Exam 14: Depressive Disorders

A patient diagnosed with depression begins selective serotonin reuptake inhibitor (SSRI)antidepressant therapy.The nurse should provide information to the patient and family about:

A patient was diagnosed with seasonal affective disorder (SAD).During which month would this patient's symptoms be most acute?

A patient diagnosed with depression repeatedly tells staff,"I have cancer.It's my punishment for being a bad person." Diagnostic tests reveal no cancer.Select the priority nursing diagnosis.

The admission note indicates a patient diagnosed with major depression has anergia and anhedonia.For which measures should the nurse plan? Select all that apply.

A student nurse caring for a patient diagnosed with depression reads in the patient's medical record,"This patient shows vegetative signs of depression." Which nursing diagnoses most clearly relate to the vegetative signs? Select all that apply.

An adult diagnosed with major depression was treated with medication and cognitive behavioral therapy.The patient now recognizes how passivity contributed to the depression.Which intervention should the nurse suggest?

A patient being treated for depression has taken 300 mg amitriptyline (Elavil)daily for a year.The patient calls the case manager at the clinic and says,"I stopped taking my antidepressant 2 days ago.Now I am having cold sweats,nausea,a rapid heartbeat,and nightmares." The nurse will advise the patient to:

A nurse taught a patient about a tyramine-restricted diet.Which menu selection would the nurse approve?

Major depression resulted after a patient's employment was terminated.The patient now says to the nurse,"I'm not worth the time you spend with me.I am the most useless person in the world." Which nursing diagnosis applies?

A nurse worked with a patient diagnosed with major depression,severe withdrawal,and psychomotor retardation.After 3 weeks,the patient did not improve.The nurse is most at risk for feelings of:

A patient diagnosed with major depression refuses solid foods.In order to meet nutritional needs,which beverage will the nurse offer to this patient?

A nurse is caring for a patient with low self-esteem.Which nonverbal communication should the nurse anticipate from this patient?

A patient became severely depressed when the last of the family's six children moved out of the home 4 months ago.The patient repeatedly says,"No one cares about me.I'm not worth anything." Which response by the nurse would be the most helpful?

A patient diagnosed with major depression began taking a tricyclic antidepressant 1 week ago.Today the patient says,"I don't think I can keep taking these pills.They make me so dizzy,especially when I stand up." The nurse will:

During a psychiatric assessment,the nurse observes a patient's facial expression is without emotion.The patient says,"Life feels so hopeless to me.I've been feeling sad for several months." How will the nurse document the patient's affect and mood?

Transcranial Magnetic Stimulation (TCM)is scheduled for a patient diagnosed with major depression.Which comment by the patient indicates teaching about the procedure was effective?

Which documentation for a patient diagnosed with major depression indicates the treatment plan was effective?

When counseling patients diagnosed with major depression,an advanced practice nurse will address the negative thought patterns by using:

A patient diagnosed with major depression shows vegetative signs of depression.Which nursing actions should be implemented? Select all that apply.

A nurse provided medication education for a patient diagnosed with major depression who began a new prescription for phenelzine (Nardil).Which behavior indicates effective learning? The patient: