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NURS 660 Exam 2: Psychopharmacology and Advanced Mental
Health Questions with Verified Answers | Graded A – Maryville.
1. What occurs with mania associated with bipolar dis- B
order
a. Varying degrees of sadness
b. Distinct episodes of elation
c. Suicide
d. Psychomotor retardation
2. Which postoperative narcotic analgesic will most B
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)
3. What is the major advantage of selective serotonin C
reuptake inhibitors (SSRIs) over other types of anti-
depressant 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 cardio-
vascular adverse effects
d. Therapeutic relief is immediate
4. Lithium (Eskalith) is the drug of choice for which of C
the following disorders?
a. Psychotic episodes
b. Obsessive compulsive disorders (OCDs)
c. Bipolar disorders
d. Depressive disorders
5. Which psychological manifestations of depression D
will improve in response to antidepressant therapy?
a. Loss of energy
b. Palpitations
c. Sleep disturbances
d. Social withdrawal
, NURS 660 Exam 2: Psychopharmacology and Advanced Mental
Health Questions with Verified Answers | Graded A – Maryville.
6. On what is the choice of tricyclic antidepressants B
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
d. The need for stimulation and increased mental
alertness
7. The nurse is teaching a patient about medication B
treatment for depression. The patient asks how long
it will take before sleep and appetite will begin to
improve. Which response by the nurse is most accu-
rate?
a. 3 days
b. 1 week
c. 4 weeks
d. 2 months
8. What is the action of MAOIs on neurotransmitters? C
a. Blocking their reuptake
b. Increasing their production
c. Blocking their destruction
d. Increasing their reuptake
9. A patient who is taking an MAOI to treat depres- C
sion admits to eating pickled herring and cheese and
drinking red wine. Which assessment finding alerts
the nurse to a potential complication?
a. Constipation
b. Hypotension
c. Neck stiffness
d. Urinary retention
10. Which assessment would the nurse expect to ob- C
serve in a patient who has been prescribed trazodone
for treatment of anxiety?
a. Excessive thirst
, b. Hand tremor
c. Drowsiness
d. Diarrhea
11. The nurse is caring for a patient who is taking a newly A
prescribed drug nefazodone, for treatment of depres-
sion. Which physical assessment finding is important
for the nurse to report to the health care provider
immediately?
a. Bradycardia
b. Dizziness
c. Drowsiness
d. Urinary retention
12. The nurse is providing education to a patient who has C
been prescribed bupropion (Wellbutrin) for smoking
cessation. Which statement by the patient would in-
dicate the need for further teaching?
a. My dose will increase after 3 days
b. I should swallow the medication whole
c. If I have the urge to smoke, I will take more medica-
tion
d. I do not need to taper my dose when the drug is
discontinued
13. Which nursing action is most important when provid- A
ing care to a patient diagnosed with a mood disorder?
a. Assess the patient for thoughts of suicide
b. Provide supplemental feedings as needed
c. Assist with activities of daily living
d. Offer opportunities for interaction with other pa-
tients
14. A patient is admitted to a long term psychiatric set- C
ting. The MAOI medication previously prescribed is
discontinued by the physician. New orders are ob-
tained to initiate imipramine therapy. The nurse will
provide the first dose of imipramine to the patient
the MAOI drug.
a. Immediately following the last dose of
, b. In 1 week following the last dose of
c. In 14 days following the last dose of
d. Before discontinuing
15. A patient taking vilazodone has been vomiting persis- C
tently for 12 hours. The priority nursing diagnosis for
this patient is
a. Nausea
b. Imbalanced nutrition (less than body require-
ments)
c. Fluid volume deficit
d. Altered peripheral tissue perfusion
16. 1. You are admitting a new patient who is depressed. D
Your initial contact should do what?
a. Address why he is depressed
b. Keep communication open
c. Lift his spirits
d. Establish trust
17. 1. In caring for a patient with major depression, the D
nurse knows that the patient needs
a. Frequent changes in activities
b. Introduction to multiple new staff members
c. Behavior modification that restructures feelings
d. Well-defined, structured interactions at the begin-
ning of treatment
18. 1. Patients with major depression commonly display C
signs of
a. Energy
b. Repetitive, compulsive behaviors
c. Worthlessness
d. Visual hallucinations
19. 1. When your patient says I am depressed, what is the D
best response?
a. We all feel that way now and then
b. Why do you feel that way?
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