathways. Psychotherapeutic drugs do not treat psychiatric disorders by affecting the circulatory system or the nervous system.

DIF:    Cognitive Level: Comprehension     REF:   Page 61          OBJ:   1

TOP:   How Psychotherapeutic Drug Therapy Works

KEY:  Nursing Process Step: Assessment   MSC:  Client Needs: Physiological Integrity

2. 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:   Page 65          OBJ:   4

TOP:   Antidepressant Medications             KEY:  Nursing Process Step: Intervention

MSC:  Client Needs: Physiological Integrity

3. 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:   Page 65          OBJ:   4

TOP:   Antidepressant Medications             KEY:  Nursing Process Step: Planning

MSC:  Client Needs: Physiological Integrity

4. 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:   Page 65          OBJ:   4

TOP:   Antidepressant Medications             KEY:  Nursing Process Step: Intervention

MSC:   Client Needs: Physiological Integrity