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Chapter 47: Antidepressants Test Bank

Chapter 47: Antidepressants Test Bank

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Chapter 47: Antidepressants
Test Bank
MULTIPLE CHOICE
1.   A patient reports having feelings of hopelessness and anxiety for the past few months. The primary care nurse practitioner (NP) performs a history and learns that these feelings occur almost daily. The patient also reports having headaches and difficulty concentrating at work along with wanting to sleep all the time. The patient has gained 5 lb in the past 6 months. The NP should:
a.

tell the patient that these symptoms should resolve on their own.

b.

reassure the patient that these are symptoms of minor depression.

c.

tell the patient that an exercise regimen alone should be effective.

d.

assess the patient for alcohol and drug use and for suicidal ideation.

2.   A patient reports feelings of sadness and hopelessness along with difficulty sleeping and weight loss. The primary care NP learns that the patient’s mother died 6 months earlier. The NP should:
a.

offer a referral to a bereavement counselor.

b.

begin pharmacologic treatment with fluoxetine.

c.

determine whether medications are causing these symptoms.

d.

tell the patient that these symptoms will go away in a few months.

3.   A patient has been taking paroxetine (Paxil) for major depressive symptoms for 8 months. The patient tells the primary care NP that these symptoms improved after 2 months of therapy. The patient is experiencing weight gain and sexual dysfunction and wants to know if the medication can be discontinued. The NP should:
a.

change to a tricyclic antidepressant medication.

b.

begin to taper the paroxetine and instruct the patient to call if symptoms increase.

c.

tell the patient to stop taking the medication and to call if symptoms get worse.

d.

continue the medication for several months and consider adding bupropion (Wellbutrin).

4.   The primary care NP has prescribed sertraline (Zoloft) for a patient who initially reported daily symptoms of hopelessness, sadness, insomnia, and weight loss. After several months of therapy, the patient no longer feels hopeless or sad but continues to have difficulty eating and sleeping. The NP should contact the patient’s psychiatrist to discuss:
a.

adding mirtazapine (Remeron).

b.

changing to duloxetine (Cymbalta).

c.

adding another selective serotonin reuptake inhibitor (SSRI) antidepressant.

d.

an inpatient admission to the hospital.



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