Exam 12: Mood Disorders: Depression, Bipolar, and Adjustment Disorders

The nurse learns at report that a newly admitted manic patient is demonstrating grandiosity.Which statement would be most consistent with this symptom?

A patient with melancholic depression paces and wrings her hands for hours at a time while repeating,"I'm a bad person." Staff members have been unsuccessful in their attempts to promote rest.Which intervention is most appropriate in promoting rest?

A patient with suspected seasonal affective disorder asks the nurse,"I've been feeling down for 3 months.Will I ever feel like myself again?" The response that builds on an understanding of this disorder is:

The individual who displays the history and symptoms most consistent with a medical diagnosis of seasonal affective disorder (SAD)is:

A patient who is experiencing a manic episode approaches the nurse and with pressured speech states,"I hate oatmeal.Let's get everybody together to do exercises.I'm thirsty and I'm burning up.Get out of my way; I have to see that guy." The priority nursing action is to:

A patient has been admitted with a diagnosis of atypical depression.In planning interventions,the nurse would expect to consider the characteristic symptom of:

A patient who has been taking lithium carbonate 300 mg tid comes to the Outpatient Department with a list of medications he is taking.Which of the medications on the list would require re-evaluation of lithium dosage?

A patient with bipolar disorder reveals to the clinic nurse that she may be 4 weeks' pregnant.Which action will the nurse take?

A Chinese-American patient comes to the mental health clinic after referral by her primary care physician.She complains of nervousness,headaches,fatigue,and vague GI symptoms for which no organic basis has been established.The symptoms began about 9 months ago when her favorite aunt died.The most appropriate independent nursing action would be to:

Prior to initiating medication therapy with phenelzine (Nardil),the nurse should plan to determine the patient's:

Which activity would be a constructive outlet for tension and anxiety while enhancing self-esteem for a patient with adjustment disorder with anxious mood?

The nurse caring for an extremely withdrawn patient with depression wants to assist her to become more interactive.The best approach would be to say:

An appropriate nursing strategy to assist a patient who was involuntarily admitted after a suicide attempt is::

The nurse will base a discussion of dysthymia on the fact that the condition:

Which principle should the nurse apply when planning nursing care for a patient who was voluntarily admitted after a suicide attempt?

When a father states,"I don't understand what the doctor means by saying my daughter has an adjustment disorder." The nurse explains that this disorder often results from:

Care planned for a patient with adjustment disorder will be most effective if the nurse knows adjustment disorders are a group of disorders that:

Which nursing diagnosis would relate to the primary nursing concern related to a recently written prescription for amitriptyline (Elavil)50 mg tid?

A patient who has a history of bipolar disorder recently underwent orthopedic surgery and was discharged to return home.When visited by the home care nurse,the nurse documented the following: slow and soft speech; sad facial expression; and patient crying when describing extreme fatigue,low mood,and the feeling that he will never get well.He has refused to bathe and perform ADLs for several days.Which nursing diagnosis would be appropriate?

Therapeutic interactions between the nurse and a manic patient will be facilitated when the nurse: