chapter 3

Question 1

Besides antianxiety agents, which classification of drugs is also commonly given to treat anxiety and anxiety disorders?

a. Antipsychotics
b. Mood stabilizers
c. Antidepressants
d. Cholinesterase inhibitors

Answer 1

c. Antidepressants

Question 2

. What assessment question will provide the nurse with information regarding the effects of a woman’s circadian rhythms on her quality of life?

a. “How much sleep do you usually get each night?”
b. “Does your heart ever seem to skip a beat?”
c. “When was the last time you had a fever?”
d. “Do you have problems urinating?”

Answer 2

a. “How much sleep do you usually get each night?”

Question 3

3. You realize that your patient who is being treated for a major depressive disorder requires more teaching when she makes the following statement:
   a. “I have been on this antidepressant for 3 days. I realize that the full effect may not happen for a period of weeks.”
   b. “I am going to ask my nurse practitioner to discontinue my Prozac today and let me start taking a monoamine oxidase inhibitor tomorrow.”
   c. “I may ask to have my medication changed to Wellbutrin due to the problems I am having being romantic with my wife.”
   d. “I realize that there are many antidepressants and it might take a while until we find the one that works best for me.”

Answer 3

b. “I am going to ask my nurse practitioner to discontinue my Prozac today and let me start taking a monoamine oxidase inhibitor tomorrow.”

Question 4

A patient being treated for insomnia is prescribed ramel-teon (Rozerem). Which comorbid mental health condition would make this medication the hypnotic of choice for this particular patient?

a. Obsessive-compulsive disorder
b. Generalized anxiety disorder
c. Persistent depressive disorder
d. Substance use disorder

Answer 4

d. Substance use disorder

Question 5

Which statement made by a patient prescribed bupropion (Wellbutrin) demonstrates that the medication education the patient received was effective? Select all that apply.

a. “I hope Wellbutrin will help my depression and also help me to finally quit smoking.”
b. “I’m happy to hear that I won’t need to worry too much about weight gain.”
c. “It’s okay to take Wellbutrin since I haven’t had a seizure in 6 months.”
d. “I need to be careful about driving since the medication could make me drowsy.”
e. “My partner and I have discussed the possible effects this medication could have on our sex life.”

Answer 5

a. “I hope Wellbutrin will help my depression and also help me to finally quit smoking.”
b. “I’m happy to hear that I won’t need to worry too much about weight gain.”

Question 6

6. Which drug group calls for nursing assessment for development of abnormal movement disorders among individuals who take therapeutic dosages?
   a. SSRIs
   b. antipsychotics
   c. benzodiazepines
   d. tricyclic antidepressants

Answer 6

b. antipsychotics

Question 7

A nurse reviews an order for a CYP450 test. He explains to his patient from Thailand that the test will determine how the antidepressant will be:

a. Metabolized
b. Absorbed
c. Administered
d. Excreted

Answer 7

a. Metabolized

Question 8

Psychotropic drugs have been used for more than half a century. What statement regarding their current status is true?

a. Only one classification of psychotropic drugs exists.
b. The Food and Drug Administration no longer approves new antidepressants.
c. We do not know exactly how they work.
d. Chlorpromazine (Thorazine), the first psychotropic, continues to be the treatment of choice with hallucinations.

Answer 8

c. We do not know exactly how they work.

Question 9

The nurse administers each of the following drugs to various patients. The patient who should be most carefully assessed for fluid and electrolyte imbalance is the one receiving:

a. lithium (Eskalith)
b. clozapine (Clozaril)
c. diazepam (Valium)
d. amitriptyline

Answer 9

a. lithium (Eskalith)

Question 10

10. A psychiatric nurse is reviewing prescriptions for a patient with major depression at the county clinic. Since the patient has a mild intellectual disability, the nurse would question which classification of antidepressant drugs:
    a. Selective serotonin reuptake inhibitors
    b. Monoamine oxidase inhibitors
    c. Serotonin and norepinephrine reuptake inhibitors
    d. All of the above

Answer 10

b. Monoamine oxidase inhibitors