Chapter 21: Antidepressant Agents

A client has been prescribed phenelzine sulfate. When providing teaching, which food should the nurse instruct the client to avoid eating?

Salami

After teaching a group of nursing students about antidepressants, the instructor determines that the teaching was successful when the students identify which as inhibiting the reuptake of serotonin?

Selective serotonin reuptake inhibitors

The nurse is caring for a client taking fluoxetine for depression. Which assessment findings indicate that the medication is effective? Select all that apply.

improved sleep decreased anxiety

A client on the psychiatry unit with a longstanding history of schizophrenia has been prescribed risperidone. What assessment should the nurse prioritize to best evaluate therapeutic effect of the treatment in the care of this client?

Assessment of the client's behaviors and thought processes

The nurse is caring for a client whose current drug regimen includes mirtazapine 15 mg PO daily. What assessment question should the nurse prioritize?

"How would you describe your mood and energy level today?"

An adult client has been diagnosed and the client's psychiatrist has prescribed amitriptyline 100 mg PO daily. What education should the nurse provide about this drug regimen?

"Many people find this drug makes them drowsy, so it's best to take it at bedtime." "If you find that you have a dry mouth, try sucking on lozenges or hard candies." "It's possible that you might have a bit of difficulty starting your urine stream." "Let your psychiatrist know promptly if you have any changes in your vision.

A 33-year-old woman has been diagnosed with major depression and has recently begun treatment with citalopram. What teaching point should the nurse emphasize when providing health education for this patient?

"Most people don't experience severe side effects with this drug, but it may have an effect on your sexual functioning."

A new mother asks her nurse about the safety of taking St. John's wort for postpartum depression. What would be the nurse's best response?

"There is insufficient evidence to support the use of St. John's wort, and drug interactions may be extensive."

The nurse is caring for a client who is prescribed a tricyclic antidepressant for depression. Which teaching will the nurse provide to the client about this medication? Select all that apply.

"Report urinary retention." "Take the medication at bedtime." "Call the health care provider if you experience confusion.

The psychiatric-mental health nurse is overseeing care of several clients who are being treated with selective serotonin reuptake inhibitors. Which client should the nurse monitor most closely for adverse effects?

A severely depressed 14-year-old client who is receiving inpatient care

The nurse is caring for a 32-year-old client who is taking amitriptyline for depression. What nursing intervention would be appropriate if this client developed orthostatic hypotension?

Asking the client to sit on the side of the bed for 1 minute before getting up

A client with a longstanding diagnosis of depression is being treated with phenelzine. The client reports the recent use of some over-the-counter flu and cold remedies and has consequently been admitted for observation and client teaching. What assessment should the nurse prioritize?

Blood pressure monitoring

A group of students are reviewing information about tricyclic antidepressants and demonstrate understanding of the material when they identify which drug as also being indicated for the treatment of obsessive-compulsive disorde

Clomipramine

The psychiatric nurse would recognize that venlafaxine's therapeutic effect is achieved by what means?

Increasing levels of both serotonin and norepinephrine

A patient is starting on a selective serotonin reuptake inhibitor for depression. What will the nurse instruct the patient about taking the medication?

The medication should be taken once a day in the morning.