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DIF: Cognitive Level: Applying REF: p. 200 15. A young adult patient taking an SSRI for the past 2 weeks comes in for an evaluation and follow-up appointment. Which potential side effect should you check for in this patient? a. Suicidal thoughts. b. Psychotic episodes. c. Delusional thinking. d. Schizo-affective disorders. ANS: A SSRI’s may cause thoughts of suicide, most likely in children and young adults. Remind the patients and their families that this is just a side effect of the drug and should be reported to the healthcare providers immediately. DIF: Cognitive Level: Applying REF: p. 197 16. Which of the following drugs classifications for the treatment of mental health problems is contraindicated for patients with vision problems? a. Antipsychotics. b. Tricyclic antidepressants. c. Selective serotonin reuptake inhibitors. d. Serotonin norepinephrine reuptake inhibitors. ANS: B TCAs should not be used in patients with glaucoma because these drugs can increase intraocular pressure. DIF: Cognitive Level: Knowing REF: p. 202 17. A patient who has been taking imipramine comes to the clinic for a routine follow-up appointment. Which of the following assessments would be appropriate to perform? a. Skin assessment. b. Hearing assessment. c. Elimination assessment. d. Vital signs and weight assessment. ANS: D Assess vital signs including baseline weight. TCAs can cause hypotension and weight gain. DIF: Cognitive Level: Applying REF: p. 202 18. You are caring for a patient who will begin treatment for anxiety and depression that has been unresponsive to other drugs with isocarboxazid. Which of the following statements made by the patient would indicate understanding of the teaching related to this drug? a. “I will take both my isocarboxazid and my SSRI drugs at the same time each day.” b. “I will avoid situations that cause me to lose fluids and become dehydrated.” c. “I will avoid eating foods containing tyramine that can increase blood pressure.” d. “I will take my isocarboxazid weekly, as this drug is long- acting” ANS: C

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