A nurse is administering an antidepressant medication to a client. The nurse should understand that which of the following is the major difference between selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs)?

SSRIs are more effective in relieving manifestations.

SSRIs produce a more sedative effect.

TCAs are lethal in overdose.

TCAs have fewer cardiovascular effects.

Answer and Explanation

The Correct Answer is C

A reason: SSRIs are more effective in relieving manifestations. Both SSRIs and TCAs are effective in treating depression, but SSRIs are generally preferred due to their more favorable side effect profile. Effectiveness can vary among individuals, so this statement is not a significant differentiator.

B reason: SSRIs produce a more sedative effect. SSRIs are generally less sedating than TCAs. TCAs are known for their sedative properties and are often prescribed for clients who need help with insomnia related to depression.

C reason: TCAs are lethal in overdose. One major difference between TCAs and SSRIs is the toxicity level in overdose. TCAs can be lethal in overdose due to their cardiotoxic effects, making them more dangerous compared to SSRIs, which have a lower risk of toxicity.

D reason: TCAs have fewer cardiovascular effects. TCAs have more cardiovascular side effects, such as arrhythmias and orthostatic hypotension, compared to SSRIs. This statement is incorrect as TCAs are associated with higher cardiovascular risks.

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Correct Answer is B

Explanation

A reason: Midazolam. Midazolam is a benzodiazepine used for sedation, anxiety relief, and seizure management. It is not typically used as a first-line treatment for major depressive disorder.

B reason: Fluoxetine. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed as a first-line treatment for major depressive disorder. It helps increase serotonin levels in the brain, which can improve mood and alleviate depressive symptoms.

C reason: Cyclobenzaprine. Cyclobenzaprine is a muscle relaxant used to relieve muscle spasms. It is not indicated for the treatment of major depressive disorder.

D reason: Valproic acid. Valproic acid is a mood stabilizer primarily used to treat bipolar disorder and seizure disorders. It is not typically used as a first-line treatment for major depressive disorder.

A. A client who has new-onset depression. B. A client who is experiencing auditory hallucinations. C. A client who is experiencing mania. D. A client who has somatic symptom disorder.

Correct Answer is D

Explanation

A reason: A client who has new-onset depression. While assertiveness training can be beneficial for clients with depression, it may not be the most immediate need for someone with new-onset depression. Initial treatment should focus on managing depressive symptoms.

B reason: A client who is experiencing auditory hallucinations. Clients experiencing active psychotic symptoms, such as auditory hallucinations, may have difficulty engaging in and benefiting from assertiveness training. Stabilizing their symptoms is the priority.

C reason: A client who is experiencing mania. Clients in a manic state may struggle to focus and participate effectively in assertiveness training. Managing manic symptoms is the primary concern for these individuals.

D reason: A client who has somatic symptom disorder. Clients with somatic symptom disorder often struggle with expressing their needs and feelings assertively. Assertiveness training can help them communicate more effectively and reduce the psychological distress associated with their physical symptoms.

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A nurse is administering an antidepressant medication to a client. The nurse should understand that which of the following is the major difference between selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a new diagnosis of major depressive disorder. Which of the following medications should the nurse expect the provider to prescribe to the client as a first-line treatment?

Correct Answer is B

Explanation

A nurse on a mental health unit is planning a group therapy session about assertiveness training. For which of the following clients should the nurse recommend the training?

Correct Answer is D

Explanation

A nurse is preparing to teach a client who has major depressive disorder and is scheduled to undergo electroconvulsive therapy (ECT). Which of the following statements should the nurse include in the teaching?

A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following interventions should the nurse include?

A charge nurse in a community mental health clinic is discussing ethical concepts of client care with a newly licensed nurse. The charge nurse should use which of the following situations as an example of fidelity?

A nurse is teaching the guardian of a school-age child who has autism spectrum disorder about a new prescription for risperidone. Which of the following statements by the guardian demonstrates an understanding of the teaching?

A nurse is caring for a client who has bipolar disorder. The client says to the nurse, "Give me your pen to cut the pain out of my chest." The nurse should identify that the client is at risk for which of the following?

A nurse is assessing a client who has delirium as a result of sepsis. Which of the following manifestations should the nurse expect? (Select all that apply.)

A nurse is admitting a client who has posttraumatic stress disorder (PTSD) to a community mental health facility. Which of the following manifestations should the nurse expect when completing the admission assessment?

A home health nurse is caring for a client who reports feeling tired and being unable to grocery shop. Which of the following responses by the nurse is an example of therapeutic communication?