1. Which medication is considered first-line treatment for a client

diagnosed with Major Depressive Disorder?

 A) Lithium

 B) Sertraline

 C) Risperidone

 D) Phenelzine

 Answer: B) Sertraline

 Rationale: Sertraline is an SSRI, which is commonly used as a first-line

treatment for depression due to its efficacy and relatively favorable side

effect profile.

2. A nurse is caring for a client with schizophrenia. Which antipsychotic

medication would require regular blood tests to monitor for

agranulocytosis?

 A) Aripiprazole

 B) Clozapine

 C) Olanzapine

 D) Quetiapine

 Answer: B) Clozapine

 Rationale: Clozapine can cause agranulocytosis, a potentially lifethreatening reduction in white blood cells, necessitating regular

monitoring of blood counts.

3. When educating a client about the use of mood stabilizers such as

lithium, what is an important aspect to emphasize regarding dietary

intake?

 A) Increase calcium-rich foods.

 B) Maintain consistent sodium intake.

 C) Avoid foods containing tyramine.

 D) Restrict fluid intake.

 Answer: B) Maintain consistent sodium intake.

 Rationale: Lithium levels can be affected by sodium intake; therefore,

clients should maintain a consistent level of sodium to prevent lithium

toxicity.

4. A client with Bipolar I Disorder is prescribed valproate. What is a

critical lab value to monitor?

 A) Liver function tests