Exam (elaborations)
7 Psychotherapeutic Drug Therapy
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- Mental health
- Institution
- University Of Arizona College Of Nursing
7 Psychotherapeutic Drug Therapy
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Foundations of Mental Health Care 6th Edition Morrison-Valfre Test BankChapter 07: Psychotherapeutic Drug Therapy
Morrison-Valfre: Foundations of Mental Health Care, 8TH EDITION
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:
a. 5 days
b. 2 to 3 weeks
c. 4 to 5 weeks
d. 6 weeks
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.
PTS: 1 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?
a.Avoid foods high in sodium content
b.Avoid alcoholic beverages
c.Ensure that protein intake is 60 grams per day
d.Take a potassium supplement I G B.C M
NU S N T O
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.
PTS: 1 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?
a. Increased pulse and respirations
b. Hyperactivity and difficulty concentrating
c. Increased tearing and increased urinary output
d. Sedation, disorientation, and hallucinations
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.
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