ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 23 : Depression:Management of Depressive Moods and Suicidal Behavior Questions
Question 1 of 5
A client with depression is prescribed fluoxetine. On a return visit to the clinic, the client tells the nurse that he also just started taking St. John?s wort to feel better. The nurse assesses the client for which of the following?
Correct Answer: C
Rationale: Fluoxetine, an SSRI, combined with St. John?s wort, which has serotonin-enhancing effects, increases the risk of serotonin syndrome (
C), characterized byproducttremors, agitation, and hyperthermia. Water intoxication (
A), increased depression (
B), and hypertensive crisis (
D) are less likely with this combination.
Question 2 of 5
A client comes to the emergency department complaining of a severe pounding headache in the temples and a stiff neck. The client is flushed and diaphoretic, and his pulse is racing. The client states that he is being treated for depression with selegiline. Which question by the nurse would be most important to ask at this time?
Correct Answer: B
Rationale: Selegiline, an MAOI, can cause a hypertensive crisis when combined with tyramine-rich foods, leading to symptoms like headache, stiff neck, and tachycardia. Asking about recent food or drink intake (
B) is critical to identify potential triggers. Drug levels (
A), chest pain (
C), and herbal remedies (
D) are less immediately relevant.
Question 3 of 5
The nurse is developing a teaching plan for a client who is prescribed escitalopram. Which of the following side effects would the nurse include in this plan? Select all that apply.
Correct Answer: A,B,C,F
Rationale: Escitalopram, an SSRI, commonly causes weight gain (
A), decreased sexual interest (
B), sedation (
C), and dry mouth (F). Blurred vision (
D) and urinary retention (E) are more typical of tricyclic antidepressants, not SSRIs.
Question 4 of 5
The nurse is preparing a client for treatment with repetitive transcranial magnetic stimulation. When teaching the client about this procedure, which of the following would the nurse include? Select all that apply.
Correct Answer: B,C
Rationale: Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive procedure where the client remains awake and alert (
B) and can resume normal activities immediately (
C). Anesthesia (
A) is not used, scalp shaving (
D) is unnecessary, and stinging (E) is minimal, not moderate.
Question 5 of 5
When assessing a client with depression, the client states, I just feel so sad and hopeless. I just don?t care anymore. I don?t even enjoy doing the crossword puzzles like I used to. The nurse documents this finding as indicative of which of the following?
Correct Answer: B
Rationale: Anhedonia (
B) is the loss of interest or pleasure in previously enjoyed activities, such as crossword puzzles, a core symptom of depression. Dysthymic disorder (
A) is a diagnosis, not a symptom, and delusions (
C) or psychosis (
D) involve distorted reality, not indicated here.