ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 69 : Caring for Clients With Mood Disorders Questions
Question 1 of 5
Anticonvulsants enhance which neurotransmitter in clients diagnosed with bipolar disorder?
Correct Answer: C
Rationale: Anticonvulsants may achieve their therapeutic effects by enhancing the action of GABA in much the same way that benzodiazepines reduce anxiety. Anticonvulsants do not enhance serotonin, dopamine, or acetylcholine.
Question 2 of 5
Which type of therapy is facilitated by a bond that develops between the therapist and the client?
Correct Answer: C
Rationale: Interpersonal psychotherapy is facilitated by a bond that develops between the therapist and the client. Behavioral therapy endeavors to change unhealthy ways of behaving. Supportive psychotherapy helps clients learn about their disorder and treatment techniques, improve or develop new social skills, and gain encouragement to persevere. Cognitive therapy helps clients replace negative, and often illogical, ways of thinking with more positive outlooks.
Question 3 of 5
The nurse is caring for a client who reports 'not feeling very well.' When asking the client for specific symptoms, the client is vague with details but does state feeling better when the sun is shining. With this information, the nurse would document which disorder as a possibility?
Correct Answer: B
Rationale: The nurse would document seasonal affective disorder as a possibility based on the comments of feeling better when there is sunlight. The other options do not relate to sunlight or time of the year.
Question 4 of 5
The nurse has been working with a client who has difficulty controlling mood. The client continues to experience anger outbursts, which makes it difficult to maintain employment. When explaining this dysfunction to the client's family members, which area of the brain does the nurse identify as being the site for mood generation?
Correct Answer: C
Rationale: The limbic system is responsible for mood generation, as it regulates emotions and related behaviors. The central nervous system includes the brain and spinal cord but is too broad to specifically address mood. The autonomic nervous system controls involuntary functions like heart rate, not mood. The peripheral nervous system handles sensory and motor functions outside the central nervous system.
Question 5 of 5
The nurse understands that clients who eat which of the following foods experience a food-drug interaction when taking phenelzine?
Correct Answer: D
Rationale: The nurse understands that phenelzine is a monoamine oxidase inhibitor (MAOI). Clients who eat foods containing tyramine experience a food-drug interaction. When a MAOI is combined with foods containing tyramine (alcohol or aged cheese), a hypertensive crisis can occur. Feta cheese is an aged cheese. The other foods do not contain tyramine.