Mental Health Disorders Medication NCLEX Questions The client with a major depressive disorder taking the selective serotonin reuptake inhibitor (SSRI)
... [Show More] fluoxetine (Prozac) calls the psychiatric c lini c and reports feeling confused and restless and having an elevated temperature. Which action should the psychiatric nurse take? 1. Determine if the client has flulike symptoms 2. Instruct the client to stop taking the SSRI 3. Recommend the client take the medication at night. 4. Explain that these are expected side effects The client diagnosed with a major depressive disorder asks the nurse, "Why did my psychiatrist prescribe an SSRI medication rather than one of the other types of anti-depressants?" Which statement by the nurse would be most appropriate? 1. "Probably it is the medication that your insurance will pay for" 2. "You should ask your psychiatrist why the SSRI was ordered" 3. "SSRIs have fewer side effects than the other classifications" 4. "The SSRI medications work faster than the other medications" The client diagnosed with pneumonia is admitted to the medical unit. The nurse notes the client is taking an antidepressant medication. Which data best indicate the antidepressant therapy is effective? 1. The client reports a "2" on a 1-10 scale, with 10 being very depressed 2. The client reports not feeling very depressed today 3. The client gets out of bed and completes activities of daily living 4. The client eats 90% of all meals that are served during the shift The client diagnosed with depression is prescribed phenelzine (Nardil), a monoamine oxidase (MAO) inhibitor. Which statement by the client indicates to the nurse the medication teaching is effective? 1. "I am taking the herb ginseng to help my attention span" 2. "I drink extra fluids, especially coffee and iced tea" 3. "I am eating three well-balanced meals a day" 4. "At a family cookout I had chicken instead of a hotdog" The client with major depressive disorder is suicidal. The client was prescribed the tricyclic antidepressant imipramine (Tofranil) 3 weeks ago. Which priority intervention should the nurse implement? 1. Determine if the client has a plan to commit suicide 2. Assess if the client is sleeping better at night 3. Ask the family if the client still wants to kill himself or herself 4. Observe the client for signs of wanting to commit suicide The client with major depressive disorder has been taking amitriptyline (Elavil), a tricyclic antidepressant, for more than 1 year. The client tells the psychiatric clinic nurse that the client wants to quit taking the antidepressant. Which intervention is most important for the nurse to discuss with the client? 1. Ask questions to determine if the client is still depressed 2. Ask the client why he or she wants to stop taking the medication [Show Less]