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Drugs Used for Depressive and Bipolar Disorders > Pharmacology
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Total Questions : 15
Showing 15 questions, Sign in for moreA 16-year-old client has taken an overdosage of citalopram (Celexa) and is brought to the emergency department. What symptoms would the nurse expect to be present?
A 77-year-old female client is diagnosed with depression with anxiety and is started on imipramine. Because of this client’s age, the nurse will take precautions for care related to which adverse effects?
Which of the following would be a priority component of the teaching plan for a client prescribed phenelzine (Nardil) for treatment of depression?
The nurse determines that the teaching plan for a client prescribed sertraline (Zoloft) has been effective when the client makes which statement?
The nurse realizes that some herbs interact with selective serotonin reuptake inhibitors. Which herb interaction may cause serotonin syndrome?
A selective serotonin reuptake inhibitor (SSRI) is prescribed for a client. The nurse knows that which drug is an SSRI?
A patient is taking tranylcypromine sulfate (Parnate) for depression. What advice should the nurse include in the teaching plan for this medication?
When a patient is taking an antidepressant, what should the nurse do? Select all that apply
Patient scenario:
A patient with known bipolar disorder was admitted to the mental health unit for medication adjustment.
The nurse was assessing the patient in the scenario who came in with increasing episodes of depression. Which components are part of the baseline assessment? Select all that apply
A patient with known bipolar disorder was admitted to the mental health unit for medication adjustment.
The patient in the scenario was being treated for depression and the nurse will monitor for thoughts of suicide. Indicate with an X which behavior may indicate suicidal ideation and which is unrelated.
Explanation
Patient remarking that the patient had a plan and was intent on carrying it out → Significant Finding
Expressing a specific plan and intent is a major suicide risk indicator, requiring immediate safety interventions.
Poor hygiene → Unrelated Finding
Poor hygiene can reflect depression, but it is a nonspecific finding and does not directly indicate imminent suicidal intent.
Comments from the patient such as, “Things will get better after I’m gone.” → Significant Finding
Statements implying hopelessness or anticipating absence strongly suggest suicidal ideation and need urgent assessment.
Pacing in the room → Unrelated Finding
Pacing may indicate anxiety, restlessness, or agitation, but it is not a direct marker of suicidal ideation.
Excessive appetite → Unrelated Finding
Appetite changes occur with mood disorders, but alone they do not indicate suicidal intent.
Sleeping throughout the day → Unrelated Finding
Hypersomnia is common in depression, but by itself, it is not a red-flag suicidal behavior.
Patient’s relative indicated that the patient has recently given away a collection of expensive dishes → Significant Finding
Giving away prized possessions is a common pre-suicide behavior, showing preparation and finality.
Take-home Points:
- Direct verbal cues and a plan are the strongest indicators of suicide risk.
- Behavioral clues like giving away possessions signal possible preparation for suicide.
- Depressive symptoms (sleep, appetite, hygiene) raise concern but are not definitive for suicidal ideation.
The nurse is monitoring the client for early signs of lithium (Eskalith) toxicity. Which symptoms, if present, may indicate that toxicity is developing? Select all that apply
A patient is admitted with bipolar affective disorder. The nurse acknowledges that which medication is used to treat this disorder for some patients in place of lithium?
A client is taking lithium. The nurse should be aware of the importance of which nursing intervention(s)? Select all that apply
The nurse is giving medications to a client. Which drug or drug class, when administered with lithium, increases the risk for lithium toxicity?
A client who has been taking lithium for 6 months has had severe vomiting and diarrhea from a gastrointestinal flu. The nurse will assess for which potential problem at this time?
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