ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 23 Questions
Question 1 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.
Question 2 of 5
The plan of care for a client diagnosed with depression includes cognitive interventions. The nurse would expect to assist with which of the following?
Correct Answer: C
Rationale: Cognitive interventions in depression, such as thought stopping (
C), help clients interrupt negative thought patterns. Social skills training (
A) and interpersonal therapy (
D) address interpersonal issues, while activity scheduling (
B) is behavioral, not cognitive.
Question 3 of 5
The nurse is reviewing the medical record of a client diagnosed with depression and notes that the client has been prescribed mirtazapine. The nurse interprets this information, identifying this agent as which type?
Correct Answer: D
Rationale: Mirtazapine (
D) is an alpha-2 antagonist, enhancing norepinephrine and serotonin release. It is not an SSRI (
A), cyclic antidepressant (
B), or norepinephrine dopamine reuptake inhibitor (
C), distinguishing it by its mechanism.
Question 4 of 5
A client diagnosed with major depression was prescribed imipramine (Tofranil) and has been taking this medication for 1 week. The client took his last dose of imipramine (Tofranil) at 9:00 PM. The client is scheduled to have blood drawn to monitor the medication level the next morning. The nurse should instruct the client to have his blood drawn as close as possible to which time?
Correct Answer: A
Rationale:
To monitor tricyclic antidepressant levels like imipramine, blood should be drawn at trough levels, typically 10?12 hours after the last dose for steady-state accuracy. A 9:00 PM dose means 6:00 AM (
A) is closest to this window. Later times (B, C,
D) are too far from the last dose.
Question 5 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.