Exam 25: Depressive Disorders

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

A confused client has recently been prescribed sertraline (Zoloft).The client's spouse is taking paroxetine (Paxil).The client presents with restlessness,tachycardia,diaphoresis,and tremors.Which complication does the nurse suspect,and what could be its possible cause?

The nurse understands psychotic postpartum depression is characterized by which symptoms? Select all that apply.

A 75-year-old client with a long history of depression is currently taking doxepin (Sinequan),100 mg daily.The client also takes a daily diuretic for hypertension and is recovering from the flu.Which nursing diagnosis should the nurse assign highest priority?

The nurse assesses a client suspected of having MDD.Which client symptom would eliminate this diagnosis?

A client admitted to the psychiatric unit following a suicide attempt is diagnosed with MDD.Which behavioral symptoms should the nurse expect to assess?

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

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

The nurse should frequently assess a client with a depressive disorder for lethality risk related to suicidal ideation.Which questions should the nurse include? Select all that apply.

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

A client who is diagnosed with MDD asks the nurse what causes depression.Which is the nurse's most accurate response?

Which client information does the nurse need to assess prior to initiating medication therapy with phenelzine (Nardil)?

A client is diagnosed with Major Depressive Disorder (MDD).Which nursing diagnosis should the nurse assign to the client to address a behavioral symptom of this disorder?

Electroconvulsive therapy (ECT)is considered the treatment of choice for which client?

A psychiatrist prescribes an MAOI for a client.Which foods should the nurse teach the client to avoid?

The nurse is providing counseling to clients diagnosed with MDD.The nurse chooses to help the clients alter their mood by learning how to change the way they think.The nurse is functioning under which theoretical framework?

The nurse is implementing a one-on-one suicide observation level with a client diagnosed MDD.The client states,"I'm feeling a lot better,so you can stop watching me.I have taken up too much of your time already." Which is the best nursing reply?

Which client statement expresses typical underlying feelings of clients diagnosed with MDD?

The 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?

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