Chapter 07: Psychotherapeutic Drug Therapy Morrison-Valfre: Foundations of Mental Health Care, 7th 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. DIF: Cognitive Level: Comprehension REF: p. 70 | Table 7.2 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 g/day. d. Take a potassium supplement. 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. DIF: Cognitive Level: Application REF: p. 72 | Box 7.2 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
NURSING TEST BANK
