Question 1

The nurse is receiving report on a new patient with Major Depressive Disorder, the chart states the patient has experienced “Anhedonia”. Which best describes this term?

Accepted Answer

Loss of interest/pleasure

Question 2

Patient being prescribed a new antidepressant is advised to avoid foods such as aged cheese, aged meats, and other fermented food items. What medication should the nurse expect the patient to be pres

Accepted Answer

Phenelzine (Nardil) - Phenelzine (Nardil) is an MAOI; and patients prescribed this medication will not break down tyramine, therefore having increased levels of it, so they must avoid food/other drugs that are high in tyramine (such as aged cheeses and meats). Sertraline, Paroxetine, and Citalopram are all SSRIs, which do not cause increased tyramine levels.

Question 3

Which of the following statements made by a patient would indicate they do NOT need further education on their antidepressant medication regimen?

Accepted Answer

It may take 6-8 weeks to feel full effect of the medication, this is normal - It is normal for antidepressant medications to not exhibit their full (and noticeable) effects for 6-8 weeks after the beginning of treatment. A) is wrong because depression will never be "cured" per say. B) is wrong because abruptly stopping the medication due to unpleasant side effects could lead to more harmful reactions. And C) is wrong as having thoughts of hurting oneself is NOT a normal side effect; it has been known to occur in many cases but it is not "normal".

Question 4

Which of the following medications would be contraindicated in a patient due to receive Electroconvulsive Therapy (ECT) treatment?

Accepted Answer

Lamotrigine (Lamictal)  - Anticonvulsant (medications used to treat seizures) are contraindicated prior to ECT treatment because the entire mechanism of ECT is to cause brief seizure activity to alter brain chemistry; so taking this medication would prevent that from occurring. Fluoxetine, Sertraline, and Duloxetine are all SSRIs and SNRI (respectively), which do not impact seizure activity.

Question 5

Which of the following characteristics are consistent with Disruptive Mood Dysregulation Disorder?

Accepted Answer

Severe, recurrent temper outbursts inconsistent with developmental level

Question 6

Which of the following antidepressant medications is commonly known to cause sexual dysfunction?

Accepted Answer

Selective Serotonin Reuptake Inhibitors (SSRIs)

Question 7

Which of the following patient profiles would not fit the criteria for undergoing Transcranial Magnetic Stimulation (TMS)?

Accepted Answer

45 year old female with cochlear implants. - TMS is contraindicated in people with cochlear implants due to the magnetic force of the instruments used; they are similar to the magnetics used in MRI machines, which also are contraindicative in patients with metal implants.

Question 8

Which of the following criteria is NOT a part of the SIGECAPS diagnostic tool for Major Depressive Disorder?

Accepted Answer

Elevated thoughts

Question 9

Which of the following medications is associated with QT prolongation and sudden death arrhythmias?

Accepted Answer

Amitriptyline (Elavil) - Amitriptyline (Elavil) is a Tricyclic Antidepressant (TCA), which are known to cause QT prolongation and arrhythmias resulting in death.

Question 10

Which of the following findings in a patient’s medical/psychiatric history would contraindicate an diagnostic assessment for Major Depressive Disorder?

Accepted Answer

Hypomanic episode approximately 6 months ago. - A history of hypomania (or mania) in a person presenting with symptoms of depression would point toward a diagnosis of a Bipolar disorder, they would most likely not be screened for depression.

Question 11

The collaborative team is assessing an 87 year old patient for Major Depressive Disorder and are looking at the possibility of prescribing Sertraline (Zoloft).

Accepted Answer

Bloodwork to obtain sodium levels. - Sertraline (Zoloft) is an SSRI, which is known to alter sodium levels as a result of interfering with sodium regulating hormones, this is also more critical in older adults who already have difficulty regulating fluid levels anyways. So, prior to starting this medication, the 87 year old patient would need an assessment of sodium levels.

Question 12

Which of the following statements made by a patient undergoing Transcranial Magnetic Stimulation (TMS) would indicate a full understanding of the procedure?

Accepted Answer

I may feel tingling of the scalp/discomfort at the site of administration.

Question 13

An older adult who was initially diagnosed with a neurocognitive disorder because of several cognitive symptoms such as difficulty concentration and agitation.

Accepted Answer

Pseudodementia

Question 14

The nurse is reviewing orders given for a patient with depression. Which of the following orders should be questioned?

Accepted Answer

An SSRI given initially with an MAOI.

Question 15

A nurse is caring for a patient who repeatedly states "I hear voices of aliens trying to contact me". Which presentation of Major Depressive Disorder is this statement consistent with?

Accepted Answer

Psychotic

NURS 3001 Review: Depression

2) Patient being prescribed a new antidepressant is advised to avoid foods such as aged cheese, aged meats, and other fermented food items. What medication should the nurse expect the patient to be pres

3) Which of the following statements made by a patient would indicate they do NOT need further education on their antidepressant medication regimen?

4) Which of the following medications would be contraindicated in a patient due to receive Electroconvulsive Therapy (ECT) treatment?

5) Which of the following characteristics are consistent with Disruptive Mood Dysregulation Disorder?

6) Which of the following antidepressant medications is commonly known to cause sexual dysfunction?

7) Which of the following patient profiles would not fit the criteria for undergoing Transcranial Magnetic Stimulation (TMS)?

8) Which of the following criteria is NOT a part of the SIGECAPS diagnostic tool for Major Depressive Disorder?

9) Which of the following medications is associated with QT prolongation and sudden death arrhythmias?

10) Which of the following findings in a patient’s medical/psychiatric history would contraindicate an diagnostic assessment for Major Depressive Disorder?

11) The collaborative team is assessing an 87 year old patient for Major Depressive Disorder and are looking at the possibility of prescribing Sertraline (Zoloft).

12) Which of the following statements made by a patient undergoing Transcranial Magnetic Stimulation (TMS) would indicate a full understanding of the procedure?

13) An older adult who was initially diagnosed with a neurocognitive disorder because of several cognitive symptoms such as difficulty concentration and agitation.

14) The nurse is reviewing orders given for a patient with depression. Which of the following orders should be questioned?

15) A nurse is caring for a patient who repeatedly states "I hear voices of aliens trying to contact me". Which presentation of Major Depressive Disorder is this statement consistent with?