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Chapter 6 Mood disorders
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Chapter 6 Mood disorders
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Chapter 6 Mood disordersMULTIPLE 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.
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
patients MAOI. Meperidine will interact with the patients medication. Ibuprofen and
acetaminophen are not narcotic analgesics.
3. What is the major advantage of selective serotonin reuptake inhibitors (SSRIs) over
other types of antidepressant therapy?
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, 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.
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, 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.
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.
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.
6. On what is the choice of tricyclic antidepressants based?
a. The need to decrease the action of norepinephrine, dopamine, or serotonin
b. Patient age and gender
c. An absence of adverse effects, such as orthostatic hypotension
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