Question 1

A nurse assesses a client suspected of having major depressive disorder.Which client symptom would eliminate this diagnosis?

Accepted Answer

A)   The client is disheveled and malodorous.
B)   The client refuses to interact with others.
C)   The client is unable to feel any pleasure.
D)   The client has maxed-out charge cards and exhibits promiscuous behaviors.E) A) and B)
F) A) and C)

Question 2

A newly admitted client diagnosed with major depressive disorder states,"I have never considered suicide." Later the client confides to the nurse about plans to end it all by medication overdose.What is the most helpful nursing reply?

Accepted Answer

A)   "There is nothing to worry about. We will handle it together."
B)   "Bringing this up is a very positive action on your part."
C)   "We need to talk about the things you have to live for."
D)   "I think you should consider all your options prior to taking this action."E) All of the above
F) None of the above

Question 3

An individual experiences sadness and melancholia in September continuing through November.Which of the following factors should a nurse identify as most likely to contribute to the etiology of these symptoms? Select all that apply.

Accepted Answer

A)   Gender differences in social opportunities that occur with age
B)   Drastic temperature and barometric pressure changes
C)   Increased levels of melatonin
D)   Variations in serotonergic functioning
E)   Inaccessibility of resources for dealing with life stressorsF) B) and D)
G) B) and C)

Question 4

A client who has been taking fluvoxamine (Luvox) without significant improvement asks a nurse,"I heard about something called a monoamine oxidase inhibitor (MAOI) .Can't my doctor add that to my medications?" Which is an appropriate nursing reply?

Accepted Answer

A)   "This combination of drugs can lead to delirium tremens."
B)   "A combination of an MAOI and Luvox can lead to a life-threatening hypertensive crisis."
C)   "That's a good idea. There have been good results with the combination of these two drugs."
D)   "The only disadvantage would be the exorbitant cost of the MAOI."E) All of the above
F) B) and D)

Question 5

Which client statement expresses a typical underlying feeling of clients diagnosed with major depressive disorder?

Accepted Answer

A)   "It's just a matter of time and I will be well."
B)   "If I ignore these feelings, they will go away."
C)   "I can fight these feelings and overcome this disorder."
D)   "Nothing will help me feel better."E) All of the above
F) A) and B)

Question 6

A client who is diagnosed with major depressive disorder asks the nurse what causes depression.Which of these is the most accurate response?

Accepted Answer

A)   Depression is caused by a deficiency in neurotransmitters, including serotonin and norepinephrine.
B)   The exact cause of depressive disorders is unknown. A number of things, including genetic, biochemical, and environmental influences, likely play a role.
C)   Depression is a learned state of helplessness cause by ineffective parenting.
D)   Depression is caused by intrapersonal conflict between the id and the ego.E) A) and C)
F) B) and C)

Question 7

A client diagnosed with major depressive disorder was raised in a strongly religious family where bad behavior was equated with sins against God.Which nursing intervention would be most appropriate to help the client address spirituality as it relates to his illness?

Accepted Answer

A)   Encourage the client to bring into awareness underlying sources of guilt.
B)   Teach the client that religious beliefs should be put into perspective throughout the life span.
C)   Confront the client with the irrational nature of the belief system.
D)   Assist the client to modify his or her belief system in order to improve coping skills.E) None of the above
F) C) and D)

Question 8

A nurse is planning care for a child who is experiencing depression.Which medication is approved by the U.S.Food and Drug Administration (FDA) for the treatment of depression in children and adolescents?

Accepted Answer

A)   Paroxetine (Paxil) 
B)   Sertraline (Zoloft) 
C)   Citalopram (Celexa) 
D)   Fluoxetine (Prozac) E) A) and B)
F) All of the above

Question 9

A 20-year-old female has a diagnosis of premenstrual dysphoric disorder.Which of the following should a nurse identify as consistent with this diagnosis? Select all that apply.

Accepted Answer

A)   Symptoms are causing significant interference with work, school, and social relationships.
B)   Patient-rated mood is 2/10 for the past 6 months
C)   Mood swings occur the week before onset of menses
D)   Patient reports subjective difficulty concentrating
E)   Patient manifests pressured speech when communicatingF) C) and E)
G) B) and E)

Question 10

A client is admitted to the psychiatric unit with a diagnosis of major depressive disorder.The client is unable to concentrate,has no appetite,and is experiencing insomnia.Which should be included in this client's plan of care?

Accepted Answer

A)   A simple, structured daily schedule with limited choices of activities
B)   A daily schedule filled with activities to promote socialization
C)   A flexible schedule that allows the client opportunities for decision making
D)   A schedule that includes mandatory activities to decrease social isolationE) B) and C)
F) A) and B)

Exam 25: Depressive Disorders

A nurse is planning care for a child who is experiencing depression.Which medication is approved by the U.S.Food and Drug Administration (FDA) for the treatment of depression in children and adolescents?

Correct Answer
verified

A newly admitted client diagnosed with major depressive disorder states,"I have never considered suicide." Later the client confides to the nurse about plans to end it all by medication overdose.What is the most helpful nursing reply?

Correct Answer
verified

A client diagnosed with major depressive disorder was raised in a strongly religious family where bad behavior was equated with sins against God.Which nursing intervention would be most appropriate to help the client address spirituality as it relates to his illness?

Correct Answer
verified

An individual experiences sadness and melancholia in September continuing through November.Which of the following factors should a nurse identify as most likely to contribute to the etiology of these symptoms? Select all that apply.

Correct Answer
verified

Which client statement expresses a typical underlying feeling of clients diagnosed with major depressive disorder?

Correct Answer
verified

A client who has been taking fluvoxamine (Luvox) without significant improvement asks a nurse,"I heard about something called a monoamine oxidase inhibitor (MAOI) .Can't my doctor add that to my medications?" Which is an appropriate nursing reply?

Correct Answer
verified

A nurse assesses a client suspected of having major depressive disorder.Which client symptom would eliminate this diagnosis?

Correct Answer
verified

A client is admitted to the psychiatric unit with a diagnosis of major depressive disorder.The client is unable to concentrate,has no appetite,and is experiencing insomnia.Which should be included in this client's plan of care?

Correct Answer
verified

A client who is diagnosed with major depressive disorder asks the nurse what causes depression.Which of these is the most accurate response?

Correct Answer
verified

A 20-year-old female has a diagnosis of premenstrual dysphoric disorder.Which of the following should a nurse identify as consistent with this diagnosis? Select all that apply.

Correct Answer
verified

Exam 25: Depressive Disorders

A nurse is planning care for a child who is experiencing depression.Which medication is approved by the U.S.Food and Drug Administration (FDA) for the treatment of depression in children and adolescents?

Correct AnswerverifiedShow Answer

A newly admitted client diagnosed with major depressive disorder states,"I have never considered suicide." Later the client confides to the nurse about plans to end it all by medication overdose.What is the most helpful nursing reply?

Correct AnswerverifiedShow Answer

A client diagnosed with major depressive disorder was raised in a strongly religious family where bad behavior was equated with sins against God.Which nursing intervention would be most appropriate to help the client address spirituality as it relates to his illness?

Correct AnswerverifiedShow Answer

An individual experiences sadness and melancholia in September continuing through November.Which of the following factors should a nurse identify as most likely to contribute to the etiology of these symptoms? Select all that apply.

Correct AnswerverifiedShow Answer

Which client statement expresses a typical underlying feeling of clients diagnosed with major depressive disorder?

Correct AnswerverifiedShow Answer

A client who has been taking fluvoxamine (Luvox) without significant improvement asks a nurse,"I heard about something called a monoamine oxidase inhibitor (MAOI) .Can't my doctor add that to my medications?" Which is an appropriate nursing reply?

Correct AnswerverifiedShow Answer

A nurse assesses a client suspected of having major depressive disorder.Which client symptom would eliminate this diagnosis?

Correct AnswerverifiedShow Answer

A client is admitted to the psychiatric unit with a diagnosis of major depressive disorder.The client is unable to concentrate,has no appetite,and is experiencing insomnia.Which should be included in this client's plan of care?

Correct AnswerverifiedShow Answer

A client who is diagnosed with major depressive disorder asks the nurse what causes depression.Which of these is the most accurate response?

Correct AnswerverifiedShow Answer

A 20-year-old female has a diagnosis of premenstrual dysphoric disorder.Which of the following should a nurse identify as consistent with this diagnosis? Select all that apply.

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified